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Towards quality control in rectal cancer surgery: a preliminary Greek experience

, : Towards quality control in rectal cancer surgery: a preliminary Greek experience. Anz Journal of Surgery 78(8): 694-697

The purpose of this study was to evaluate the effect of the introduction of a colorectal unit on provided services for patients with rectal cancer. The colorectal unit in our department was initiated in January 2004. A dedicated database was used to retrieve data from 127 consecutive patients who were operated on electively from March 1995 to December 2005. Treatment parameters were compared for patients before (n = 90) and after (n = 37) the introduction of the colorectal unit. In the entire group of patients, 50.3% presented with locally advanced disease (stage III) and 40.9% with tumours located in the lower third of the rectum. A higher preoperative versus postoperative radiotherapy ratio (P < 0.0001), a higher local excision rate (P = 0.04) and a higher low anterior resection to abdominoperineal resection ratio (P = 0.0011) were noted after the initiation of the colorectal unit. In this small series, although parameters like the number of examined lymph nodes, anastomotic leakage rate and distal resection margin improved, they did not reach statistical significance. The establishment of a colorectal unit seems to have resulted in improved quality of rectal cancer treatment by a dedicated multidisciplinary approach, even after only 2 years of service.


PMID: 18796031

DOI: 10.1111/j.1445-2197.2008.04620.x

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Tappen, M.; Adler, D.S.; Ferring, C.R.; Gabunia, M.; Vekua, A.; Swisher, C.C., 2002: Akhalkalaki: The taphonomy of an Early Pleistocene locality in the Republic of Georgia. As part of our investigations into the potential of the Republic of Georgia for providing information on early hominin occupation of Eurasia, we report here on Akhalkalaki, a large late Early Pleistocene locality located along the lower slopes of...

McLaughlin, N., 1987: Turbulence in the healthcare industry hasn't hurt students' interest in health administration courses. Modern Healthcare 17(9): 77-77

Cita M.B.; Podenzani L., 1978: Effects of oxygen starvation and ash falls on benthic life. International Congress on Sedimentology = Congres International de Sedimentologie 10, Vol

Kunicka, A.; Duroś, H.; Nowakowska, K., 1975: Effect of immunosuppressive and cytostatic factors on the immune responses of the body. Communication II. Effect of hydrocortisone on immunologically competent cells (RFC cells and lymphocytes B) in immunized animals. The effect of hydrocortisone on immunologically competent cells in peripheral blood (lymphocytes B and RFC cells) and on the level of humoral antibodies has been studied in rabbits immunized twice with 10per cent sheep erythrocytes. The animals we...

Edwards, N.; Anderson, C.M.H.; Gatfield, K.M.; Jevons, M.P.; Ganapathy, V.; Thwaites, D.T., 2011: Amino acid derivatives are substrates or non-transported inhibitors of the amino acid transporter PAT2 (slc36a2). The H(+)-coupled amino acid transporter PAT2 (SLC36A2) transports the amino acids proline, glycine, alanine and hydroxyproline. A physiological role played by PAT2 in amino acid reabsorption in the renal proximal tubule is demonstrated by mutation...

Denoble V.J.; Strek K.; Johnson L.; Cook L., 1988: Physostigmine tetrahydroacridine and 3 4 diaminopyridine protect against hypoxia induced passive avoidance retention deficit comparison of safety margins. Society for Neuroscience Abstracts 14(1): 249

Karkhanis, S.; Bali, N.; Alo, K.; Tzortzis, S.; Athanasiadou, M.; Azad, S., 2011: An analysis of hand-held doppler knowledge and accuracy in lower limb arterial perforator assessment. Journal of Plastic, Reconstructive & Aesthetic Surgery 64(4): E107-E108

Keogh, B.; Higgins, A.; Devries, J.; Morrissey, J.; Callaghan, P.; Ryan, D.; Gijbels, H.; Nash, M., 2015: 'We have got the tools': Qualitative evaluation of a mental health Wellness Recovery Action Planning (WRAP) education programme in Ireland. In recent years, there has been a consistent drive to incorporate Recovery principles into the Irish mental health services. A group of Irish mental health service providers came together and delivered a 5-day Wellness Recovery Action Planning (WR...

Albeaux, F.Rnet, M.; Gelinet, M., 1956: Endocrine parameters. Gazette Medicale de France 63(21): 1745-52; Passim

Mora, S.; Giacomet, V.; Viganò, A.; Maruca, K.; Capelli, S.; Nannini, P.; Zuccotti, G.Vincenzo., 2015: Areal bone mineral density in pediatric patients with chronic hepatitis B or chronic hepatitis C. Decreased bone mineral density (BMD) is a known complication of chronic liver disease in adults. Data on bone mass, an important factor for the development of osteoporosis in adult life, in young patients with chronic hepatitis B (HBV) and C virus...