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Brief Title: Measuring Quality in Colorectal Cancer Surgery in Low- and Middle-income Countries
Official Title: Measuring Quality in Colorectal Cancer Surgery in Low- and Middle-income Countries: the Clavien-Dindo Classification in a Sri Lankan Cohort
Study ID: NCT05182762
Brief Summary: To test the applicability of the Clavien-Dindo Classification (CDC) in an LMIC setting and to compare the prevalence and severity of complications in patients \<60 and ≥60 years of age a retrospective medical records review is used.
Detailed Description: Background: Colorectal cancer (CRC) is increasing in Low- and Middle-Income Countries (LMIC) as part of the ongoing epidemiological transition. Surgery is the main treatment and the global health agenda is increasingly putting focus on improving the safety and quality of surgical care in low-resource settings. The current systems for measuring surgical quality are mainly customized for high-income countries. Aim: To test the applicability of the Clavien-Dindo Classification (CDC) in an LMIC setting. Additionally, to compare the prevalence and severity of complications in patients \<60 and ≥60 years of age. Material and methods: Retrospective medical records review for postoperative complications and severity grading using the CDC.
Minimum Age:
Eligible Ages: CHILD, ADULT, OLDER_ADULT
Sex: ALL
Healthy Volunteers: No
University of Gothenburg, Sahlgrenska Academy, Gothenburg, , Sweden
Name: David Ljungman, MD PhD
Affiliation: Dep. of Surgery, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg..
Role: STUDY_DIRECTOR
Name: Stina Lindholm, MD
Affiliation: Sahlgrenska Academy, University of Gothenburg.
Role: PRINCIPAL_INVESTIGATOR
Name: Sofia Lindskogen, MD
Affiliation: Sahlgrenska Academy, University of Gothenburg.
Role: PRINCIPAL_INVESTIGATOR
Name: Göran Kurlberg, Asoc prof
Affiliation: Dep. of Surgery, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg.
Role: STUDY_DIRECTOR
Name: Bawantha Gamage, MD
Affiliation: Dep. of Surgery, Colombo South Teaching Hospital, University of Sri Jayewardenepura.
Role: STUDY_DIRECTOR