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International Journal of Colorectal Disease
Published in: International Journal of Colorectal Disease 8/2009

01-08-2009 | Original Article

Quality management in rectal carcinoma: what is feasible?

Authors: Susanne Merkel, Daniela Klossek, Jonas Göhl, Thomas Papadopoulos, Werner Hohenberger, Paul Hermanek

Published in: International Journal of Colorectal Disease | Issue 8/2009

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Abstract

Purpose

A cohort study was carried out to analyse quality indicators in the diagnosis and treatment of rectal carcinoma.

Methods

A total of 2,470 patients with rectal carcinoma treated between 1985 and 2007 at the Department of Surgery, University of Erlangen, were analysed and compared within four time intervals.

Results

Most of the indicators analysed from 2004 to 2007 fulfilled the defined target values. The indicators for process quality of surgical treatment and the surrogate indicators of outcome quality in surgery showed excellent results. Comparing this to previous data, it displays the new developments such as introduction of multimodal treatment for high-risk patients. While the rate of locoregional recurrences decreased, no significant improvement in survival was found.

Conclusions

Careful analysis of quality indicators is important for both quality management and comparison of treatment results. The progress in diagnosis and treatment requires a continuous update of definitions and target values.
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Metadata
Title
Quality management in rectal carcinoma: what is feasible?
Authors
Susanne Merkel
Daniela Klossek
Jonas Göhl
Thomas Papadopoulos
Werner Hohenberger
Paul Hermanek
Publication date
01-08-2009
Publisher
Springer-Verlag
Published in
International Journal of Colorectal Disease / Issue 8/2009
Print ISSN: 0179-1958
Electronic ISSN: 1432-1262
DOI
https://doi.org/10.1007/s00384-009-0736-9

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