Textbook Outcome in Colorectal Surgery for Cancer: An Italian Version.

Autor: Sofia S; Department of Oncology, Division of Surgical Oncology and Digestive Surgery, San Luigi University Hospital, University of Turin, 10043 Turin, Italy., Degiuli M; Department of Oncology, Division of Surgical Oncology and Digestive Surgery, San Luigi University Hospital, University of Turin, 10043 Turin, Italy., Anania G; Dipartimento Scienze Mediche, Università di Ferrara, 44121 Ferrara, Italy., Baiocchi GL; Department of Clinical and Experimental Sciences, University of Brescia, 25123 Brescia, Italy., Baldari L; Fondazione IRCCS, Ca' Granda-Ospedale Maggiore Policlinico di Milano, 20122 Milan, Italy., Baldazzi G; Divisione di Chirurgia Generale, Nuovo Ospedale di Legnano-ASST Ovest Milanese, 20025 Legnano, Italy., Bianco F; General Surgery Unit, San Leonardo Hospital, ASL-NA3 Sud, Castellammare di Stabbia-Naples, 80053 Naples, Italy., Borghi F; Oncologic Surgery Unit, Candiolo Cancer Institute, FPO-IRCCS, 10060 Turin, Italy., Cavaliere D; General and Oncologic Surgery, Morgagni-Pierantoni Hospital, Ausl Romagna, 47121 Forlì, Italy., Coco C; Fondazione Policlinico Universitario A. Gemelli-IRCCS, Chirurgia Generale Presidio Columbus, Università Cattolica del Sacro Cuore, 00168 Rome, Italy., Coppola R; Fondazione Policlinico Universitario Campus Bio-Medico, 00128 Rome, Italy., D'Ugo D; Fondazione Policlinico Gemelli-IRCCS, AREA di Chirurgia Addominale, 00168 Rome, Italy., Delrio P; Colorectal Surgical Oncology, Abdominal Oncology Department, Fondazione Giovanni Pascale IRCCS, 80131 Naples, Italy., Fumagalli Romario U; Digestive Surgery, European Institute of Oncology-IRCCS, 20141 Milan, Italy., Guerrieri M; Department of General Surgery, UNIVPM IRCCS INRCA, 60121 Ancona, Italy., Milone M; Department of Clinical Medicine and Surgery, 'Federico II' University of Naples, Via Sergio Pansini 5, 80131 Naples, Italy., Morino M; Department of Surgical Sciences, University of Torino, 10124 Torino, Italy., Muratore A; Department of General Surgery, E. Agnelli Hospital, 10064 Pinerolo, Italy., Navarra G; Department of Human Pathology of Adult and Evolutive Age, Surgical Oncology Division, 'G. Martino' Hospital, University of Messina, 98125 Messina, Italy., Pedrazzani C; Unit of General and Hepatobiliary Surgery, Department of Engineering for Innovative Medicine (DIMI), University of Verona Hospital Trust, University of Verona, 37129 Verona, Italy., Persiani R; Fondazione Policlinico Gemelli-IRCCS, AREA di Chirurgia Addominale, 00168 Rome, Italy., Petz W; Department of General and Minimally Invasive Surgery, Ospedale San Paolo, University of Milano, 20142 Milano, Italy., Rosati R; IRCCS San Raffaele Scientific Institute and San Raffaele Vita-Salute University, 20132 Milan, Italy., Roviello F; Unit of General Surgery and Surgical Oncology, Department of Medicine, Surgery, and Neurosciences, University of Siena, 53100 Siena, Italy., Scabini S; Chirurgia Generale ad Indirizzo Oncologico, Ospedale Policlinico San Martino, 16132 Genova, Italy., Sica G; Department of Surgery, University Tor Vergata, 00133 Rome, Italy., Solaini L; General and Oncologic Surgery, Morgagni-Pierantoni Hospital, Ausl Romagna, 47121 Forlì, Italy., Spinelli A; Department of Biomedical Sciences, Humanitas University, 20072 Pieve Emanuele, Italy.; IRCCS Humanitas Research Hospital, Via Manzoni 56, 20089 Rozzano, Italy., Spolverato G; Section of Surgery, Department of Surgical, Oncological, and Gastroenterological Sciences, University of Padova, 35122 Padova, Italy., Urso E; General Surgery 3, Department of Surgical, Oncological and Gastroenterological Sciences (DiSCOG), University of Padova, 35122 Padova, Italy., Reddavid R; Department of Oncology, Division of Surgical Oncology and Digestive Surgery, San Luigi University Hospital, University of Turin, 10043 Turin, Italy.
Jazyk: angličtina
Zdroj: Journal of clinical medicine [J Clin Med] 2024 Aug 09; Vol. 13 (16). Date of Electronic Publication: 2024 Aug 09.
DOI: 10.3390/jcm13164687
Abstrakt: Background/Objectives : The textbook outcome (TO) is a composite tool introduced to uniform surgical units and regulate surgical quality and outcomes. A patient is considered TO only if all predetermined items are met. In colorectal surgery, TO represents a new tool that can achieve important results given the prevalence of colorectal cancers. However, at present, there is a lack of uniformity in the TO's definition. This study utilized the Delphi process to define an Italian version of the TO in colorectal cancer. Methods : The survey consisted of two rounds of online questionnaires submitted to an expert panel in colorectal oncological surgery, renowned academic surgeons, who had attended multiple scientific conferences and who were authors of papers on this specific topic. Five main topics with 26 questions were investigated through an online modified Delphi method. Items with almost 75% agreement achieved consensus. Results : Twenty-eight Italian experts were selected and participated in the two rounds. The Italian version of the textbook outcome in colorectal surgery was defined as the presence of 90-day postoperative survival, negative margins and at least 12 lymph nodes, a minimally invasive approach, ostomy fashioning if preoperatively planned, postoperative complication < Clavien-Dindo 3b, at least 10 ERAS items, no readmission, proper CHT and RT regimens, complete colonoscopy after or before surgery and Tumor Board Evaluation. Conclusions : The textbook outcome in colorectal cancer patients is a quality instrument providing a complete overview of the care of such patients, from diagnosis to treatment. We hereby propose an Italian version of the TO with outcomes chosen by an expert panel.
Databáze: MEDLINE
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