Quality check: concordance between two monitoring systems for postoperative organ/space-surgical site infections in rectal cancer surgery. Linkage of data from the Catalan Cancer Plan and the VINCat infection surveillance programme

Background: The Catalan Cancer Plan (CCP) undertakes periodic audits of cancer treatment outcomes, including organ/space surgical site infections (O/S-SSI) rates, while the Catalan Healthcare-associated Infections Surveillance Programme (VINCat) carries out standardized prospective surveillance of s...

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Autores: Matallana, Carlota, Pera Roman, Miguel, Espín-Basany, Eloy, Biondo, Sebastiano, Badia, Josep M., Limón, Enric, Pujol, Miquel, Lacy, Borja de, Aliste, Luisa, Borràs, Josep M., Manchon-Walsh, Paula
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2024
País:España
Institución:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
Repositorio:Recercat. Dipósit de la Recerca de Catalunya
OAI Identifier:oai:recercat.cat:10230/70960
Acceso en línea:http://hdl.handle.net/10230/70960
http://dx.doi.org/10.1186/s12957-024-03410-9
Access Level:acceso abierto
Palabra clave:Surgical Site infection
Surgical Wound Infection/prevention & control*
Cohort studies
Rectal Surgery* / adverse effects
Rectal cancer
Surgical Wound infection / prevention & control
Databases concordance
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spelling Quality check: concordance between two monitoring systems for postoperative organ/space-surgical site infections in rectal cancer surgery. Linkage of data from the Catalan Cancer Plan and the VINCat infection surveillance programmeMatallana, CarlotaPera Roman, MiguelEspín-Basany, EloyBiondo, SebastianoBadia, Josep M.Limón, EnricPujol, MiquelLacy, Borja deAliste, LuisaBorràs, Josep M.Manchon-Walsh, PaulaSurgical Site infectionSurgical Wound Infection/prevention & control*Cohort studiesRectal Surgery* / adverse effectsRectal cancerSurgical Wound infection / prevention & controlDatabases concordanceBackground: The Catalan Cancer Plan (CCP) undertakes periodic audits of cancer treatment outcomes, including organ/space surgical site infections (O/S-SSI) rates, while the Catalan Healthcare-associated Infections Surveillance Programme (VINCat) carries out standardized prospective surveillance of surgical site infections (SSI) in colorectal surgery. This cohort study aimed to assess the concordance between these two monitoring systems for O/S-SSI following primary rectal cancer surgery. Methods: The study compared O/S-SSI incidence data from CCP clinical audits versus the VINCat Programme in patients undergoing surgery for primary rectal cancer, in 2011-12 and 2015-16, in publicly funded centres in Spain. The main outcome variable was the incidence of O/S-SSI in the first 30 days after surgery. Concordance between the two registers was analysed using Cohen's kappa. Discordant cases were reviewed by an expert, and the main reasons for discrepancies evaluated. Results: Pooling data from both databases generated a sample of 2867 patients. Of these, O/S-SSI was detected in 414 patients-235 were common to both registry systems, with satisfactory concordance (κ = 0.69, 95% confidence interval 0.65-0.73). The rate of discordance from the CCP (positive cases in VINCat and negative in CCP) was 2.7%, and from VINCat (positive in CCP and negative in VINCat) was 3.6%. External review confirmed O/S-SSI in 66.2% of the cases in the CCP registry and 52.9% in VINCat. Conclusions: This type of synergy shows the potential of pooling data from two different information sources with a satisfactory level of agreement as a means to improving O/S-SSI detection. Clinicaltrials: gov Identifier: NCT06104579. Registered 30 November 2023.BioMed Central202520252024info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfhttp://hdl.handle.net/10230/70960http://dx.doi.org/10.1186/s12957-024-03410-9http://hdl.handle.net/10230/70960reponame:Recercat. Dipósit de la Recerca de Catalunyainstname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)InglésWorld J Surg Oncol. 2024 May 25;22(1):138© The Author(s) 2024. Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.http://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:recercat.cat:10230/709602026-05-29T05:05:01Z
dc.title.none.fl_str_mv Quality check: concordance between two monitoring systems for postoperative organ/space-surgical site infections in rectal cancer surgery. Linkage of data from the Catalan Cancer Plan and the VINCat infection surveillance programme
title Quality check: concordance between two monitoring systems for postoperative organ/space-surgical site infections in rectal cancer surgery. Linkage of data from the Catalan Cancer Plan and the VINCat infection surveillance programme
spellingShingle Quality check: concordance between two monitoring systems for postoperative organ/space-surgical site infections in rectal cancer surgery. Linkage of data from the Catalan Cancer Plan and the VINCat infection surveillance programme
Matallana, Carlota
Surgical Site infection
Surgical Wound Infection/prevention & control*
Cohort studies
Rectal Surgery* / adverse effects
Rectal cancer
Surgical Wound infection / prevention & control
Databases concordance
title_short Quality check: concordance between two monitoring systems for postoperative organ/space-surgical site infections in rectal cancer surgery. Linkage of data from the Catalan Cancer Plan and the VINCat infection surveillance programme
title_full Quality check: concordance between two monitoring systems for postoperative organ/space-surgical site infections in rectal cancer surgery. Linkage of data from the Catalan Cancer Plan and the VINCat infection surveillance programme
title_fullStr Quality check: concordance between two monitoring systems for postoperative organ/space-surgical site infections in rectal cancer surgery. Linkage of data from the Catalan Cancer Plan and the VINCat infection surveillance programme
title_full_unstemmed Quality check: concordance between two monitoring systems for postoperative organ/space-surgical site infections in rectal cancer surgery. Linkage of data from the Catalan Cancer Plan and the VINCat infection surveillance programme
title_sort Quality check: concordance between two monitoring systems for postoperative organ/space-surgical site infections in rectal cancer surgery. Linkage of data from the Catalan Cancer Plan and the VINCat infection surveillance programme
dc.creator.none.fl_str_mv Matallana, Carlota
Pera Roman, Miguel
Espín-Basany, Eloy
Biondo, Sebastiano
Badia, Josep M.
Limón, Enric
Pujol, Miquel
Lacy, Borja de
Aliste, Luisa
Borràs, Josep M.
Manchon-Walsh, Paula
author Matallana, Carlota
author_facet Matallana, Carlota
Pera Roman, Miguel
Espín-Basany, Eloy
Biondo, Sebastiano
Badia, Josep M.
Limón, Enric
Pujol, Miquel
Lacy, Borja de
Aliste, Luisa
Borràs, Josep M.
Manchon-Walsh, Paula
author_role author
author2 Pera Roman, Miguel
Espín-Basany, Eloy
Biondo, Sebastiano
Badia, Josep M.
Limón, Enric
Pujol, Miquel
Lacy, Borja de
Aliste, Luisa
Borràs, Josep M.
Manchon-Walsh, Paula
author2_role author
author
author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv Surgical Site infection
Surgical Wound Infection/prevention & control*
Cohort studies
Rectal Surgery* / adverse effects
Rectal cancer
Surgical Wound infection / prevention & control
Databases concordance
topic Surgical Site infection
Surgical Wound Infection/prevention & control*
Cohort studies
Rectal Surgery* / adverse effects
Rectal cancer
Surgical Wound infection / prevention & control
Databases concordance
description Background: The Catalan Cancer Plan (CCP) undertakes periodic audits of cancer treatment outcomes, including organ/space surgical site infections (O/S-SSI) rates, while the Catalan Healthcare-associated Infections Surveillance Programme (VINCat) carries out standardized prospective surveillance of surgical site infections (SSI) in colorectal surgery. This cohort study aimed to assess the concordance between these two monitoring systems for O/S-SSI following primary rectal cancer surgery. Methods: The study compared O/S-SSI incidence data from CCP clinical audits versus the VINCat Programme in patients undergoing surgery for primary rectal cancer, in 2011-12 and 2015-16, in publicly funded centres in Spain. The main outcome variable was the incidence of O/S-SSI in the first 30 days after surgery. Concordance between the two registers was analysed using Cohen's kappa. Discordant cases were reviewed by an expert, and the main reasons for discrepancies evaluated. Results: Pooling data from both databases generated a sample of 2867 patients. Of these, O/S-SSI was detected in 414 patients-235 were common to both registry systems, with satisfactory concordance (κ = 0.69, 95% confidence interval 0.65-0.73). The rate of discordance from the CCP (positive cases in VINCat and negative in CCP) was 2.7%, and from VINCat (positive in CCP and negative in VINCat) was 3.6%. External review confirmed O/S-SSI in 66.2% of the cases in the CCP registry and 52.9% in VINCat. Conclusions: This type of synergy shows the potential of pooling data from two different information sources with a satisfactory level of agreement as a means to improving O/S-SSI detection. Clinicaltrials: gov Identifier: NCT06104579. Registered 30 November 2023.
publishDate 2024
dc.date.none.fl_str_mv 2024
2025
2025
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv http://hdl.handle.net/10230/70960
http://dx.doi.org/10.1186/s12957-024-03410-9
http://hdl.handle.net/10230/70960
url http://hdl.handle.net/10230/70960
http://dx.doi.org/10.1186/s12957-024-03410-9
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv World J Surg Oncol. 2024 May 25;22(1):138
dc.rights.none.fl_str_mv http://creativecommons.org/licenses/by/4.0/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv http://creativecommons.org/licenses/by/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv BioMed Central
publisher.none.fl_str_mv BioMed Central
dc.source.none.fl_str_mv reponame:Recercat. Dipósit de la Recerca de Catalunya
instname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
instname_str Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
reponame_str Recercat. Dipósit de la Recerca de Catalunya
collection Recercat. Dipósit de la Recerca de Catalunya
repository.name.fl_str_mv
repository.mail.fl_str_mv
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