ANALYSIS OF QUALITY INDICATOR FOR COLORECTAL CANCER SURGERY IN A PORTUGUESE CENTER mariaines2398@hotmail.com

 

ANALYSIS OF QUALITY INDICATOR FOR COLORECTAL CANCER SURGERY IN A PORTUGUESE CENTER

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Carla Marina Oliveira mariaines2398@hotmail.com ULS Alto Ave Guimarães Portugal

Maria Sousa mariaines2398@hotmail.com ULS Alto Ave Guimarães Portugal

Carlos Alpoim mariaines2398@hotmail.com ULS Alto Ave Guimarães Portugal

Portugal

Oral or Poster

Quality standards and their implementation have become an increasingly relevant topic in contemporary healthcare. Defining such standards and ensuring their application serve as fundamental tools for promoting best clinical practices. In 2010, the Spanish Association of Coloproctology (AECP) developed a set of standardized indicators designed to objectively assess the performance of hospital centers in the management of colorectal cancer.

We conducted an analysis of all patients diagnosed with colonrectal cancer who underwent elective surgery between 2023 and 2024. Seven quality indicators were applied. Separate evaluations were performed for colon cancer surgery and rectal cancer surgery, as well as according to the surgical approach employed (laparoscopy vs. laparotomy).

A total of 248 patients were included in this study (186 colon cancer vs. 62 rectum cancer. The global anastomotic leak rate was 3,23% (2,15% colon vs. 6,45% rectum) with the total of anastomotic leaks associated with laparoscopic approach. The surgical site infection was 3,23% (2,69% colon vs. 4,84% rectum) with the same percentage of surgical site infection via laparoscopy or open approach. No 30-day mortality was observed.

The analysis of these outcomes demonstrated an optimal quality level at our center in relation to colorectal cancer management (in all indicators except re-intervention in rectal cancer patients). Moreover, the findings provide valuable insights into areas for improvement and establish a framework for objective comparison among different centers in our country that may undertake similar studies in the future.