Clinical competence in the surgery of rectal cancer: the Italian Consensus Conference
| Autor: | Micaela, Piccoli, Piccoli, Micaela, Ferdinando, Agresta, Agresta, Ferdinando, Vincenzo, Trapani, Trapani, Vincenzo, Casimiro, Nigro, Nigro, Casimiro, Vito, Pende, Pende, Vito, Fabio Cesare, Campanile, Campanile Fabio, Cesare, Nereo, Vettoretto, Vettoretto, Nereo, Enrico, Belluco, Belluco, Enrico, Paolo Pietro, Bianchi, Bianchi Pietro, Paolo, Davide, Cavaliere, Cavaliere, Davide, Giuseppe, Ferulano, Ferulano, Giuseppe, Filippo, La Torre, La Torre, Filippo, Marco Maria, Lirici, Lirici Marco, Maria, Roberto, Rea, Rea, Roberto, Gianni, Ricco, Ricco, Gianni, Elena, Orsenigo, Orsenigo, Elena, Simona, Barlera, Barlera, Simona, Emanuele, Lettieri, Lettieri, Emanuele, Giovanni Maria, Romano, Romano Giovanni, Maria, Mario, Trompetto |
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| Přispěvatelé: | Piccoli, M, Agresta, F, Trapani, V, Nigro, C, Pende, V, Campanile, Fc, Vettoretto, N, Belluco, E, Bianchi, Pp, Cavaliere, D, Ferulano, GIUSEPPE PAOLO, La Torre, F, Lirici, Mm, Rea, R, Ricco, G, Orsenigo, E, Barlera, S, Lettieri, E, Romano, Gm, Italian Surgical Societies Working, G. r. o. u. p. |
| Jazyk: | angličtina |
| Rok vydání: | 2014 |
| Předmět: |
Quality of life
medicine.medical_specialty Microsurgery Clinical competence Guidelines Rectal cancer Surgery Anal Canal Hospitals High-Volume Humans Laparoscopy Neoplasm Recurrence Local Rectal Neoplasms Survival Rate Treatment Outcome Clinical Competence Gastroenterology Medicine (all) Colorectal cancer medicine.medical_treatment Treatment outcome High-Volume medicine colorectal surgeon' competence business.industry Consensus conference medicine.disease Hospitals Settore MED/18 - Chirurgia Generale Neoplasm Recurrence Local Rectal cancer surgery business |
| Popis: | BACKGROUND AND AIM: The literature continues to emphasize the advantages of treating patients in "high volume" units by "expert" surgeons, but there is no agreed definition of what is meant by either term. In September 2012, a Consensus Conference on Clinical Competence was organized in Rome as part of the meeting of the National Congress of Italian Surgery (I Congresso Nazionale della Chirurgia Italiana: Unità e valore della chirurgia italiana). The aims were to provide a definition of "expert surgeon" and "high-volume facility" in rectal cancer surgery and to assess their influence on patient outcome. METHOD: An Organizing Committee (OC), a Scientific Committee (SC), a Group of Experts (E) and a Panel/Jury (P) were set up for the conduct of the Consensus Conference. Review of the literature focused on three main questions including training, "measuring" of quality and to what extent hospital and surgeon volume affects sphincter-preserving procedures, local recurrence, 30-day morbidity and mortality, survival, function, choice of laparoscopic approach and the choice of transanal endoscopic microsurgery (TEM). RESULTS AND CONCLUSION: The difficulties encountered in defining competence in rectal surgery arise from the great heterogeneity of the parameters described in the literature to quantify it. Acquisition of data is difficult as many articles were published many years ago. Even with a focus on surgeon and hospital volume, it is difficult to define their role owing to the variability and the quality of the relevant studies. |
| Databáze: | OpenAIRE |
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