Analysis of the quality of care in surgical treatment of colorectal cancer: national study. Follow-up results.
OBJECTIVE
Using the cases included in the Study on the quality of care in colorectal cancer conducted by the Spanish Association of Surgeons in 2008, we present follow-up data.


METHODS
Multicenter, descriptive, longitudinal and prospective study of patients operated on a scheduled basis of colorectal cancer. 35 hospitals have contributed data on 334 patients. Follow-up data: survival, recurrence and complications.


RESULTS
Mean follow-up was 28.61±11.32 months. Follow-up by surgeon: 69.2%, tumor recurrence 23.6%, in 83.3% it was systemic; 28.2% underwent salvage surgery. Overall survival was 76.6%, disease-free survival 65.6% (26.49±11.90 months). Tumor related mortality was 12,6%. Percentage of ventral hernias was 5.8%, intestinal obstruction 3.5%.


CONCLUSIONS
Quality and results of follow-up of patients operated on for CRC in Spain are similar to those reported in the Scientific literature. Areas for improvement: follow-up, earlier diagnosis, increase adjuvant and neoadjuvant treatments and total mesorectal excision as standard surgery for rectal cancer.
Servicio de Cirugía General, Hospital Universitario Rey Juan Carlos, Móstoles, Madrid, España. Electronic address: elias.rodriguez@gmail.com.
Elias
E
Rodriguez-Cuellar
Servicio de Cirugía General, Hospital Universitario Rey Juan Carlos, Móstoles, Madrid, España.
Cristina
C
Nevado García
Servicio de Cirugía General, Hospital Universitario Rey Juan Carlos, Móstoles, Madrid, España.
Virginia
V
Casanova Duran
Servicio de Cirugía General, Hospital Universitario Rey Juan Carlos, Móstoles, Madrid, España.
Manuel
M
Romero Simó
Servicio de Cirugía General, Hospital Universitario Rey Juan Carlos, Móstoles, Madrid, España.
Manuel
M
Duran Poveda
Unidad de Calidad, Hospital Universitario 12 de Octubre, Madrid, España.
Pedro
P
Ruiz Lopez
D015179:Colorectal Neoplasms / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D008137:Longitudinal Studies; D011446:Prospective Studies; D011785:Quality Assurance, Health Care; D013030:Spain
Calidad; Cirugía; Colon and rectal cancer; Cáncer de colon y recto; Quality; Recidiva; Recurrence; Supervivencia; Surgery; Survival