Textbook Outcome in Colon Carcinoma

Study Overview
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Brief Summary
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BACKGROUND: Textbook outcome (TO) is a multidimensional quality management tool that uses a set of traditional surgical measures to reflect an ideal surgical result for a particular pathology. The aim of the present study is to record the rate of TO in patients undergoing elective surgery for colon cancer. MATERIAL AND METHODS: Retrospective study of all patients undergoing scheduled colon cancer surgery at a Spanish university hospital from September 2012 to August 2016. Patients with rectal cancer were excluded. The variables included in the definition of TO were: R0 resection, number of isolated nodes ≥12, no Clavien-Dindo ≥IIIa complications, no prolonged stay, no readmissions, and no mortality in the first 30 days. The main objective of this study is to analyse the achievement of TO in a series of patients undergoing scheduled colon cancer resection at the Doctor Balmis General University Hospital in Alicante, Spain. The investigators assess the relationship between TO and overall and disease-free survival, and analyse the indicators included in the definition of TO in colon cancer surgery in order to establish recommendations for its standardization.

Official Title
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Textbook Outcome in Colon Carcinoma: Implications for Overall Survival and Disease-free Survival.

Conditions
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Outcome Assessment, Cancer of Colon

Intervention / Treatment
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* Procedure: Colon oncological resection


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Patients undergoing elective colon cancer resection with confirmed histological diagnosis were eligible for the study Exclusion Criteria: Age under 18 years Emergency surgery Resections of the rectum or resections for pathologies other than cancer Follow-up of less than two years (with the exception of patients who died)

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Yes Textbook Outcome<br>Patients undergoing scheduled colon cancer surgery with a R0 resection, number of isolated nodes ≥12, no Clavien-Dindo ≥IIIa complications, no prolonged stay, no readmissions, and no mortality in the first 30 days | Procedure: Colon oncological resection<br>* Scheduled colon cancer surgery<br>|
| No Textbook outcome<br>Patients undergoing scheduled colon cancer surgery without any of the following items: R0 resection, number of isolated nodes ≥12, no Clavien-Dindo ≥IIIa complications, no prolonged stay, no readmissions, and no mortality in the first 30 days | Procedure: Colon oncological resection<br>* Scheduled colon cancer surgery<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Textbook Outcome | analyse the achievement of Textbook Outcome in a series of patients undergoing scheduled colon cancer resection | September 2012- August 2016 | 
| Overall survival | relationship between Textbook Outcome and overall survival | From surgery to 160 months | 
| disease-free survival | relationship between Textbook Outcome and disease-free survival | From surgery to 160 months |