Elective surgery for colorectal cancer in a defined Swedish population.

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Sökning: hsv:(MEDICIN OCH HÄLSOVETENSKAP) hsv:(Klinisk medicin) hsv:(Cancer och onkologi) > (2000-2004) > (2004) > Elective surgery fo...

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Fältnamn	Indikatorer	Metadata
000		05458naa a2200733 4500
001		oai:DiVA.org:umu-91653
003		SwePub
008		140813s2004 \| \|\|\|\|\|\|\|\|\|\|\|000 \|\|eng\|
009		oai:DiVA.org:uu-70065
009		oai:prod.swepub.kib.ki.se:110107095
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024	7	a https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-916532 URI
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024	7	a http://kipublications.ki.se/Default.aspx?queryparsed=id:1101070952 URI
024	7	a https://doi.org/10.1016/j.ejso.2003.10.0152 DOI
024	7	a https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-936932 URI
040		a (SwePub)umud (SwePub)uud (SwePub)kid (SwePub)uu
041		a engb eng
042		9 SwePub
072	7	a ref2 swepub-contenttype
072	7	a art2 swepub-publicationtype
100	1	a Jestin, Pu Uppsala universitet,Institutionen för kirurgiska vetenskaper,Gastrointestinal Surgery4 aut0 (Swepub:uu)pijes226
245	1 0	a Elective surgery for colorectal cancer in a defined Swedish population.
264	1	b Elsevier BV,c 2004
338		a print2 rdacarrier
520		a 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.
650	7	a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Kirurgi0 (SwePub)302122 hsv//swe
650	7	a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Surgery0 (SwePub)302122 hsv//eng
650	7	a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Gastroenterologi0 (SwePub)302132 hsv//swe
650	7	a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Gastroenterology and Hepatology0 (SwePub)302132 hsv//eng
650	7	a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Cancer och onkologi0 (SwePub)302032 hsv//swe
650	7	a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Cancer and Oncology0 (SwePub)302032 hsv//eng
653		a Adenocarcinoma/economics/mortality/*surgery
653		a Aged
653		a Colonic Neoplasms/economics/mortality/*surgery
653		a Digestive System Surgical Procedures/economics/methods
653		a Female
653		a Guideline Adherence
653		a Hospitals
653		a District/statistics & numerical data
653		a Hospitals
653		a University/statistics & numerical data
653		a Humans
653		a Male
653		a Quality Assurance
653		a Health Care
653		a Rectal Neoplasms/economics/mortality/*surgery
653		a Registries
653		a Surgical Procedures
653		a Elective/economics
653		a Survival Rate
653		a Oncology
700	1	a Heurgren, M4 aut
700	1	a Påhlman, Lu Uppsala universitet,Institutionen för kirurgiska vetenskaper,Gastrointestinal Surgery4 aut0 (Swepub:uu)larspahl
700	1	a Glimelius, Bengtu Karolinska Institutet,Uppsala universitet,Institutionen för onkologi, radiologi och klinisk immunologi,Enheten för onkologi,Gastro-BG4 aut0 (Swepub:uu)bengglim
700	1	a Gunnarsson, Ulf,d 1967-u Uppsala universitet,Institutionen för kirurgiska vetenskaper,Gastrointestinal Surgery4 aut0 (Swepub:uu)ulgun677
710	2	a Uppsala universitetb Institutionen för kirurgiska vetenskaper4 org
773	0	t European Journal of Surgical Oncologyd : Elsevier BVg 30:1, s. 26-33q 30:1<26-33x 0748-7983x 1532-2157
856	4	u http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Retrieve&list_uids=14736519&dopt=Citation
856	4 8	u https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-91653
856	4 8	u https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-70065
856	4 8	u http://kipublications.ki.se/Default.aspx?queryparsed=id:110107095
856	4 8	u https://doi.org/10.1016/j.ejso.2003.10.015
856	4 8	u https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-93693

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Av författaren/redakt...: Jestin, P; Heurgren, M; Påhlman, L; Glimelius, Bengt; Gunnarsson, Ulf, ...

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MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Klinisk medicin; och Kirurgi

MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Klinisk medicin; och Gastroenterologi

MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Klinisk medicin; och Cancer och onkol ...

Artiklar i publikationen: European Journal ...

Av lärosätet: Umeå universitet; Uppsala universitet; Karolinska Institutet

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