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

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128 PROCARE – phase 2 KCE reports 81PROPORTION OF APR AND HARTMANN’S PROCEDURESMeasurement in prospective PROCARE database (Figure 39)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 resection(local resection not included) are selected using variables ‘SG_V168’, ‘SG_V210’,‘SG_V216’ and ‘SG_V234’. Within this group, patients undergoing APR and Hartmann’sprocedure are selected using variable ‘SG_V234’ (subcode 4 and 5).Measurement in coupled administrative database (Figure 40)Patients undergoing radical resection (local resection not included) are selected usingthe administrative codes in Table 64 and Table 66. These patients constitute thedenominator. Within this selection, the administrative codes for APR and Hartmann’sprocedure are used to calculate the numerator (Table 64 and Table 66).Figure 39. Algorithm for QI 1232a (prospective database).All patientsN=1071Radical surgeryN=1018N=180APR18,02%SurgerySurgery?N=1058Type ofreconstruction?N=24Hartmann2,40%Radicalsurgery?Other type ofreconstructionN=795No surgeryN=13No radicalsurgeryN=40Type ofreconstruction:MISSINGN=19
KCE Reports 81 PROCARE – phase 2 129Figure 40. Algorithm for QI 1232a (administrative database).All patientsN = 7074TrueN = 5472Did patient receiveradical surgerywithout local excision ?APR or Hartmann'sprocedure?FalseN = 3419MissingN = 78TrueFalseN = 1524N = 2053PROPORTION OF PATIENTS WITH STOMA 1 YEAR AFTERSPHINCTER-SPARING SURGERYMeasurement in prospective PROCARE databasePatients undergoing sphincter-sparing surgery (SSO) are registered through variable‘SG_V234’ (subcodes 6-9). Patients receiving a stoma during SSO are registered throughvariable ‘SG_V245’. The follow-up of stoma closure/presence is registered throughvariables ‘FU_V113’ and ‘FU_V114’. However, the follow-up dates are variable fromone patient to another, making a calculation at 1 year impossible.Measurement in coupled administrative database (Figure 41)Patients undergoing sphincter-sparing surgery are selected using specific administrativecodes (Table 64 and Table 66). Within this selection, patients with a stoma within 1year after sphincter-sparing surgery are selected using the administrative codes forstoma surgery (Table 65, 68 and 82) or stoma material (Table 83). To calculate thenumerator, those patients having received a permanent stoma (Table 82) not havingundergone stoma closure within 1 year (Table 84; note that 243224 – 243213 alsoconcerns closure of a colonic fistula) or still using stoma material after 1 year (Table 83)were selected.
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