Sistema de Salut de Catalunya
[Matallana C] Catalonian Cancer Strategy, Health Department, Hospital Duran i Reynals Hospital, L’Hospitalet de Llobregat, Barcelona, Spain. Universitat Autònoma de Barcelona, Bellaterra, Barcelona, Spain. Department of General and Digestive Surgery, Hospital del Mar, Barcelona, Spain. [Pera M] Department of General and Digestive Surgery Department, Institute of Digestive and Metabolic Diseases (ICMDM), Biomedical Research Centre (CIBERehd), Hospital Clinic, IDIBAPS, University of Barcelona, Barcelona, Spain. [Espin-Basany E] Colorectal Surgery Unit, Vall d’Hebron University Hospital, Barcelona, Spain. [Biondo S] Department of General and Digestive Surgery Colorectal Unit, Bellvitge University Hospital, L’Hospitalet de Llobregat, Barcelona, Spain. Biomedical Research Institute of Bellvitge (IDIBELL), Universitat de Barcelona, L’Hospitalet de Llobregat, Spain. [Badia JM] Department of Surgery, Hospital General de Granollers, Granollers, Spain. School of Medicine, Universitat Internacional de Catalunya, Barcelona, Spain. [Limon E] Departament de Salut, VINCat Programme - Surveillance of Healthcare Related Infections in Catalonia, Barcelona, Spain. Department of Public Health, Mental Health and Mother–Infant Nursing, Faculty of Nursing, University of Barcelona, Barcelona, Spain. Centro de Investigación Biomédica en Red de Enfermedades Infecciosas CIBERINFEC, Instituto Carlos III, Madrid, Spain
Hospital General de Granollers
2025-10-13T12:07:23Z
2025-10-13T12:07:23Z
2024-05-25
Rectal Surgery; Rectal cancer; Surgical Wound infection
Cirurgia rectal; Càncer de recte; Infecció de la ferida quirúrgica
Cirugía rectal; Cáncer rectal; Infección de herida quirúrgica
Background: 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 (SSI) 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. Methods: The study compared O/S-SSI incidence data from CCP clinical audits versus the VINCat Programme in patients undergoing surgery for primary rectal cancer, in 2011-12 and 2015-16, in publicly funded centres in Spain. The main outcome variable was the incidence of O/S-SSI in the first 30 days after surgery. Concordance between the two registers was analysed using Cohen's kappa. Discordant cases were reviewed by an expert, and the main reasons for discrepancies evaluated. Results: Pooling data from both databases generated a sample of 2867 patients. Of these, O/S-SSI was detected in 414 patients-235 were common to both registry systems, with satisfactory concordance (κ = 0.69, 95% confidence interval 0.65-0.73). The rate of discordance from the CCP (positive cases in VINCat and negative in CCP) was 2.7%, and from VINCat (positive in CCP and negative in VINCat) was 3.6%. External review confirmed O/S-SSI in 66.2% of the cases in the CCP registry and 52.9% in VINCat. Conclusions: This type of synergy shows the potential of pooling data from two different information sources with a satisfactory level of agreement as a means to improving O/S-SSI detection.
Article
Published version
English
Recte - Càncer; Infeccions quirúrgiques; Recte - Cirurgia - Complicacions; DISCIPLINES AND OCCUPATIONS::Health Occupations::Medicine::Specialties, Surgical::Colorectal Surgery; DISEASES::Neoplasms::Neoplasms by Site::Digestive System Neoplasms::Gastrointestinal Neoplasms::Intestinal Neoplasms::Colorectal Neoplasms::Rectal Neoplasms; DISEASES::Bacterial Infections and Mycoses::Infection::Wound Infection::Surgical Wound Infection; DISCIPLINAS Y OCUPACIONES::profesiones sanitarias::medicina::especialidades quirúrgicas::cirugía colorrectal; ENFERMEDADES::neoplasias::neoplasias por localización::neoplasias del sistema digestivo::neoplasias gastrointestinales::neoplasias intestinales::neoplasias colorrectales::neoplasias del recto; ENFERMEDADES::infecciones bacterianas y micosis::infección::infección de heridas::infección de la herida quirúrgica
BMC
World Journal of Surgical Oncology;22(1)
https://doi.org/10.1186/s12957-024-03410-9
Attribution 4.0 International
http://creativecommons.org/licenses/by/4.0/
Articles científics - HG [171]
