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

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142 PROCARE – phase 2 KCE reports 81Figure 52. Algorithm for QI 1251 (administrative database).All patientsN = 7074N = 567Ischemotherapyknown ?TruecStage IV ?TrueFalseFalseN = 2070N = 559N = 8MissingN = 4437Did patientreceivechemotherapy ?TrueN = 383FalseN = 176RATE OF ACUTE GRADE 4 CHEMOTHERAPY-RELATEDCOMPLICATIONS IN STAGE IV PATIENTSMeasurement in prospective PROCARE database (Figure 53)Patients with cStage IV RC are selected through variable ‘PT_V151’. Those patientsreceiving chemotherapy are selected with variables ‘AD_V114’, ‘AD_V118’ and‘AD_V122’. Chemo(radio)therapy-related complications are registered throughvariables ‘CH_V136’ – ‘CH_V144’, the grade is registered with variable ‘CH_V146’.Measurement in coupled administrative databaseNo specific administrative codes are available for chemotherapy-related complications.In the ICD-9-CM coding system some aspecific codes are available (e.g. 963.1 poisoningby primarily systemic agents: antineoplastic and immunosuppressive drugs), but there isno mentioning of grade. Therefore, these codes cannot be used. The QI is notmeasurable.
KCE Reports 81 PROCARE – phase 2 143Figure 53. Algorithm for QI 1252 (prospective database).Grade 4 complicationsAll patientsN=10,02%N=1071c-Stage IVN=111Grade 3 complicationsN=1ChemotherapyStage?Chemotherapy?N=68Grade severeadverse eventsduring chemo?Grade complications:MISSINGN=5c-Stage 0-I-II-IIIN=625No chemotherapyNo complicationsORcomplications=MISSINGN=61N=43c-Stage UnknownN=335RATE OF CURATIVELY TREATED PATIENTS THAT RECEIVED ACOLONOSCOPY WITHIN 1 YEAR AFTER TREATMENTMeasurement in prospective PROCARE databasePatients undergoing R0 resection are selected using variable ‘SG_V216’ (subcode 1).However, no code is available for colonoscopy in the follow-up section.Measurement in coupled administrative databaseAlthough administrative codes exist for colonoscopy (Table 74 and 75) and radicalresection (Table 64 and 66), no code exists for R0 resection. This QI is therefore notmeasurable for the administrative cohort.RATE OF PATIENTS UNDERGOING REGULAR FOLLOW-UP(ACCORDING TO THE PROCARE RECOMMENDATIONS)Measurement in prospective PROCARE databasePatients undergoing R0 resection are selected using variable ‘SG_V216’ (subcode 1).However, no code is available for colonoscopy in the follow-up section.Measurement in coupled administrative databaseAlthough administrative codes exist for diagnostic procedures (Table 62, 63, 73, 74, 75,78, 79 and 80) and radical resection (Table 64 and Table 66), no code exists for R0resection. This QI is therefore not measurable for the administrative cohort.
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