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MCC 2011 - Slide 23

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European School of Oncology
European School of Oncology
1 von 57
Colorectal Cancer Audit Lars Påhlman Dept. Surgery, Colorectal unit, University Hospital, Uppsala, Sweden
Quality control in surgery
Quality control in surgery ,[object Object],[object Object]
Quality control in surgery ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Quality control in surgery ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Quality control in surgery ,[object Object],[object Object]
Why 100 % ?
Quality control in surgery ,[object Object],[object Object],[object Object],[object Object]
Quality control in surgery ,[object Object],[object Object],[object Object]
Quality control in surgery ,[object Object],[object Object],[object Object],[object Object],[object Object]
Unexpecting findings
Swedish Rectal Cancer Registry ,[object Object]
Anastomotic leakage study ,[object Object],[object Object],[object Object],[object Object],[object Object],Folkesson et al. Colorectal Disease 2004
Anastomotic leakage study ,[object Object],[object Object],[object Object],[object Object],[object Object],Folkesson et al. Colorectal Disease 2004
Stapler trial ,[object Object],[object Object],[object Object],[object Object],[object Object]
Stapler trial ,[object Object],[object Object],[object Object],[object Object],[object Object],Folkesson et al. Manuscript
Conclusion ,[object Object],[object Object]
Evaluate outcomes
Swedish Hip Replacement Registry ,[object Object],[object Object],[object Object],[object Object],[object Object]
Conclusion ,[object Object]
Define end-points
Quality Assurance in Surgery ,[object Object],[object Object],[object Object],[object Object]
Quality Control in Surgery ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Transparent reports
Swedish Rectal Cancer Registry ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Swedish Rectal Cancer Registry ,[object Object]
Postoperative mortality
Swedish Rectal Cancer Registry ,[object Object]
Swedish Rectal Cancer Registry ,[object Object]
Swedish Rectal Cancer Registry ,[object Object]
Swedish Rectal Cancer Registry ,[object Object]
Swedish Rectal Cancer Registry ,[object Object]
Swedish Rectal Cancer Registry ,[object Object]
Swedish Rectal Cancer Registry ,[object Object]
Swedish Rectal Cancer Registry ,[object Object]
Local recurrence High volume hospital
Local recurrence rate
5-year survival
Hospital volume
Volume - fact or fancy ,[object Object],[object Object],[object Object],[object Object]
Swedish Rectal Cancer Registry ,[object Object]
Swedish Rectal Cancer Registry ,[object Object],[object Object],[object Object]
Quality Control in Surgery ,[object Object],[object Object],[object Object]
Aim - related scores
Swedish Rectal Cancer Registry ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Rectal Cancer in Sweden ,[object Object],[object Object],[object Object],[object Object],[object Object]
 
Smoking is dangerous
Swedish Rectal Cancer Registry ,[object Object],[object Object]
Swedish Rectal Cancer Registry ,[object Object],[object Object]
Swedish Rectal Cancer Registry ,[object Object]
Swedish Rectal Cancer Registry ,[object Object],[object Object]
Swedish Rectal Cancer Registry ,[object Object],[object Object]
Quality Assurance in Surgery ,[object Object],[object Object],[object Object],[object Object],[object Object]
Swedish Rectal Cancer Registry ,[object Object]
Swedish Rectal Cancer Registry ,[object Object]
Swedish Rectal Cancer Registry ,[object Object],[object Object],13 42 39 103 52 52 41 56 48 40 51 85 69 85 88 89 62 91 79 185 74 97 66 40 36 73 32 28 21 28 22 17 20 28 21 17 17 14 9 11 7 5 2 0 0% 20% 40% 60% 80% 100% Huddinge Eskilstuna Skövde Östra sjukhuset Karlstad Örebro Gävle Lund Karolinska, Solna Linköping Kristianstad Södersjukhuset Danderyd St Görans Malmö Uppsala Borås Uddevalla Umeå Ersta Falun Västerås Sköljda Ej sköljda

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MCC 2011 - Slide 23