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September 8, 2022British journal of surgeryOpen Access

Benchmarks in colorectal surgery: multinational study to define quality thresholds in high and low anterior resection

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Why the study?

Benchmark comparisons in surgery identify gaps in quality of care, prompting this study to determine quality thresholds for high and low anterior resections in colorectal cancer surgery.

What are the quality benchmark thresholds for postoperative outcomes in patients undergoing high and low anterior resection for colorectal cancer?

Population

3903 patients undergoing HAR and 3726 undergoing LAR for cancer across 19 centres

Comparison

Patients without (ideal) vs with (non-ideal) outcome-relevant co-morbidities

Design

5-year multinational retrospective study

Follow-up

Discharge, 3 months, and 6 months (for LAR)

Authors

RSRoxane D. StaigerUniversity of LucerneFRFabian RösslerUniversity Hospital of ZurichMKMin Jung KimInternational Vaccine Institute

Discussion

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Implication

Benchmarks may aid quality assessment in colorectal resections; leaves open prospective validation and broader applicability.

Structured PICO

What are the quality benchmark thresholds for postoperative outcomes in patients undergoing high and low anterior resection for colorectal cancer?

P
Population
7,629 patients who underwent anterior resection for colorectal cancer (3,903 high anterior resection [HAR] and 3,726 low anterior resection [LAR]) across 19 high-volume centres on five continents.
I
Intervention
High anterior resection (HAR) and low anterior resection (LAR) for colorectal cancer
O
Outcome
Benchmarks for 11 relevant postoperative variables at discharge, 3 months, and 6 months (for LAR), including mortality, anastomotic leakage, and overall morbidity (Comprehensive Complication Index score)hard clinical

Establishing benchmark thresholds for colorectal cancer surgery outcomes allows for the identification of gaps in care quality to improve patient outcomes.

Cite This Study

Staiger et al. (2022) studied this question.

synapsesocial.com/papers/6a7e115d287cf400d1e4fc01https://doi.org/10.1093/bjs/znac300
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