Surgical Quality in Rectal Cancer Management: What Can Be Achieved by a Voluntary Observational Study?
المؤلفون المشاركون
Mroczkowski, Pawel
Dziki, Łukasz
Otto, Ronny
Jannasch, Olof
Lippert, Hans
المصدر
Gastroenterology Research and Practice
العدد
المجلد 2018، العدد 2018 (31 ديسمبر/كانون الأول 2018)، ص ص. 1-6، 6ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2018-05-08
دولة النشر
مصر
عدد الصفحات
6
التخصصات الرئيسية
الملخص EN
Purpose.
Countries with nationwide quality programmes in colorectal cancer report an improved outcome.
In Germany, a self-organized and self-financed observational quality assurance project exists, based on voluntary participation.
The object of the present study was to ascertain whether this nationwide project also improves the outcome of colorectal cancer.
Methods.
The German Quality Assurance in Colorectal Cancer Project started in 2000 and by 2012 contained 85,000 patients.
Inclusion criteria for the study were participation for the entire period of 13 years and treatment of rectal cancer.
The following parameters were analysed: (1) patient related: age, gender, ASA classification, T-stage, and N-stage, (2) system related: frequency of preoperative CT and MRI, and (3) outcome related: CRM status, complications, and hospital mortality.
Results.
Forty-one of the 345 hospitals treating 11,597 patients fulfilled the inclusion criteria.
The median age increased from 67 to 69 years (p=0.002).
ASA stages III and IV increased from 32.0% to 37.6% (p=0.005) and from 2.0% to 3.3% (p=0.022), respectively.
The use of CT rose from 67.2% to 88.8% (p<0.001) and that of MRI from 5.0% to 35.2% (p<0.001).
The proportion of patients suffering from complications decreased from 7.9% to 5.3% (p<0.001) for intraoperative and from 28.0% to 18.6% (p<0.001) for postoperative surgical complications, but general postoperative complications increased from 25.8% to 29.5% (p=0.006).
The distribution of histopathological stage, anastomotic leakage, and in-hospital mortality did not change significantly.
Conclusion.
Participation in a quality assurance project improves compliance with treatment standards, especially for diagnostic procedures.
An improvement of surgical results will require further investment in training.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Dziki, Łukasz& Otto, Ronny& Lippert, Hans& Mroczkowski, Pawel& Jannasch, Olof. 2018. Surgical Quality in Rectal Cancer Management: What Can Be Achieved by a Voluntary Observational Study?. Gastroenterology Research and Practice،Vol. 2018, no. 2018, pp.1-6.
https://search.emarefa.net/detail/BIM-1159599
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Dziki, Łukasz…[et al.]. Surgical Quality in Rectal Cancer Management: What Can Be Achieved by a Voluntary Observational Study?. Gastroenterology Research and Practice No. 2018 (2018), pp.1-6.
https://search.emarefa.net/detail/BIM-1159599
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Dziki, Łukasz& Otto, Ronny& Lippert, Hans& Mroczkowski, Pawel& Jannasch, Olof. Surgical Quality in Rectal Cancer Management: What Can Be Achieved by a Voluntary Observational Study?. Gastroenterology Research and Practice. 2018. Vol. 2018, no. 2018, pp.1-6.
https://search.emarefa.net/detail/BIM-1159599
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1159599
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر