Analysis of the Quality of Care in Surgical Treatment of Colorectal Cancer: National Study. Follow-up Results
| Autor: | Virginia Casanova Duran, Elías Rodríguez-Cuéllar, Pedro Ruiz López, Cristina Nevado García, Manuel Romero Simó, Manuel Durán Poveda |
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| Rok vydání: | 2014 |
| Předmět: |
medicine.medical_specialty
Quality Assurance Health Care business.industry Colorectal cancer General Engineering Follow up results medicine.disease Total mesorectal excision Surgery Spain Ventral hernia National study Humans Medicine Longitudinal Studies Prospective Studies Quality of care Colorectal Neoplasms Surgical treatment business Prospective cohort study Follow-Up Studies |
| Zdroj: | Cirugía Española (English Edition). 92:410-414 |
| ISSN: | 2173-5077 |
| Popis: | Objectives Using the cases included in the study on the quality of care in colorectal cancer conducted by the Spanish Association of Surgeons in 2008, we present follow-up data. Method Multicenter, descriptive, longitudinal and prospective study of patients operated on a scheduled basis for colorectal cancer. 35 hospitals have contributed data on 334 patients. Follow-up data included: survival, recurrence and complications. Results Mean follow-up was 28.61±11.32 months. Follow-up by the surgeon was 69.2%, tumor recurrence was 23.6%, in 83.3% it was systemic; and 28.2% underwent salvage surgery. Overall survival was 76.6%, disease-free survival 65.6% (26.49±11.90 months). Tumor related mortality was 12.6%. Percentage of ventral hernias was 5.8% and intestinal obstruction was 3.5%. Conclusions Quality and results of follow-up of patients operated on for CRC in Spain are similar to those reported in the scientific literature. Areas for improvement included: follow-up, earlier diagnosis, increased adjuvant and neoadjuvant treatments and total mesorectal excision as standard surgery for rectal cancer. |
| Databáze: | OpenAIRE |
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