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Elective surgery fo...
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Jestin, PUppsala universitet,Institutionen för kirurgiska vetenskaper,Gastrointestinal Surgery
(author)
Elective surgery for colorectal cancer in a defined Swedish population.
- Article/chapterEnglish2004
Publisher, publication year, extent ...
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Elsevier BV,2004
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printrdacarrier
Numbers
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LIBRIS-ID:oai:DiVA.org:umu-91653
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https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-91653URI
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https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-70065URI
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http://kipublications.ki.se/Default.aspx?queryparsed=id:110107095URI
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https://doi.org/10.1016/j.ejso.2003.10.015DOI
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https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-93693URI
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Language:English
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Summary in:English
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Subject category:ref swepub-contenttype
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Subject category:art swepub-publicationtype
Notes
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AIMS: The aim of this study was to describe variability in compliance to clinical guidelines in colorectal cancer surgery related to hospital structure.METHODS: All patients registered in the databases of the Regional Oncologic Centre, operated upon electively for colon cancer between the start of the register in 1997 until 2000 (n=1771) and for rectal cancer between the start of the register in 1995 until 2000 (n=1841) were selected for analysis.RESULTS: There was no difference in 5-year survival rate between colon and rectal cancer (mean follow-up 2.6 and 3.0 years, respectively; p=0.22). There was a significant difference in frequency of preoperative liver scan depending on hospital category with an increase in colon cancer from 39 to 46% (p=0.02) and in rectal cancer from 42 to 64% (p<0.001). For colon cancer there was no difference, according to hospital category, in quotient sigmoid and high anterior resection to left-sided resection. Furthermore, high anterior resection was more common at university and general district hospitals (8%) compared with district hospitals (4%) (p=0.01). Sphincter-saving surgery was more common at university hospitals and district general hospitals than at district hospitals (low anterior/abdomino-perineal resection quotients 2.3, 2.4 and 1.6, respectively; p<0.001).CONCLUSIONS: Population-based audit forms an appropriate and valuable basis for quality assurance projects. In addition to describing compliance to guidelines and pointing to process steps that can be improved, such investigations may also indicate changes due to scientific development. Linked to case-costing data, such results may form an important basis for decisions about modifications in health care.
Subject headings and genre
Added entries (persons, corporate bodies, meetings, titles ...)
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Heurgren, M
(author)
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Påhlman, LUppsala universitet,Institutionen för kirurgiska vetenskaper,Gastrointestinal Surgery(Swepub:uu)larspahl
(author)
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Glimelius, BengtKarolinska Institutet,Uppsala universitet,Institutionen för onkologi, radiologi och klinisk immunologi,Enheten för onkologi,Gastro-BG(Swepub:uu)bengglim
(author)
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Gunnarsson, Ulf,1967-Uppsala universitet,Institutionen för kirurgiska vetenskaper,Gastrointestinal Surgery(Swepub:uu)ulgun677
(author)
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Uppsala universitetInstitutionen för kirurgiska vetenskaper
(creator_code:org_t)
Related titles
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In:European Journal of Surgical Oncology: Elsevier BV30:1, s. 26-330748-79831532-2157
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