Colorectal Cancer
Conditions
Brief summary
Colorectal cancer is the most common cancer in Europe and the third worldwide. Approximately 1 in 20 men and 1 in 35 women will develop colorectal cancer at some moment in their life. In Flanders, in 2014, there was an increase in the detection of colorectal cancer with 21% compared to 2013. Early detection improves the prognosis for the patient. In this early stage, colorectal surgery is one of the most important treatments, but it is also complex and has a high complication rate. However, over the last decade, surgical care for patients with colorectal cancer has become more standardized. The use of structured care methods, such as care pathways and protocols, has helped in standardizing care processes. Specifically for patients with colorectal cancer, perioperative care has shifted with the implementation of Enhanced Recovery After Surgery (ERAS) programs. The goal of ERAS- protocols is to optimize the interventions during the perioperative hospitalization period and reduce postoperative complications. Despite the increasing evidence in favor of the use of these standardized protocols, adherence and implementation in daily practice remains challenging. The primary goal of this quality improvement project is to enhance the standardization of key interventions in the ERAS care process for patients undergoing colorectal surgery. Therefore, adherence to the ERAS-guidelines will be investigated and hospitals will receive feedback to set up improvement initiatives. Moreover, interactive group sessions and on-site training activities will stimulate knowledge sharing and define best practices.
Interventions
OTHERLearning session 1
Learn form international report, Explain key interventions, Explain BIC methodology, Retrospective patient record analysis, Team measures
OTHERLearning session 2
Feedback report, Share (inter)national best practices, Discussion, set priorities, teaching and improvement, Retrospective patient record analysis
OTHERLearning session 3
Feedback report, Share best practices, Discussion, set priorities, teaching and improvement, Retrospective patient record analysis, Team measures
OTHERLearning session 4
Feedback report, Best practice symposium
Sponsors
Kom Op Tegen Kanker
KU Leuven
Study design
Observational model
OTHER
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Minimum age of 18 years * Elective admission for colorectal cancer surgery
Exclusion criteria
* Emergency (not planned) admission for colorectal cancer surgery * Patients diagnosed with severe dementia or severe concomitant disease that may affect very short term outcome and hence influence deviations from standard acute care
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Length of stay | through study completion, an average of 4 months | Number of days in the hospital |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| 30-days readmission rate | through study completion, an average of 4 months | Readmission rate |
| Mortality rate | through study completion, an average of 4 months | Mortality rate |
| Complication rate | through study completion, an average of 4 months | Re-intervention, wound complications, surgical site infection, anastomotic leak or stoma related complications |
Countries
Belgium
Outcome results
None listed