Measuring Quality in Colorectal Cancer Surgery in Low- and Middle-income Countries

Sahlgrenska University Hospital

Status: Completed

Conditions: Postoperative Complications; Non-communicable Disease; Surgical Complication; Colorectal Cancer

Study type: Observational

Funder types: Other

Identifiers

NCT05182762

MO/PLEC/2020:822

Details and patient eligibility

About

To test the applicability of the Clavien-Dindo Classification (CDC) in an LMIC setting and to compare the prevalence and severity of complications in patients <60 and ≥60 years of age a retrospective medical records review is used.

Full description

Background: Colorectal cancer (CRC) is increasing in Low- and Middle-Income Countries (LMIC) as part of the ongoing epidemiological transition. Surgery is the main treatment and the global health agenda is increasingly putting focus on improving the safety and quality of surgical care in low-resource settings. The current systems for measuring surgical quality are mainly customized for high-income countries.

Aim: To test the applicability of the Clavien-Dindo Classification (CDC) in an LMIC setting. Additionally, to compare the prevalence and severity of complications in patients <60 and ≥60 years of age.

Material and methods: Retrospective medical records review for postoperative complications and severity grading using the CDC.

Enrollment: 100 patients

Sex: All

Volunteers: No Healthy Volunteers

Inclusion criteria

• Patients who has gone through colorectal cancer resection.
• Surgery performed at Colombo South Teaching Hospital in Colombo, Sri Lanka.

Exclusion criteria

• Reason for resection other than colorectal cancer.

Trial design