Actionable indicators for short and long term outcomes in rectal cancer

Gort, Marjan; Otter, Renée; Plukker, John; Broekhuis, Manda; Klazinga, Niek

doi:10.1016/j.ejca.2010.02.044

Cited by 29 publications

(33 citation statements)

References 26 publications

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“…However, ‘overall survival’ was defined in only 20 studies with six different definitions . ‘Disease‐free survival’ was reported in 43 (22.2%) articles and defined in 27 with 16 unique definitions . The most commonly used measures of short‐term operative mortality were ‘30‐day mortality’ and ‘postoperative mortality’, which were reported in 16 (8.2%) and 14 (7.2%) of the included publications, respectively.…”

Section: Resultsmentioning

confidence: 99%

“…However, 'overall survival' was defined in only 20 studies with six different definitions[11][12][13][14][15][16][17][18][19][20][21][22][23][24][25][26][27][28][29][30]. 'Disease-free survival' was reported in 43 (22.2%) articles and defined in 27 with 16 unique definitions[13][14][15][17][18][19][20][21][22][23]26,28,[30][31][32][33][34][35][36][37][38][39][40][41][42][43][44]. The most commonly used measures of short-term operative mortality were '30-day mortality' and 'postoperative mortality', which were reported in 16 (8.2%) and 14 (7.2%) of the included publications, respectively.…”

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confidence: 99%

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A systematic review of outcome reporting in colorectal cancer surgery

Whistance¹,

Forsythe²,

McNair³

et al. 2013

Colorectal Disease

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Method Systematic literature searches identified randomized and nonrandomized prospective studies reporting clinical outcomes of CRC surgery. Outcomes were listed verbatim, categorized into broad groups (outcome domains) and examined for a definition (an appropriate textual explanation or a supporting citation). Outcome reporting was considered inconsistent if results of the outcome specified in the methods were not reported. Outcome reporting was compared between randomized and nonrandomized studies.Results Of 5644 abstracts, 194 articles (34 randomized and 160 nonrandomized studies) were included reporting 766 different clinical outcomes, categorized into seven domains. A mean of 14 AE 8 individual outcomes were reported per study. 'Anastomotic leak', 'overall survival' and 'wound infection' were the three most frequently reported outcomes in 72, 60 and 44 (37.1%, 30.9% and 22.7%) studies, respectively, and no single outcome was reported in every publication. Outcome definitions were significantly more often provided in randomized studies than in nonrandomized studies (19.0% vs 14.9%, P = 0.015). One-hundred and twenty-seven (65.5%) papers reported results of all outcomes specified in the methods (randomized studies, n = 21, 61.5%; nonrandomized studies, n = 106, 66.2%; P = 0.617).Conclusion Outcome reporting in CRC surgery lacks consistency and method. Improved standards of outcome measurement are recommended to permit data synthesis and transparent cross-study comparisons.

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Section: Resultsmentioning

confidence: 99%

mentioning

confidence: 99%

A systematic review of outcome reporting in colorectal cancer surgery

Whistance¹,

Forsythe²,

McNair³

et al. 2013

Colorectal Disease

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“…Moreover, organisational aspects are highly relevant in the case of a tumour with such a high degree of multidisciplinary involvement, and high-volume hospitals are better at coping with this approach. 26 Consequently, the referral of rectal cancer patients for surgery has been reorganised, with low-volume hospitals being invited by the health authorities to refer patients diagnosed with rectal cancer to higher-volume hospitals with better results. This measure will reduce the number of hospitals performing rectal surgery to 12.…”

Section: Policy Implicationsmentioning

confidence: 99%

Variability in the quality of rectal cancer care in public hospitals in Catalonia (Spain): Clinical audit as a basis for action

Manchon-Walsh

Borràs

Espinàs

et al. 2011

European Journal of Surgical Oncology

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HAL is a multi-disciplinary open access archive for the deposit and dissemination of scientific research documents, whether they are published or not. The documents may come from teaching and research institutions in France or abroad, or from public or private research centers. L'archive ouverte pluridisciplinaire HAL, est destinée au dépôt et à la diffusion de documents scientifiques de niveau recherche, publiés ou non, émanant des établissements d'enseignement et de recherche français ou étrangers, des laboratoires publics ou privés.Variability in the quality of rectal cancer care in public hospitals in Catalonia (Spain): clinical audit as a basis for actionTo cite this version: This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain. Results: The study covered 1 831 patients with rectal cancer. Performance of total mesorectal excision (TME) was poorly reported by surgeons (46.4%) and pathologists (36.2%). Pre-operative radiotherapy was performed on 52% of stage-II and -III patients. Compared to high-caseload hospitals, those with a low caseload (≤11 cases/year) registered more Hartman's procedures, worse TME quality, a higher rate of post-operative complications and lower adherence to recommended pre-operative radio-chemotherapy.Conclusions: Reporting quality of care is essential for ascertaining current performance status and opportunities for improvement. In our case, there is a need for the quality of the information included in clinical records to be improved, and variability in adherence to guideline recommendations to be reduced. In view of the fact that heterogeneity in the quality of the health care process was linked to hospital caseload, the health authorities have decided to reorganise the provision of rectal cancer care.4

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“…The northern region of the Netherlands, a catchment area for 2.2 million patients, harbors 1 university medical center, 3 teaching hospitals, and 12 non-teaching, peripheral hospitals. 16 From 1989 on, data from all DTC patients treated in the Netherlands have been registered by the Netherlands Cancer Registry (NCR). Population-based data retrieved from the NCR are based on notification of all newly diagnosed malignancies in the Netherlands by the Pathological Anatomical National Automated Archive (PALGA), supplemented by information from the national registry of cancer-related hospital discharges.…”

Section: Patient and Data Collectionmentioning

confidence: 99%

Surgical Complications and Referral Patterns in 567 Patients with Differentiated Thyroid Cancer in the Northern Region of the Netherlands: A Population-Based Study Towards Clinical Management Implementation

Dijk

Weistra

et al. 2020

Ann Surg Oncol

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Background. In the Netherlands, differentiated thyroid cancer (DTC) is treated surgically in three different hospital types, including university, teaching, and nonteaching peripheral hospitals. This study evaluates postoperative complications and referral patterns in patients with DTC in the northern region of the Netherlands to gain an understanding on how to improve management implementation. Methods. Data from 567 patients diagnosed between 1989 and 2009 were obtained from the Netherlands Cancer Registry and were supplemented with information from hospital digital information systems and patient records from 15 hospitals: 1 university, 3 teaching, and 11 peripheral hospitals. Surgically treated patients with a histologically proven DTC derived from the original pathology reports were included. Results. Surgical treatment could be performed in a single procedure in 234 patients (41.3%), but several surgeries were needed in the remaining 333 patients (58.7%). Recurrent laryngeal nerve (RLN) palsy occurred after all types of thyroid surgical procedures, but mostly after initial (hemi)thyroidectomy and reoperations. RLN was temporary in 3.2% of the nerves at risk and persistent in 1.8%. Temporary hypocalcemia developed in 13.7% of patients, and persistent hypocalcemia occurred in 4.8%. Patients were mainly referred to the university hospital from a nonteaching (40.7%, 48/118) or teaching hospital (11.1%, 16/144); however, 80% of patients were not referred. Conclusions. The complication rate and number of multiple surgeries support the efforts in optimizing clinical management in thyroid cancer. Careful considerations prior to initial surgical treatment by early discussion in telemedicine-based regional tumor boards could possibly prevent reoperations and potentially diminish complications.

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Actionable indicators for short and long term outcomes in rectal cancer

Cited by 29 publications

References 26 publications

A systematic review of outcome reporting in colorectal cancer surgery

A systematic review of outcome reporting in colorectal cancer surgery

Variability in the quality of rectal cancer care in public hospitals in Catalonia (Spain): Clinical audit as a basis for action

Surgical Complications and Referral Patterns in 567 Patients with Differentiated Thyroid Cancer in the Northern Region of the Netherlands: A Population-Based Study Towards Clinical Management Implementation

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