Cancer of Colon, Outcome Assessment
Conditions
Brief summary
BACKGROUND: Textbook outcome (TO) is a multidimensional quality management tool that uses a set of traditional surgical measures to reflect an ideal surgical result for a particular pathology. The aim of the present study is to record the rate of TO in patients undergoing elective surgery for colon cancer. MATERIAL AND METHODS: Retrospective study of all patients undergoing scheduled colon cancer surgery at a Spanish university hospital from September 2012 to August 2016. Patients with rectal cancer were excluded. The variables included in the definition of TO were: R0 resection, number of isolated nodes ≥12, no Clavien-Dindo ≥IIIa complications, no prolonged stay, no readmissions, and no mortality in the first 30 days. The main objective of this study is to analyse the achievement of TO in a series of patients undergoing scheduled colon cancer resection at the Doctor Balmis General University Hospital in Alicante, Spain. The investigators assess the relationship between TO and overall and disease-free survival, and analyse the indicators included in the definition of TO in colon cancer surgery in order to establish recommendations for its standardization.
Interventions
Scheduled colon cancer surgery
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients undergoing elective colon cancer resection with confirmed histological diagnosis were eligible for the study
Exclusion criteria
* Age under 18 years * Emergency surgery * Resections of the rectum or resections for pathologies other than cancer * Follow-up of less than two years (with the exception of patients who died)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Textbook Outcome | September 2012- August 2016 | analyse the achievement of Textbook Outcome in a series of patients undergoing scheduled colon cancer resection |
| Overall survival | From surgery to 160 months | relationship between Textbook Outcome and overall survival |
| disease-free survival | From surgery to 160 months | relationship between Textbook Outcome and disease-free survival |
Countries
Spain