ESTÁNDARES DE CALIDAD EN CIRUGÍA COLORRECTAL

Abstract

The yield of colorectal cancer treatment significantly improves if a program with quality indicators is followed. These quality indicators are aimed to reduce surgical variability, improve results and reduce cost. Published experiences from developed countries demonstrate that, although quality indicators vary considerably, there is a consensus about their basal implementation. In the United States, a panel sponsored by the National Cancer Institute validated 92 indicators grouped in six domains that comprise all aspects of colorectal cancer patient management. The Mount Sinai Hospital of Ontario uses 15 such indicators and European hospitals use 50 indicators about diagnosis, treatment and follow up. The mortality rates for colorectal cancer are increasing in Chile, therefore the global results of its management should be assessed prospectively. We propose a quality indicator model that could be applied locally as a basis for a broader discussion about a model consented by all centers managing colorectal cancer, aiming to improve the efficiency in its management.