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

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  • dc.contributor.author Matallana, Carlota
  • dc.contributor.author Pera Roman, Miguel
  • dc.contributor.author Espín-Basany, Eloy
  • dc.contributor.author Biondo, Sebastiano
  • dc.contributor.author Badia, Josep M.
  • dc.contributor.author Limón, Enric
  • dc.contributor.author Pujol, Miquel
  • dc.contributor.author Lacy, Borja de
  • dc.contributor.author Aliste, Luisa
  • dc.contributor.author Borràs, Josep M.
  • dc.contributor.author Manchon-Walsh, Paula
  • dc.date.accessioned 2025-07-22T06:48:00Z
  • dc.date.available 2025-07-22T06:48:00Z
  • dc.date.issued 2024
  • dc.description.abstract 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.
  • dc.format.mimetype application/pdf
  • dc.identifier.citation Matallana C, Pera M, Espin-Basany E, Biondo S, Badia JM, Limon E, et al. 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. World J Surg Oncol. 2024 May 25;22(1):138. DOI: 10.1186/s12957-024-03410-9
  • dc.identifier.doi http://dx.doi.org/10.1186/s12957-024-03410-9
  • dc.identifier.issn 1477-7819
  • dc.identifier.uri http://hdl.handle.net/10230/70960
  • dc.language.iso eng
  • dc.publisher BioMed Central
  • dc.relation.ispartof World J Surg Oncol. 2024 May 25;22(1):138
  • dc.rights © 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.
  • dc.rights.accessRights info:eu-repo/semantics/openAccess
  • dc.rights.uri http://creativecommons.org/licenses/by/4.0/
  • dc.subject.keyword Surgical Site infection
  • dc.subject.keyword Surgical Wound Infection/prevention & control*
  • dc.subject.keyword Cohort studies
  • dc.subject.keyword Rectal Surgery* / adverse effects
  • dc.subject.keyword Rectal cancer
  • dc.subject.keyword Surgical Wound infection / prevention & control
  • dc.subject.keyword Databases concordance
  • dc.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
  • dc.type info:eu-repo/semantics/article
  • dc.type.version info:eu-repo/semantics/publishedVersion

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