Outcome quality standards for surgery of colorectal liver metastasis
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Otros documentos de la autoría: Bellver Oliver, Manuel; Escrig-Sos, Javier; Rotellar, Fernando; Moya-Herráiz, Ángel; Sabater Orti, Luis
Metadatos
Mostrar el registro completo del ítemcomunitat-uji-handle:10234/9
comunitat-uji-handle2:10234/36080
comunitat-uji-handle3:10234/36082
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https://doi.org/10.1007/s00423-020-01908-w |
Metadatos
Título
Outcome quality standards for surgery of colorectal liver metastasisAutoría
Fecha de publicación
2020Editor
SpringerISSN
1435-2443; 1435-2451Cita bibliográfica
Bellver Oliver, M., Escrig-Sos, J., Rotellar Sastre, F. et al. Outcome quality standards for surgery of colorectal liver metastasis. Langenbecks Arch Surg 405, 745–756 (2020). https://doi.org/10.1007/s00423-020-01908-wTipo de documento
info:eu-repo/semantics/articleVersión de la editorial
https://link.springer.com/article/10.1007/s00423-020-01908-wVersión
info:eu-repo/semantics/publishedVersionPalabras clave / Materias
Resumen
Purpose Liver metastases are the most common malignant solid liver lesions, approximately 40% of which stem from colorectal
tumors. Liver resection is currently the only curative treatment for colorectal cancer liver ... [+]
Purpose Liver metastases are the most common malignant solid liver lesions, approximately 40% of which stem from colorectal
tumors. Liver resection is currently the only curative treatment for colorectal cancer liver metastases (CRLM). However, there is a
lack of consensus criteria to assess the results of this treatment. In order to evaluate the quality of surgical outcomes, it is
necessary to identify quality indicators (QIs) and their corresponding quality standards (QS). We propose a simple method to
determine QI and QS in CRLM surgery (CRLMS) and establish acceptable quality limits (AQL) for each QI.
Material and methods A systematic review of CRLMS results published from 2006 to 2016. Clinical guidelines, consensus conferences, and publications related to the CRLMS were reviewed to identify and select QIs. Once selected, a new review of the papers
including the results of at least one of the QIs was performed. Statistical process control (SPC) method was applied to calculate the QS
and AQL of each QI. The limits of variability were established from mean and confidence intervals at 95% and 99.8%.
Results The most relevant QIs and its AQLs were postoperative mortality (2%, < 4.5%), overall postoperative morbidity (33%, <
41%), liver failure (5%, < 8%), postoperative hemorrhage (1%, < 3%), biliary fistula (6%, < 10%), reoperation (3%, < 6%), R1
resection margins (18%, < 25%), and overall survival at 12 and 60 months (84%, > 77%; and 34%, > 25%, respectively).
Conclusions Despite its limitations, the present study constitutes the most extensive scientific evidence to date on QI and AQL in
CRLMS and may constitute a reference in future studies. [-]
Publicado en
Langenbeck's Archives of Surgery volume 405, pages 745–756 (2020)Derechos de acceso
© Springer-Verlag GmbH Germany, part of Springer Nature 2020
http://rightsstatements.org/vocab/InC/1.0/
info:eu-repo/semantics/restrictedAccess
http://rightsstatements.org/vocab/InC/1.0/
info:eu-repo/semantics/restrictedAccess
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