Assurance de qualité pour le cancer rectal – phase 2 ...

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126 PROCARE – phase 2 KCE reports 81Figure 37. Algorithm for QI 1226 (prospective database).All patientsN=1071Neoadjuvant radiotherapyN=377Type ofcourse?Stage?c-Stage II-IIIN=517OTHER COURSEorCOURSE =MISSINGN=157LONG COURSEN=220Surgery?No surgeryN=1SurgeryN=516Neoadjuvantradiotherapy?No neoadjuvant radiotherapyDates surgery and/orradio=MISSINGN=4Dates surgery andradio knownN=216Time betweenradiotherapyand surgery?Dates surgeryand radioknown?Less than6 weeksN=53More than8 weeksN=24No c-Stage II-IIIN=219c-Stage UnknownN=335N=119Neoadjuvant radiotherapy? = MISSINGN=206 to 8 weeksN=139 64,35%RATE OF ACUTE GRADE 4 RADIO(CHEMO)THERAPY-RELATEDCOMPLICATIONSMeasurement in prospective PROCARE databasePatients with RC receiving neoadjuvant (C)RT are easily identifiable with the variable‘RD_V124’. However, no specific code is available for the registration of radiotherapyrelatedcomplications (variable ‘CH_V146’ only registers chemotherapy- andradiochemotherapy-related complications). Therefore, this QI is not measurable.Measurement in coupled administrative databaseNo specific administrative codes are available for (C)RT-related complications. In theICD-9-CM coding system some aspecific codes are available (990 effects of radiation,unspecified; 963.1 poisoning by primarily systemic agents: antineoplastic andimmunosuppressive drugs; 558.1 gastroenteritis and colitis due to radiation; etc.), butthere is no mentioning of grade. Therefore, these codes cannot be used. The QI is notmeasurable.
KCE Reports 81 PROCARE – phase 2 127PROPORTION OF R0 RESECTIONSMeasurement in prospective PROCARE database (Figure 38)In the hospital data section of the PROCARE data entry form, the variable ‘AD_V111’ ischecked if the patient underwent rectal surgery. Patients undergoing radical resectionare selected using variables ‘SG_V168’, ‘SG_V210’, ‘SG_V216’ and ‘SG_V234’. Withinthis selection, patients undergoing an R0 resection are selected using variable‘SG_V216’.Results are separated for cStage I-III and cStage IV patients through variables‘SPR_V147’ and ‘PT_V106’.Measurement in coupled administrative databaseNo specific code is available for R0 resection.Figure 38. Algorithm for QI 1231 (prospective database).All patientsN=1071Stage?c-Stage I-II-IIIN=624SurgeryN=623Radical surgeryN=612R0 resectionN=562 91,83%Surgery?Radicalsurgery?Type of resectionobtained?R1 resectionN=11No surgeryN=1.R2 resectionN=21c-Stage 0-IVN=112No Radical surgeryN=11Type of resectionuncertainN=21c-Stage unknownN=335.Type of resection:MISSINGN=10
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