Clinical indicators in colorectal surgery.
Two studies conducted in the state of Victoria have tested potential clinical indicators and the suggested thresholds for resection of colorectal carcinoma where an anastomosis has been performed. These studies involving 535 patients were independent of one another: one hospital based and one surgeon based. Threshold figures for these draft indicators have been compared with the study figures and found to be similar. It is suggested that wound infection (elective operation without formation of a stoma), anastomotic leak (clinically recognized) and mortality (elective operations in patients under the age of 80 years) are the most appropriate clinical indicators of colorectal resection for carcinoma.
Thompson
G A
GA
Victorian State Committee, Royal Australasian College of Surgeons, Melbourne, Australia.
Cocks
J R
JR
Collopy
B T
BT
Cade
R J
RJ
Ewing
H P
HP
Rogerson
J W
JW
Turner
P L
PL
D002763:Cholecystectomy / Q000009:adverse effects / Q000401:mortality / Q000592:standards / Q000706:statistics & numerical data*; D006302:Health Services Research / Q000379:methods; D017052:Hospital Mortality; D006801:Humans; D008485:Medical Audit; D018579:Patient Selection; D017410:Practice Guidelines as Topic / Q000592:standards*; D011446:Prospective Studies; D011787:Quality of Health Care / Q000592:standards*; D013530:Surgical Wound Infection / Q000453:epidemiology; D014600:Utilization Review / Q000592:standards*; D014739:Victoria