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

Completed

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

• Registration Number: NCT05182762
• Lead Sponsor: Sahlgrenska University Hospital, Sweden

Brief Summary

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.

Detailed 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.

Study Timeline

• Study Start: 2020-02-01
• Primary Completion: 2020-03-17
• Status Verified: 2021-12
• Study Completion: 2021-12-01
• Study First Submitted: 2021-12-08
• Study First Submitted QC: 2021-12-21
• Last Update Submitted: 2021-12-21
• Study First Posted: 2022-01-10
• Last Update Posted: 2022-01-10

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 100

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.

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Clavien-Dindo Grade	February 2020 to March 2020	Postoperative complications graded by the Clavien-Dindo Classification.

Secondary Outcome Measures

Name	Time	Method
Age comparison	February 2020 to March 2020	Comparison of prevalence and severity of complications between patients \<60 and ≥60 years of age.

Trial Locations

Locations (1)

University of Gothenburg, Sahlgrenska Academy; 🇸🇪 Gothenburg, Sweden