Concordance Between Monitoring Systems for Organ/Space Surgical Site Infections in Rectal Surgery

NCT ID: NCT06104579

Last Updated: 2024-05-31

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

11367 participants

Study Classification

OBSERVATIONAL

Study Start Date

2011-01-01

Study Completion Date

2023-07-30

Brief Summary

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The Catalan Cancer Plan (CCP) undertakes periodic audits of cancer treatment outcomes, including organ/space surgical site infections (O/S-SSI) rates, while the Catalan Healthcare-associated Infections Surveillance Programme (VINCat) carries out standardized prospective surveillance of surgical site infections (SSIs) in colorectal surgery. This cohort study aimed to assess the concordance between these two monitoring systems for O/S-SSI following primary rectal cancer surgery.

Detailed Description

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The healthcare system in Catalonia (Spain) monitors and reports SSI in cancer patients through two principal mechanisms. First of all, the Catalan Cancer Plan (CCP) is a Health Department structure that aims to improve the quality of care for cancer patients by means of periodic auditing of outcomes with real-world data and feedback to professionals. One indicator included in these compulsory audits is the occurrence of O/S-SSI.

On the other hand, the Catalan Healthcare-associated Infections Surveillance Programme (VINCat) is a nationwide network for hospital-acquired infections (HAI) which conducts surveillance in colorectal surgery.

The two systems thus operate with an important difference: the CCP audits are mandatory and cover all cancer surgeries performed in centres funded through the public healthcare system, while VINCat is a voluntary registry programme among participating centres. The selected cases and methods used to detect O/S-SSI may therefore vary substantially between auditing systems.

This retrospective population-based cohort study aims to assess the concordance between clinical audits of the CCP and the VINCat registry as a preliminary step to studies correlating local recurrence after rectal cancer surgery and O/S-SSI.

Conditions

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Rectal Cancer Organ-Space Surgical Site Infection

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Patients operated on rectal cancer, included in the Catalan Cancer Registry

Patients operated on rectal cancer, included in two compulsory audits of the Catalan Cancer registry, and who suffered an organ-space surgical infection.

Person-level linkage of both databases looking for concordance in the diagnosis of organ-space surgical site infection

Intervention Type OTHER

Concordance between the two registers was analysed using Cohen´s Kappa.

Patients operated on rectal surgery, included in the Catalan Infection Surveillance Program

Patients included in the voluntary Catalan Infection Surveillance Program, and followed for 30 days postoperatively, and who suffered an organ-space surgical infection.

Person-level linkage of both databases looking for concordance in the diagnosis of organ-space surgical site infection

Intervention Type OTHER

Concordance between the two registers was analysed using Cohen´s Kappa.

Interventions

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Person-level linkage of both databases looking for concordance in the diagnosis of organ-space surgical site infection

Concordance between the two registers was analysed using Cohen´s Kappa.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Patients \> 18 years old
* Eligible patients with tumour ≤ 13 cm from anal verge, as measured by Magnetic Resonance Imaging
* Primary adenocarcinoma
* Oncological resection with curative intent
* Cancer stages: I-II-III

Exclusion Criteria

* Transanal local resection
* Emergency colorectal surgeries
* Presence of metastases found in the diagnostic process or during the surgical procedure
* Recurrence of the disease treated before the study period
* Non-resectable tumour or palliative surgery
* Patients operated in private centres
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Institut d'Investigació Biomèdica de Bellvitge

OTHER

Sponsor Role collaborator

Institut Català d'Oncologia

OTHER

Sponsor Role collaborator

Hospital de Granollers

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Institut Català d'Oncologia

L'Hospitalet de Llobregat, Barcelona, Spain

Site Status

Countries

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Spain

References

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Matallana C, Pera M, Espin-Basany E, Biondo S, Badia JM, Limon E, Pujol M, de Lacy B, Aliste L, Borras JM, Manchon-Walsh P. Quality check: concordance between two monitoring systems for postoperative organ/space-surgical site infections in rectal cancer surgery. Linkage of data from the Catalan Cancer Plan and the VINCat infection surveillance programme. World J Surg Oncol. 2024 May 25;22(1):138. doi: 10.1186/s12957-024-03410-9.

Reference Type DERIVED
PMID: 38789966 (View on PubMed)

Other Identifiers

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VINCat_PDO

Identifier Type: -

Identifier Source: org_study_id

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