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 (Universitat Autònoma de Barcelona)
Pera, Miguel (Hospital Clínic i Provincial de Barcelona)
Espin-Basany, Eloy (Hospital Universitari Vall d'Hebron)
Biondo, Sebastiano (Institut d'Investigació Biomèdica de Bellvitge)
Badia, Josep M (Universitat Internacional de Catalunya)
Limón, Enric (Universitat de Barcelona)
Pujol, Miquel (Centro de Investigación Biomédica en Red de Enfermedades Infecciosas)
De Lacy, F. Borja (Hospital Clínic i Provincial de Barcelona)
Aliste, Luisa (Institut d'Investigació Biomèdica de Bellvitge)
Borras, Josep M (Universitat Internacional de Catalunya)
Manchon-Walsh, Paula (Universitat Internacional de Catalunya)

Fecha:	2024
Resumen:	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.
Ayudas:	Agència de Gestió d'Ajuts Universitaris i de Recerca 2021/SGR-00808
Derechos:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Lengua:	Anglès
Documento:	Article ; recerca ; Versió publicada
Materia:	Surgical Site infection ; Surgical Wound Infection/prevention & control* ; Cohort studies, Rectal Surgery* /adverse efects ; Rectal cancer ; Surgical Wound infection / prevention & control ; Databases concordance
Publicado en:	World Journal of Surgical Oncology, Vol. 22, Núm. 1 (May 2024) , ISSN 1477-7819

DOI: 10.1186/s12957-024-03410-9
PMID: 38789966

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