Measuring Quality in Colorectal Cancer Surgery in Low- and Middle-income Countries

Measuring Quality in Colorectal Cancer Surgery in Low- and Middle-income Countries: the Clavien-Dindo Classification in a Sri Lankan Cohort

Status

Completed

Phases

Unknown

Study type

Observational

Source

ClinicalTrials.gov

Registry ID

NCT05182762

Enrollment

100

Registered

2022-01-10

Start date

2020-02-01

Completion date

2021-12-01

Last updated

2022-01-10

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Colorectal Cancer, Non-communicable Disease, Postoperative Complications, Surgical Complication

Keywords

Colorectal cancer, Sri Lanka, Clavien-Dindo Classification, Postoperative complications, Surgical quality

Brief summary

To test the applicability of the Clavien-Dindo Classification (CDC) in an LMIC setting and to compare the prevalence and severity of complications in patients \<60 and ≥60 years of age a retrospective medical records review is used.

Detailed description

Background: Colorectal cancer (CRC) is increasing in Low- and Middle-Income Countries (LMIC) as part of the ongoing epidemiological transition. Surgery is the main treatment and the global health agenda is increasingly putting focus on improving the safety and quality of surgical care in low-resource settings. The current systems for measuring surgical quality are mainly customized for high-income countries. Aim: To test the applicability of the Clavien-Dindo Classification (CDC) in an LMIC setting. Additionally, to compare the prevalence and severity of complications in patients \<60 and ≥60 years of age. Material and methods: Retrospective medical records review for postoperative complications and severity grading using the CDC.

Interventions

None listed

Study design

Observational model

COHORT

Time perspective

RETROSPECTIVE

Eligibility

Sex/Gender

ALL

Healthy volunteers

Inclusion criteria

* Patients who has gone through colorectal cancer resection. * Surgery performed at Colombo South Teaching Hospital in Colombo, Sri Lanka.

Exclusion criteria

* Reason for resection other than colorectal cancer.

Design outcomes

Primary

Measure	Time frame	Description
Clavien-Dindo Grade	February 2020 to March 2020	Postoperative complications graded by the Clavien-Dindo Classification.

Secondary

Measure	Time frame	Description
Age comparison	February 2020 to March 2020	Comparison of prevalence and severity of complications between patients \<60 and ≥60 years of age.

Countries

Sweden

Outcome results