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http://hdl.handle.net/2445/172493
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DC Field | Value | Language |
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dc.contributor.author | Torras, M. G. | - |
dc.contributor.author | Canals, E. | - |
dc.contributor.author | Jurado Bruggeman, D. | - |
dc.contributor.author | Marín Borràs, S. | - |
dc.contributor.author | Macià, M. | - |
dc.contributor.author | Jové, J. | - |
dc.contributor.author | Boladeras, A. M. | - |
dc.contributor.author | Muñoz Montplet, C. | - |
dc.contributor.author | Molero, J. | - |
dc.contributor.author | Picón, C. | - |
dc.contributor.author | Puigdemont, M. | - |
dc.contributor.author | Aliste, Luisa | - |
dc.contributor.author | Torrents, A. | - |
dc.contributor.author | Guedea Edo, Ferran | - |
dc.contributor.author | Borràs Andrés, Josep Maria | - |
dc.date.accessioned | 2020-12-01T14:49:39Z | - |
dc.date.available | 2020-12-01T14:49:39Z | - |
dc.date.issued | 2018-06 | - |
dc.identifier.issn | 1944-7124 | - |
dc.identifier.uri | http://hdl.handle.net/2445/172493 | - |
dc.description.abstract | Background: The therapeutic approach to cancer is complex and multidisciplinary. Radiotherapy is among the essential treatments, whether used alone or in conjunction with other therapies. This study reports a clinical audit of the radiotherapy process to assess the process of care, evaluate adherence to agreed protocols and measure the variability to improve therapeutic quality for rectal cancer. Methods: Multicentre retrospective cohort study in a representative sample of patients diagnosed with rectal cancer in the Institut Català d'Oncologia, a comprehensive cancer centre with three different settings. We developed a set of indicators to assess the key areas of the radiotherapy process. The clinical audit consisted of a review of a random sample of 40 clinical histories for each centre. Results: The demographic profile, histology and staging of patients were similar between centres. The MRI reports did not include the distance from tumour to mesorectal fascia (rCRM) in 38.3% of the cases. 96.7% of patients received the planned dose, and 57.4% received it at the planned time. Surgery followed neoadjuvant treatment in 96.7% of the patients. Among this group, postoperative CRM was recorded in 65.5% of the cases and was negative in 93.4% of these. With regard to the 34.5% (n = 40) of cases where no CRM value was stated, there were differences between the centres. Mean follow-up was 3.4 (SD 0.6) years, and overall survival at four years was 81.7%. Conclusions: The audit revealed a suboptimal degree of adherence to clinical practice guidelines. Significant variability between centres exists from a clinical perspective but especially with regard to organization and process. | - |
dc.format.extent | 6 p. | - |
dc.format.mimetype | application/pdf | - |
dc.language.iso | eng | - |
dc.publisher | Elsevier | - |
dc.relation.isformatof | Reproducció del document publicat a: https://doi.org/10.1016/j.tranon.2018.03.015 | - |
dc.relation.ispartof | Translational Oncology, 2018, vol. 11, num. 3, p. 794-799 | - |
dc.relation.uri | https://doi.org/10.1016/j.tranon.2018.03.015 | - |
dc.rights | cc-by-nc-nd (c) Torras, M. G. et al., 2018 | - |
dc.rights.uri | http://creativecommons.org/licenses/by-nc-nd/3.0/es | - |
dc.source | Articles publicats en revistes (Ciències Clíniques) | - |
dc.subject.classification | Càncer | - |
dc.subject.classification | Radioteràpia | - |
dc.subject.other | Cancer | - |
dc.subject.other | Radiotherapy | - |
dc.title | Clinical Audit of the Radiotherapy Process in Rectal Cancer: Clinical Practice guidelines and Quality Certification Do Not Avert Variability in Clinical Practice | - |
dc.type | info:eu-repo/semantics/article | - |
dc.type | info:eu-repo/semantics/publishedVersion | - |
dc.identifier.idgrec | 680212 | - |
dc.date.updated | 2020-12-01T14:49:39Z | - |
dc.rights.accessRights | info:eu-repo/semantics/openAccess | - |
dc.identifier.pmid | 29704788 | - |
Appears in Collections: | Articles publicats en revistes (Ciències Clíniques) Articles publicats en revistes (Institut d'lnvestigació Biomèdica de Bellvitge (IDIBELL)) |
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