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Resultados del proyecto docente y auditado del c ncer de recto de la Asociaci n Espa ola de Cirujanos Seis a os desde su inicio


, : Resultados del proyecto docente y auditado del c ncer de recto de la Asociaci n Espa ola de Cirujanos Seis a os desde su inicio.

El Proyecto del C ncer de Recto de la Asociaci n Espa ola de Cirujanos se inici en el a o 2006. El objetivo principal de este estudio observacional ha sido evaluar los resultados conseguidos por los hospitales formados en el periodo 2006-2011 para valorar si esta iniciativa ha permitido conseguir los est ndares de calidad observados en el Norwegian Rectal Cancer Project. Entre marzo de 2006 y junio de 2012 se ha incluido en el registro una cohorte de 10.006 pacientes tratados por 79 hospitales incluidos en el proyecto entre 2006 y 201En 8.706 (94,5%) se practic una resecci n del recto. La resecci n se consider paliativa en 1.156 pacientes, con met stasis en el diagn stico o porque la resecci n fue R2. El n mero de resecciones de recto con intenci n curativa analizado fue 7.396 (80,3%). Las medidas de resultado fueron: las tasas de recidiva local, met stasis y supervivencia. Con una mediana de seguimiento de 19,0 (rango intercuart lico [8,00-33,0]) meses, la tasa de recidiva local fue 7,7 (9,1-6,2), la de met stasis en el seguimiento de 23,4 (25,6-21,1) y la de mortalidad 25,9 (28,1-23,7). Este estudio ha permitido conocer que los resultados oncol gicos de los hospitales espa oles que participan en el Proyecto del C ncer de Recto de la Asociaci n Espa ola de Cirujanos son similares a los observados en el Norwegian Colon and Rectal Cancer Project. The Spanish Rectal Cancer Project of the Spanish Association of Surgeons was established in 2006. The main objective of this observational study was to assess the results obtained by the hospitals trained in the period 2006-2011, in order to evaluate whether this initiative has allowed acheivement of the observed quality standards in the Norwegian Rectal Cancer Project. Between March 2006 and June 2012 a cohort of 10,006 patients treated during 2006-2011 in 79 hospitals were included in the project registry. In 8.706 (94.5%) patients a rectal resection was performed. In 1.156 patients diagnosed with metastases or an R2-resection, the resection was considered palliative. The number of rectal resections with curative intent analyzed was 7.396 (80.3%). The outcome measures of the program effectiveness were local recurrence, metastases and survival. After a median follow-up period of 19.0 months (interquartile range [8.00-33.0]), local recurrence rate was 7.7 (9.1-6.2); metastases, 23.4 (25.6-21.1), and mortality 25.9 (28.1-23.7). This study shows that the oncological results achieved by the Spanish hospitals participating in the Rectal Cancer Project of the Spanish Association of Surgeons are similar to those observed in the Norwegian Colon and Rectal Cancer Project.

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