2026-04-13T07:11:12Zhttps://recercat.cat/oai/request

oai:recercat.cat:11351/138332025-10-24T10:59:26Zcom_2072_451665com_2072_378040col_2072_451666

00925njm 22002777a 4500 dc Matallana , Carlota author Pera, Miguel author Espin-Basany, Eloy author Biondo, Sebastiano author Badia, Josep M author Limón, Enric author 2025-10-13T12:07:23Z 2025-10-13T12:07:23Z 2024-05-25 Rectal Surgery; Rectal cancer; Surgical Wound infection Cirurgia rectal; Càncer de recte; Infecció de la ferida quirúrgica Cirugía rectal; Cáncer rectal; Infección de herida quirúrgica 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. http://hdl.handle.net/11351/13833 Recte - Càncer Infeccions quirúrgiques Recte - Cirurgia - Complicacions DISCIPLINES AND OCCUPATIONS::Health Occupations::Medicine::Specialties, Surgical::Colorectal Surgery DISEASES::Neoplasms::Neoplasms by Site::Digestive System Neoplasms::Gastrointestinal Neoplasms::Intestinal Neoplasms::Colorectal Neoplasms::Rectal Neoplasms DISEASES::Bacterial Infections and Mycoses::Infection::Wound Infection::Surgical Wound Infection DISCIPLINAS Y OCUPACIONES::profesiones sanitarias::medicina::especialidades quirúrgicas::cirugía colorrectal ENFERMEDADES::neoplasias::neoplasias por localización::neoplasias del sistema digestivo::neoplasias gastrointestinales::neoplasias intestinales::neoplasias colorrectales::neoplasias del recto ENFERMEDADES::infecciones bacterianas y micosis::infección::infección de heridas::infección de la herida quirúrgica 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