Evaluation of quality parameters of rectal cancer surgery at the Coloproctology Unit of Hospital de Braga

Detalhes bibliográficos
Autor(a) principal: Castro, Mafalda Araújo Pimenta de
Data de Publicação: 2011
Outros Autores: Martins, Sandra
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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spelling 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
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eu_rights_str_mv openAccess
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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
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instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
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