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Table 3 Action plan results: outcomes in diagnostic phase

From: Improving quality of care and clinical outcomes for rectal cancer through clinical audits in a multicentre cancer care organisation

 

Total patients

Centre A

Centre B

Centre C

ACOR-1

(N = 120)

ACOR-2

(N = 120)

p-value

ACOR-1

(N = 40)

ACOR-2

(N = 40)

p-value

ACOR-1

(N = 40)

ACOR-2

(N = 40)

p-value

ACOR-1

(N = 40)

ACOR-2

(N = 40)

p-value

Was the patient diagnosed outside of ICO-ICS?

Yes

71 (59.2%)

100 (83.3%)

<  0.001‡

10 (25%)

29 (72.5%)

<  0.001‡

30 (75%)

37 (92.5%)

0.069*

31 (77.5%)

34 (85%)

0.57

No

49 (40.8%)

20 (16.7%)

30 (75%)

11 (27.5%)

10 (25%)

3 (7.5%)

9 (22.5%)

6 (15%)

In patients diagnosed in ICO-ICS, did a tumour board review the case?

Yes

39 (88.6%)

20 (100%)

0.29

25 (86.2%)

11 (100%)

0.48

10 (100%)

3 (100%)

0.052

4 (80%)

6 (100%)

0.92

No

5 (11.4%)

0 (0%)

4 (13.8%)

0 (0%)

0 (0%)

0 (0%)

1 (20%)

0 (0%)

In patients diagnosed outside of ICO-ICS, did a tumour board review the case?

Yes

34 (47.9%)

68 (68%)

0.019*

3 (30%)

17 (58.6%)

0.23

18 (60%)

35 (94.6%)

0.002

13 (41.9%)

16 (47.1%)

0.55

No

36 (50.7%)

32 (32%)

7 (70%)

12 (41.4%)

12 (40%)

2 (5.4%)

17 (54.8%)

18 (52.9%)

NR

1 (1.4%)

0 (0%)

0 (0%)

0 (0%)

0 (0%)

0 (0%)

1 (3.2%)

0 (0%)

Was the biopsy report in the medical history?

Yes

110 (91.7%)

120 (100%)

0.004†

37 (92.5%)

40 (100%)

0.24

37 (92.5%)

40 (100%)

0.24

36 (90%)

40 (100%)

0.12

No

10 (8.3%)

0 (0%)

3 (7.5%)

0 (0%)

3 (7.5%)

0 (0%)

4 (10%)

0 (0%)

Was the pelvic MRI recorded in the diagnostic report?

Yes

114 (95%)

119 (99.2%)

0.13

38 (95%)

40 (100%)

0.47

40 (100%)

40 (100%)

>  0.99

36 (90%)

39 (97.5%)

0.36

No

6 (5%)

1 (0.8%)

 

2 (5%)

0 (0%)

0 (0%)

0 (0%)

4 (10%)

1 (2.5%)

Did the MRI report include information on the distance to the anal verge or to the anorectal union**?

Yes

82 (68.3%)

116 (96.7%)

<  0.001

9 (22.5%)

38 (95%)

0.001‡

39 (97.5%)

39 (97.5%)

>  0.99

34 (85%)

39 (97.5%)

0.12

No

38 (31.7%)

4 (3.3%)

31 (77.5%)

2 (5%)

1 (2.5%)

1 (2.5%)

6 (15%)

1 (2.5%)

Did the MRI report include information on the distance to the mesorectal fascia?

Yes

74 (61.7%)

99 (82.5%)

<  0.001

23 (57.5%)

30 (75%)

0.16

33 (82.5%)

39 (97.5%)

0.062

18 (45%)

30 (75%)

0.012*

No

46 (38.3%)

21 (17.5%)

17 (42.5%)

10 (25%)

7 (17.5%)

1 (2.5%)

22 (55%)

10 (25%)

Did the MRI report include enough information to assign a ‘T’ value?

Yes

112 (93.3%)

117 (98.3%)

0.11

37 (92.5%)

39 (97.5%)

0.61

39 (97.5%)

40 (100%)

>  0.99

36 (90%)

38 (97.4%)

0.37

No

8 (6.7%)

2 (1.7%)

3 (7.5%)

1 (2.5%)

1 (2.5%)

0 (0%)

4 (10%)

1 (2.6%)

Did the MRI report include enough information to assign an ‘N’ value?

Yes

120 (100%)

118 (99.2%)

>  0.99

40 (100%)

39 (97.5%)

>  0.99

40 (100%)

40 (100%)

>  0.99

40 (100%)

39 (100%)

0.91

No

0 (0%)

1 (0.8%)

0 (0%)

1 (2.5%)

0 (0%)

0 (0%)

0 (0%)

0 (0%)

Did the MRI report meet Mercury Study Group criteria?

Yes

54 (45%)

93 (77.5%)

<  0.001‡

5 (12.5%)

27 (67.5%)

<  0.001‡

33 (82.5%)

38 (95%)

0.16

16 (40%)

28 (70%)

0.013*

No

66 (55%)

27 (22.5%)

35 (87.5%)

13 (32.5%)

7 (17.5%)

2 (5%)

24 (60%)

12 (30%)

  1. ACOR clinical audit for radiation oncology, ICS Institut Català de la Salut, ICO Institut Català d’Oncologia, MRI magnetic resonance imaging, NR not reported
  2. *p-value 0.05 to 0.01; †p-value ≤0.01; ‡p-value ≤0.001
  3. **Centre A: 13 cases had the distance to the anorectal union (not to the anal verge)