Evaluation of quality parameters of rectal cancer surgery at the Coloproctology Unit of Hospital de Braga
Autor(a) principal: | |
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Data de Publicação: | 2011 |
Outros Autores: | |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | http://hdl.handle.net/1822/67432 |
Resumo: | Introduction: rectal cancer (rC) represents 1/3 of all diagnosed colorectal cancers. After the creation of specialized units to treat rC, it became fundamental to establish criteria to assess the quality of the service. Objective: to evaluate the surgical treat-ment provided to rC patients at the Coloproctology Unit of Hospital de Braga(bH-CU) by means of quality parameters. Methods: We conducted an observational cross-sectional descriptive study with a convenience sample of 149 patients undergoing surgical treatment in this unit, from January 1st, 2007 to June 30, 2010. results: We observed that the postoperative mortality rate (4%) and the global dehiscence rate (14.8%) were in accordance with recommended values. sphincter sparing surgery rate (65.8%) was higher than the rec-ommended minimum; however, more than 12 resected ganglia (36.6%) is inferior than what is recommended. the oncological results were analyzed by the local recurrencerate (6.7%) and the two-year survival rate (91.1%); both values are in accordance with literature. Conclusion: We conclude that the bH-CU surgical treatment has a quality level similar to that observed in literature |
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Evaluation of quality parameters of rectal cancer surgery at the Coloproctology Unit of Hospital de BragaRectal cancerFunctional coloproctology unitQuality parameters of surgical treatmentCâncer do retoUnidade funcional coloproctologiaParâmetros de qualidade do tratamento cirúrgicoIntroduction: rectal cancer (rC) represents 1/3 of all diagnosed colorectal cancers. After the creation of specialized units to treat rC, it became fundamental to establish criteria to assess the quality of the service. Objective: to evaluate the surgical treat-ment provided to rC patients at the Coloproctology Unit of Hospital de Braga(bH-CU) by means of quality parameters. Methods: We conducted an observational cross-sectional descriptive study with a convenience sample of 149 patients undergoing surgical treatment in this unit, from January 1st, 2007 to June 30, 2010. results: We observed that the postoperative mortality rate (4%) and the global dehiscence rate (14.8%) were in accordance with recommended values. sphincter sparing surgery rate (65.8%) was higher than the rec-ommended minimum; however, more than 12 resected ganglia (36.6%) is inferior than what is recommended. the oncological results were analyzed by the local recurrencerate (6.7%) and the two-year survival rate (91.1%); both values are in accordance with literature. Conclusion: We conclude that the bH-CU surgical treatment has a quality level similar to that observed in literatureIntrodução: O câncer do reto (Cr) constitui cerca de 1/3 da totalidade dos casos de câncer colorretal diagnosticados. Após a criação de unidades especializadas no tratamento do Cr, tornou-se fundamental estabelecer critérios que permitam avaliar a qualidade do tratamento prestado. Objetivo: Avaliar, segundo parâmetros de qualidade, o tratamento cirúrgico prestado aos doentes com Cr, na Unidade Funcional de Coloproctologia (UFC) do Hospital de braga (Hb). Métodos: realizou-se um estudo observacional, transversal e descritivo com uma amostra de conveniência constituída por 149 doentes operados de Cr entre 1º de Janeiro de 2007 e 30 de Junho de 2010. resultados: Observou-se que a taxa de mortalidade pós-operatória (4%) e a taxa global de deiscência (14,8%) se encontram dentro dos valores recomendados. A taxa de realização de cirurgia poupadora de esfíncteres (65,8%) foi superior ao limite mínimo aconselhado; no entanto, a taxa de número de gânglios ressecados superior a 12 (36,6%), encontra-se aquém do exigível. Os resultados oncológicos foram analisados através da taxa de recidiva local, 6,7%, e da taxa de sobrevida aos 2 anos, 91,1%, ambos dentro dos valores propostos na literatura. Conclusão: Concluímos que o tratamento cirúrgico prestado na UFC do Hb apresenta um nível de qualidade semelhante ao globalmente recomendado.(undefined)Sociedade Brasileira de ColoproctologiaUniversidade do MinhoCastro, Mafalda Araújo Pimenta deMartins, Sandra20112011-01-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/1822/67432eng2237-936310.1590/S2237-93632011000400008https://www.scielo.br/scielo.php?script=sci_arttext&pid=S2237-93632011000400008&lng=en&nrm=iso&tlng=eninfo:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-07-21T12:30:51Zoai:repositorium.sdum.uminho.pt:1822/67432Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T19:26:06.061709Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Evaluation of quality parameters of rectal cancer surgery at the Coloproctology Unit of Hospital de Braga |
title |
Evaluation of quality parameters of rectal cancer surgery at the Coloproctology Unit of Hospital de Braga |
spellingShingle |
Evaluation of quality parameters of rectal cancer surgery at the Coloproctology Unit of Hospital de Braga Castro, Mafalda Araújo Pimenta de Rectal cancer Functional coloproctology unit Quality parameters of surgical treatment Câncer do reto Unidade funcional coloproctologia Parâmetros de qualidade do tratamento cirúrgico |
title_short |
Evaluation of quality parameters of rectal cancer surgery at the Coloproctology Unit of Hospital de Braga |
title_full |
Evaluation of quality parameters of rectal cancer surgery at the Coloproctology Unit of Hospital de Braga |
title_fullStr |
Evaluation of quality parameters of rectal cancer surgery at the Coloproctology Unit of Hospital de Braga |
title_full_unstemmed |
Evaluation of quality parameters of rectal cancer surgery at the Coloproctology Unit of Hospital de Braga |
title_sort |
Evaluation of quality parameters of rectal cancer surgery at the Coloproctology Unit of Hospital de Braga |
author |
Castro, Mafalda Araújo Pimenta de |
author_facet |
Castro, Mafalda Araújo Pimenta de Martins, Sandra |
author_role |
author |
author2 |
Martins, Sandra |
author2_role |
author |
dc.contributor.none.fl_str_mv |
Universidade do Minho |
dc.contributor.author.fl_str_mv |
Castro, Mafalda Araújo Pimenta de Martins, Sandra |
dc.subject.por.fl_str_mv |
Rectal cancer Functional coloproctology unit Quality parameters of surgical treatment Câncer do reto Unidade funcional coloproctologia Parâmetros de qualidade do tratamento cirúrgico |
topic |
Rectal cancer Functional coloproctology unit Quality parameters of surgical treatment Câncer do reto Unidade funcional coloproctologia Parâmetros de qualidade do tratamento cirúrgico |
description |
Introduction: rectal cancer (rC) represents 1/3 of all diagnosed colorectal cancers. After the creation of specialized units to treat rC, it became fundamental to establish criteria to assess the quality of the service. Objective: to evaluate the surgical treat-ment provided to rC patients at the Coloproctology Unit of Hospital de Braga(bH-CU) by means of quality parameters. Methods: We conducted an observational cross-sectional descriptive study with a convenience sample of 149 patients undergoing surgical treatment in this unit, from January 1st, 2007 to June 30, 2010. results: We observed that the postoperative mortality rate (4%) and the global dehiscence rate (14.8%) were in accordance with recommended values. sphincter sparing surgery rate (65.8%) was higher than the rec-ommended minimum; however, more than 12 resected ganglia (36.6%) is inferior than what is recommended. the oncological results were analyzed by the local recurrencerate (6.7%) and the two-year survival rate (91.1%); both values are in accordance with literature. Conclusion: We conclude that the bH-CU surgical treatment has a quality level similar to that observed in literature |
publishDate |
2011 |
dc.date.none.fl_str_mv |
2011 2011-01-01T00:00:00Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/1822/67432 |
url |
http://hdl.handle.net/1822/67432 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
2237-9363 10.1590/S2237-93632011000400008 https://www.scielo.br/scielo.php?script=sci_arttext&pid=S2237-93632011000400008&lng=en&nrm=iso&tlng=en |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Sociedade Brasileira de Coloproctologia |
publisher.none.fl_str_mv |
Sociedade Brasileira de Coloproctologia |
dc.source.none.fl_str_mv |
reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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RCAAP |
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RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository.name.fl_str_mv |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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1799132747692769280 |