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Emilia-Romagna Surgical Colorectal Cancer Audit (ESCA): a value-based healthcare retro-prospective study to measure and improve the quality of surgical care in colorectal cancer

PURPOSE: Surgery is the main treatment for non-metastatic colorectal cancer. Despite huge improvements in perioperative care, colorectal surgery is still associated with a significant burden of postoperative complications and ultimately costs for healthcare organizations. Systematic clinical auditin...

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Autores principales: Massa, Ilaria, Ghignone, Federico, Ugolini, Giampaolo, Ercolani, Giorgio, Montroni, Isacco, Capelli, Patrizio, Garulli, Gianluca, Catena, Fausto, Lucchi, Andrea, Ansaloni, Luca, Gentili, Nicola, Danesi, Valentina, Montella, Maria Teresa, Altini, Mattia
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9262771/
https://www.ncbi.nlm.nih.gov/pubmed/35779080
http://dx.doi.org/10.1007/s00384-022-04203-w
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author Massa, Ilaria
Ghignone, Federico
Ugolini, Giampaolo
Ercolani, Giorgio
Montroni, Isacco
Capelli, Patrizio
Garulli, Gianluca
Catena, Fausto
Lucchi, Andrea
Ansaloni, Luca
Gentili, Nicola
Danesi, Valentina
Montella, Maria Teresa
Altini, Mattia
author_facet Massa, Ilaria
Ghignone, Federico
Ugolini, Giampaolo
Ercolani, Giorgio
Montroni, Isacco
Capelli, Patrizio
Garulli, Gianluca
Catena, Fausto
Lucchi, Andrea
Ansaloni, Luca
Gentili, Nicola
Danesi, Valentina
Montella, Maria Teresa
Altini, Mattia
author_sort Massa, Ilaria
collection PubMed
description PURPOSE: Surgery is the main treatment for non-metastatic colorectal cancer. Despite huge improvements in perioperative care, colorectal surgery is still associated with a significant burden of postoperative complications and ultimately costs for healthcare organizations. Systematic clinical auditing activity has already proven to be effective in measuring and improving clinical outcomes, and for this reason, we decided to evaluate its impact in a large area of northern Italy. METHODS: The Emilia-Romagna Surgical Colorectal Audit (ESCA) is an observational, multicentric, retro-prospective study, carried out by 7 hospitals located in the Emilia-Romagna region. All consecutive patients undergoing surgery for colorectal cancer during a 54-month study period will be enrolled. Data regarding baseline conditions, preoperative diagnostic work-up, surgery and postoperative course will be collected in a dedicated case report form. Primary outcomes regard postoperative complications and mortality. Secondary outcomes include each center’s adherence to the auditing (enrolment rate) and evaluation of the systematic feedback activity on key performance indicators for the entire perioperative process. CONCLUSION: This protocol describes the methodology of the Emilia-Romagna Surgical Colorectal Audit. The study will provide real-world clinical data essential for benchmarking and feedback activity, to positively impact outcomes and ultimately to improve the entire healthcare process of patients undergoing colorectal cancer surgery. CLINICAL TRIAL REGISTRATION: The study ESCA is registered on the clinicaltrials.gov platform (Identifier: NCT03982641). SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s00384-022-04203-w.
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spelling pubmed-92627712022-07-09 Emilia-Romagna Surgical Colorectal Cancer Audit (ESCA): a value-based healthcare retro-prospective study to measure and improve the quality of surgical care in colorectal cancer Massa, Ilaria Ghignone, Federico Ugolini, Giampaolo Ercolani, Giorgio Montroni, Isacco Capelli, Patrizio Garulli, Gianluca Catena, Fausto Lucchi, Andrea Ansaloni, Luca Gentili, Nicola Danesi, Valentina Montella, Maria Teresa Altini, Mattia Int J Colorectal Dis Clinical Study Protocol PURPOSE: Surgery is the main treatment for non-metastatic colorectal cancer. Despite huge improvements in perioperative care, colorectal surgery is still associated with a significant burden of postoperative complications and ultimately costs for healthcare organizations. Systematic clinical auditing activity has already proven to be effective in measuring and improving clinical outcomes, and for this reason, we decided to evaluate its impact in a large area of northern Italy. METHODS: The Emilia-Romagna Surgical Colorectal Audit (ESCA) is an observational, multicentric, retro-prospective study, carried out by 7 hospitals located in the Emilia-Romagna region. All consecutive patients undergoing surgery for colorectal cancer during a 54-month study period will be enrolled. Data regarding baseline conditions, preoperative diagnostic work-up, surgery and postoperative course will be collected in a dedicated case report form. Primary outcomes regard postoperative complications and mortality. Secondary outcomes include each center’s adherence to the auditing (enrolment rate) and evaluation of the systematic feedback activity on key performance indicators for the entire perioperative process. CONCLUSION: This protocol describes the methodology of the Emilia-Romagna Surgical Colorectal Audit. The study will provide real-world clinical data essential for benchmarking and feedback activity, to positively impact outcomes and ultimately to improve the entire healthcare process of patients undergoing colorectal cancer surgery. CLINICAL TRIAL REGISTRATION: The study ESCA is registered on the clinicaltrials.gov platform (Identifier: NCT03982641). SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s00384-022-04203-w. Springer Berlin Heidelberg 2022-07-02 2022 /pmc/articles/PMC9262771/ /pubmed/35779080 http://dx.doi.org/10.1007/s00384-022-04203-w Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Clinical Study Protocol
Massa, Ilaria
Ghignone, Federico
Ugolini, Giampaolo
Ercolani, Giorgio
Montroni, Isacco
Capelli, Patrizio
Garulli, Gianluca
Catena, Fausto
Lucchi, Andrea
Ansaloni, Luca
Gentili, Nicola
Danesi, Valentina
Montella, Maria Teresa
Altini, Mattia
Emilia-Romagna Surgical Colorectal Cancer Audit (ESCA): a value-based healthcare retro-prospective study to measure and improve the quality of surgical care in colorectal cancer
title Emilia-Romagna Surgical Colorectal Cancer Audit (ESCA): a value-based healthcare retro-prospective study to measure and improve the quality of surgical care in colorectal cancer
title_full Emilia-Romagna Surgical Colorectal Cancer Audit (ESCA): a value-based healthcare retro-prospective study to measure and improve the quality of surgical care in colorectal cancer
title_fullStr Emilia-Romagna Surgical Colorectal Cancer Audit (ESCA): a value-based healthcare retro-prospective study to measure and improve the quality of surgical care in colorectal cancer
title_full_unstemmed Emilia-Romagna Surgical Colorectal Cancer Audit (ESCA): a value-based healthcare retro-prospective study to measure and improve the quality of surgical care in colorectal cancer
title_short Emilia-Romagna Surgical Colorectal Cancer Audit (ESCA): a value-based healthcare retro-prospective study to measure and improve the quality of surgical care in colorectal cancer
title_sort emilia-romagna surgical colorectal cancer audit (esca): a value-based healthcare retro-prospective study to measure and improve the quality of surgical care in colorectal cancer
topic Clinical Study Protocol
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9262771/
https://www.ncbi.nlm.nih.gov/pubmed/35779080
http://dx.doi.org/10.1007/s00384-022-04203-w
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