ArticleCurrent oncology (Toronto, Ont.)2023
Achieving a Textbook Outcome in Colon Cancer Surgery Is Associated with Improved Long-Term Survival.
Article in Current oncology (Toronto, Ont.), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 3 of them syntheses that pooled it.
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Who cites it
16 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- The "Textbook Outcome" Isn't Textbook: Significant Variation in "Textbook Outcome" Definitions following a Systematic Review of the Surgical Oncology Literature.Annals of surgical oncology · 2026Pooled it
- Textbook oncologic outcomes in colorectal cancer surgery: a systematic review.Frontiers in oncology · 2025Pooled it
- "Textbook outcome(s)" in colorectal surgery: a systematic review and meta-analysis.Irish journal of medical science · 2024Pooled it
- Minimally invasive surgery in locally advanced colon cancer contributes to textbook outcome achievement and the long-term outcome.Surgery today · 2026Article
- Textbook outcome of robotic rectal resection with primary anastomosis for cancer: a composite quality measure to evaluate functional and midterm outcomes.Journal of robotic surgery · 2026Article
- Understanding Textbook outcome failure after robotic colorectal cancer surgery: a multicenter domain-specific analysis.Journal of robotic surgery · 2026Observational
- Defining "optimal recovery" in colorectal surgery: a path to precision prehabilitation.Annals of coloproctology · 2026Article
- Minimally invasive colectomy May contribute to a better long-term prognosis for patients when a textbook outcome is not achieved.Surgery today · 2026Article
- Article
- The textbook outcome of pancreaticoduodenectomy for adenocarcinoma of the pancreas in a high-volume centre.Surgery in practice and science · 2026Article
- Defining Textbook Outcomes for Minimally Invasive Surgical Resection of Small Gastrointestinal Stromal Tumors (GIST) of the Stomach.Annals of surgical oncology · 2025Article
- Textbook Outcome in Colorectal Surgery for Cancer: An Italian Version.Journal of clinical medicine · 2024Article
- Textbook outcome as indicator of surgical quality in a single Western center: results from 300 consecutive gastrectomies.Updates in surgery · 2024Article
- Achieving Textbook Outcomes in Colorectal Cancer Surgery Is Associated with Improved Long-Term Survival: Results of the Multicenter Prospective Cohort Study.Journal of clinical medicine · 2024Article
- Article
- Textbook outcome contributes to long-term prognosis in elderly colorectal cancer patients.Langenbeck's archives of surgery · 2023Article
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Authors and funding
11 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundColon cancer surgery is a complex clinical pathway and traditional quality metrics may exhibit significant variability between hospitals and healthcare providers. The Textbook Outcome (TO) is a composite quality marker capturing the fraction of patients, in whom all desired short-term outcomes of care are realised. The aim of the present study was to assess the TO in a series of non-metastatic colon cancer patients treated with curative intent, with emphasis on long-term survival.
methodsStage I-III colon cancer patients, who underwent curative colectomy following the Complete Mesocolic Excision principles, were retrospectively identified from the institutional database. TO was defined as (i) hospital survival, (ii) radical resection, (iii) no major complications, (iv) no reintervention, (v) no unplanned stoma and (vi) no prolonged hospital stay or readmission.
resultsIn total, 128 patients (male 61%, female 39%, mean age 70.7 ± 11.4 years) were included in the final analysis. Overall, 60.2% achieved a TO. The highest rates were observed for "hospital survival" and "no unplanned stoma" (96.9% and 97.7%), while the lowest rates were for "no major complications" and "no prolonged hospital stay" (69.5% and 75%). Older age, left-sided resections and pT4 tumours were factors limiting the chances of a TO. The 5-year overall and 5-year cancer-specific survival were significantly better in the TO versus non-TO subgroup (81% vs. 59%,
conclusionsOutcomes in colon cancer surgery may be affected by patient-, doctor- and hospital-related factors. TO represents those patients who achieve the optimal perioperative results, and is furthermore associated with improved long-term cancer survival.
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