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5 results on '"Anaco Study Group"'

1. Laparoscopy may decrease morbidity and length of stay after elective colon cancer resection, especially in frail patients: results from an observational real-life study

Author

Cerdán Santacruz, Carlos, Frasson, Matteo, Flor-Lorente, Blas, Ramos Rodríguez, José Luis, Trallero Anoro, Marta, Millán Scheiding, Mónica, Maseda Díaz, Olga, Dujovne Lindenbaum, Paula, Monzón Abad, Andrés, García-Granero Ximenez, Eduardo, Alvarez Rico, Miguel Angel, García Brao, Maria Jesus, Sanchez Gonzalez, Juan Manuel, Braithwaite, Mariela, Martí Martínez, Eva, Álvarez Pérez, José Antonio, Espí, Alejandro, Romero Simó, Manuel, Escoll Rufino, Jordi, Santamaría Olabarrieta, Marta, Viñas Martínez, José, López Bañeres, Manolo, Blesa Sierra, Isabel, Feliú Villaró, Francesc, Aguiló Lucía, Javier, Bargallo Berzosa, José, Alonso Hernández, Natalia, Labrador Vallverdú, Francisco Javier, Parra Baños, Pedro Antonio, Ais Conde, Guillermo, Codina Cazador, Antonio, Hernandis Villalba, Juan, Álvarez Laso, Carlos, Martínez Alcaide, Sonia, Cáceres Alvarado, María Nieves, Rey Simó, Ignacio, Montero García, Josep, García Fadrique, Alfonso, Aguilella Diago, Vicente, García Septiem, Javier, García García, Jacinto, Ponchietti, Luca, Carceller Navarro, María Soledad, Ramos Fernández, María, Conde Muiño, Raquel, Huerga Álvarez, Daniel, Menéndez Sánchez, Pablo, Maristany Bienert, Carlos, García Martínez, María Teresa, Moreno Muzas, Celia, Pastor Idoate, Carlos, Andicoechea, Alejandro, Alonso Casado, Adolfo Pedro, Roig Vila, José Vicente, Goded Broto, Ignacio, Collera, Pablo, Arroyo Sebastián, Antonio, and The ANACO Study Group

Published
2017
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4. Standard outcome indicators after colon cancer resection. Creation of a nomogram for autoevaluation

Author

Sancho-Muriel, J, Frasson, M, Hervas, D, Flor-Lorente, B, Ramos Rodriguez JL, Romero Simó M, Escoll Rufino J, Santamaría Olabarrieta M, Viñas Martinez J, López Bañeres M, Garcia-Granero, E, and ANACO Study Group

Subjects
Colon surgery, Outcome assessment, Colonic neoplasms, Quality indicators, Reference standards
Abstract

Introduction: Lately there has been an increasing interest in identifying quality standards in different pathologies, among them colon cancer due to its great prevalence. The main goal of this study is to define the quality standards of colon cancer surgery based on a large prospective national study dataset. Methods: Data from the prospective national study ANACO were used. This study included a consecutive series of patients operated on for colon cancer in 52 Spanish hospitals (20112012). Centers with less than 30 patients were excluded. The present analysis finally included 42 centers (2975 patients). Based on the results obtained in 4 main indicators from each hospital (anastomotic leak, lymph-nodes found in the specimen, mortality and length of stay), a nomogram that allows the evaluation of the performance of each center was designed. Standard results for further 5 intraoperative and 5 postoperative quality indicators were also reported. Results: Median of anastomotic leak and mortality rate was 8.5% (25th-75th percentiles 6.1%12.4%) and 2.5% (25th-75th percentiles 0.6%-4.7%), respectively. Median number of nodes found in the surgical specimen was 15,1 (25th-75th percentiles 18-14 nodes). Median length of postoperative stay was 7.7 days (25th-75th percentiles 6.9-9.2 days). Based on these data, a nomogram for hospital audit was created. Conclusions: Standard surgical results after colon cancer surgery were defined, creating a tool for auto-evaluation and allowing each center to identify areas for improvement in the surgical treatment of colon cancer. (C)2016 AEC. Published by Elsevier Espana, S.L.U. All rights reserved.

Published
2017

5. Nomograms for morbidity and mortality after oncologic colon resection in the enhanced recovery era: results from a multicentric prospective national study.

Author

Sánchez-Guillén, Luis, Frasson, Matteo, Pellino, Gianluca, Fornés-Ferrer, Victoria, Ramos, José Luis, Flor-Lorente, Blas, García-Granero, Álvaro, Sierra, Isabel Blesa, Jiménez-Gómez, Luis Miguel, Moya-Martínez, Alejandro, García-Granero, Eduardo, Anaco Study Group, Alvarez, Rico M. A., García, Brao M. J., Gonzalez, J. M. Sanchez, Braithwaite, Mariela M., Martínez, E. Martı´, Pérez, J. A. Álvarez, Espí, A., and Anoro, M. Trallero

Subjects
PREOPERATIVE risk factors, COLON (Anatomy), NOMOGRAPHY (Mathematics), SURGICAL complications, DISEASES, MEDICAL digital radiography
Abstract

Purpose: Predicting postoperative complications and mortality is important to plan the surgical strategy. Different scores have been proposed before to predict them but none of them have been yet implemented into the routine clinical practice because their difficulties and low accuracy with new surgical strategies and enhanced recovery. The main aim of this study is to identify risk factors for postoperative morbidity and mortality after colonic resection (CR) without protective stomas, in order to develop a comprehensive, up-to-date, simple, reliable, and applicable model for the preoperative assessment of patients with colon cancer. Methods: Multivariable analysis was performed to identify risk factors for 60-day morbidity and mortality. Coefficients derived from the regression model were used in the nomograms to predict morbidity and mortality. Results: Three thousand one hundred ninety-three patients from 52 hospitals were included into the analysis. Sixty-day postoperative complications rate was 28.3% and the mortality rate was 3%. In multivariable analysis the independent risk factors for postoperative complications were age, male gender, liver and pulmonary diseases, obesity, preoperative albumin, anticoagulant treatment, open surgery, intraoperative complications, and urgent surgery. Independent risk factors for mortality were age, preoperative albumin anticoagulant treatment, and intraoperative complications. Conclusions: Risk factors for morbidity and mortality after CR for cancer were identified and two easy predictive tools were developed. Both of them could provide important information for preoperative consultation and surgical planning in the time of enhance recovery. [ABSTRACT FROM AUTHOR]

Published
2020
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