Evidence map›Paper›PMID 35779080›Full record

Observational studyInternational journal of colorectal disease2022

Emilia-Romagna Surgical Colorectal Cancer Audit (ESCA): a value-based healthcare retro-prospective study to measure and improve the quality of surgical care in colorectal cancer.

Ilaria Massa, Federico Ghignone, Giampaolo Ugolini, Giorgio Ercolani, Isacco Montroni, Patrizio Capelli, Gianluca Garulli, Fausto Catena, Andrea Lucchi, Luca Ansaloni and 5 more

Registry-linked trialAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in International journal of colorectal disease, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03982641 (A Plan for Evaluating Costs and Outcomes of Colorectal Surgery in Emilia-Romagna), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03982641 unknown statusnot on this map

A Plan for Evaluating Costs and Outcomes of Colorectal Surgery in Emilia-Romagna (Emilia-Romagna Surgical Colorectal Cancer Audit-ESCA)

Typeobservational_patient_registrySponsorIstituto Romagnolo per lo Studio dei Tumori Dino Amadori IRST S.r.l. IRCCSRan2019 to 2020Enrolled1,400ConditionsFinancial Benefit, Colorectal Cancer, Surgery, Auditing ActivityArmsall colorectal cancer surgical procedures
3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Observational
  2. Article
  3. Key Performance Indicators Applied in Medicine.International archives of otorhinolaryngology · 2025
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors.

Ilaria MassaOutcome Research, Healthcare Administration, IRCCS Istituto Romagnolo per lo studio dei tumori (IRST) " Dino Amadori", Meldola, Italy.
Federico GhignoneU.O. Chirurgia Generale, Hospital "Santa Maria delle Croci", AUSL, Ravenna, Romagna, Italy.
Giampaolo UgoliniU.O. Chirurgia Generale, Hospital "Santa Maria delle Croci", AUSL, Ravenna, Romagna, Italy.
Giorgio ErcolaniU.O. Chirurgia Generale e Terapie Oncologiche avanzate, Hospital "GB. Morgagni-L.Pierantoni", AUSL, Forli, Romagna, Italy.
Isacco MontroniU.O Chirurgia Generale, Hospital "degli Infermi", AUSL, Faenza, Romagna, Italy.
Patrizio CapelliDepartment of Surgery, Hospital "G. Da Saliceto", Piacenza, AUSL, Piacenza, Italy.
Gianluca GarulliU.O. Chirurgia Generale, Hospital "Infermi", AUSL, Rimini, Romagna, Italy.
Fausto CatenaGeneral, Emergency and Trauma Surgery Dept., Bufalini Hospital, AUSL, Cesena, Romagna, Italy.
Andrea LucchiU.O. Chirurgia Generale, Hospital "Ceccarini", AUSL, Riccione, Romagna, Italy.
Luca AnsaloniDepartment of Surgery, Fondazione IRCCS Policlinico San Matteo, University of Pavia, Pavia, Italy.
Nicola GentiliOutcome Research, Healthcare Administration, IRCCS Istituto Romagnolo per lo studio dei tumori (IRST) " Dino Amadori", Meldola, Italy.
Valentina DanesiOutcome Research, Healthcare Administration, IRCCS Istituto Romagnolo per lo studio dei tumori (IRST) " Dino Amadori", Meldola, Italy. valentina.danesi@irst.emr.it.
Maria Teresa MontellaOutcome Research, Healthcare Administration, IRCCS Istituto Romagnolo per lo studio dei tumori (IRST) " Dino Amadori", Meldola, Italy.
Mattia AltiniHealthcare Administration, AUSL of Romagna, Ravenna, Italy.
ESCA Collaborative Group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeSurgery is the main treatment for non-metastatic colorectal cancer. Despite huge improvements in perioperative care, colorectal surgery is still associated with a significant burden of postoperative complications and ultimately costs for healthcare organizations. Systematic clinical auditing activity has already proven to be effective in measuring and improving clinical outcomes, and for this reason, we decided to evaluate its impact in a large area of northern Italy.

methodsThe Emilia-Romagna Surgical Colorectal Audit (ESCA) is an observational, multicentric, retro-prospective study, carried out by 7 hospitals located in the Emilia-Romagna region. All consecutive patients undergoing surgery for colorectal cancer during a 54-month study period will be enrolled. Data regarding baseline conditions, preoperative diagnostic work-up, surgery and postoperative course will be collected in a dedicated case report form. Primary outcomes regard postoperative complications and mortality. Secondary outcomes include each center's adherence to the auditing (enrolment rate) and evaluation of the systematic feedback activity on key performance indicators for the entire perioperative process.

conclusionThis protocol describes the methodology of the Emilia-Romagna Surgical Colorectal Audit. The study will provide real-world clinical data essential for benchmarking and feedback activity, to positively impact outcomes and ultimately to improve the entire healthcare process of patients undergoing colorectal cancer surgery. CLINICAL

trial registrationThe study ESCA is registered on the clinicaltrials.gov platform (Identifier: NCT03982641).

Indexed as

Colorectal NeoplasmsColorectal SurgeryDelivery of Health CareHumansPostoperative ComplicationsProspective StudiesAuditBenchmarkingColorectal cancerFeedbackQuality improvementSurgery

Identifiers

PMID35779080
PMCPMC9262771

What OpenQuestion holds

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LicenceCC BY
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.