Towards safer colorectal surgery worldwide: Outcomes and benchmarks from the ESCP CORREA 2022 audit
Articolo
Data di Pubblicazione:
2025
Citazione:
Towards safer colorectal surgery worldwide: Outcomes and benchmarks from the ESCP CORREA 2022 audit / Negoi, I.; Van Ramhorst, G.; Sebastian, S.; Pellino, G.; Elhadi, M.; Dulskas, A.; Kadir, B.; Glasbey, J.; Neary, P.; Bravo, A. M. M.; Keatley, J.; El-Hussuna, A.; Pinkney, T.; Chaudhry, S.; Magill, L.; Perry, R.; Blackwell, S.; Chaudhri, S.; Chowdhury, S.; Dardanov, D.; Foppa, C.; Gallo, G.; Li, E.; Morton, D.; Pata, F.; Van Ramshorst, G.; Mendes, B. S.; Singh, B.; Aytac, E.; Breukink, S.; Buchwald, P.; Christou, N.; Horesh, N.; Horisberger, K.; Khan, J.; Koskenvuo, L.; Kosir, Y.; Lederhuber, H.; Shalaby, M.; Vaizey, C.; Bilali, S.; Ferko, S.; Gjata, A.; Shehi, E.; Shahu, J.; Bouaoud, S.; Abdoun, M.; Bouchenak, K.; Saada, H.; Ouyahia, A.; Rais, M.; Seddik, E.; Bouaoud, M.; Kouicem, A.; Yacine, N.; Nawel, L.; Talbi, N.; Tidjane, A.; Tabeti, B.; Hebbar, A.; Lalmi, I.; Bouanani, A.; Bali, O.; Benallel, N.; Chwat, C.; Lemme, G.; Rosato, G.; Alexandre, F.; Valli, D.; Gosselink, M.; Daryanani, D.; Smit, J.; Ponson, A.; Casseres, Y.; Strugnell, N.; D'Souza, B.; Badiani, S.; Kuany, T.; Aigner, F.; Mitteregger, M.; Uranitsch, S.; Allmer, C.; Moitzi, G.; Wallner, E.; Stadler, R.; Herbst, F.; Iliev, I.; Samadov, E.; Ibrahimli, A.; Saeed, M.; Varkey, R.; Ebrahim, B.; Aljazaf, H.; Juma, I.; Monami, B.; Markiewicz, S.; Francart, D.; Jehaes, F.; Debergh, N.; Malvaux, P.; Grandjean, S.; Stijns, J.; Van Eetvelde, E.; Van De Winkel, T.; Violon, S.; Van Ramshorst, G.; Tavares Sousa Castro, S.; Van De Putte, D.; Van Nieuwenhove, Y.; Pattyn, P.; Ivanov, T.; Filipov, E.; Georgiev, D.; Neykov, V.; Dardanov, D.; Sokolov, M.; Maslyankov, S.; Toshev, S.; Gribnev, P.; Koychev, A.; Karamanliev, M.; Dimitrov, D.; Vladova, P.; Shoshkova, M.; Shanker, A.; Slavchev, M.; Belev, N.; Penkov, R.; Atanasov, B.; Krastev, P.; Yotsov, I.; Santak, G.; Gouvas, N.; Papatheodorou, P.; Konstantinou, K.; Kokkinos, G.; Stylianou, A.; Christensen, P.; Balachandran, R.; Eriksen, J.; Kristensen, M.; Ingvarsdottir, S.; Ellebaek, M.; Baelum, J.; Kjaer, M.; Cuk, P.; Al-Najami, I.; Love, U.; Fink, P.; Eliasen, T.; Zavrakidis, D.; Lynge, S.; Sjaelland, L.; Abdel-Maboud, M.; Mahmoud, S.; Abozied, H.; Al Sayed, M.; Swealem, A.; Elshinnawy, A.; Amer, A.; Ewedah, M.; Shalaby, M.; Elfeki, H.; Sakr, A.; Sanad, A.; Sadek, M.; Abdelwahab, K.; Nazif, I.; Aboelfarh, H.; Refky, B.; Shetiwy, M.; Metwally, I.; Abdelkhalek, M.; Zuhdy, M.; Omar, M.; Safy, A.; Alansary, M.; Trilling, B.; Faucheron, J.; Tidadini, F.; Audeguy, L.; Chenevas-Paule, Q.; Roudier, A.; De Angelis, N.; Schena, C.; Bianchi, G.; Christou, N.; Furst, A.; Brunner, M.; Blumel, S.; Schmidt, V.; Krappitz, A.; Turler, A.; Derenbach, M.; Lydia, W.; Baral, J.; Muench, S.; Pullig, F.; Langbecker, R.; Jauch, D.; Fichtner-Feigl, S.; Neeff, H.; Berlin, C.; Matuschik, L.; Kleeff, J.; Ronellenfitsch, U.; Bayram, O.; Klose, J.; Rieder, S.; Korkolis, D.; Sarafi, A.; Fradelos, E.; Kavalieratos, G.; Katsoulis, I.; Papaconstantinou, I.; Konstadoulakis, M.; Theodosopoulos, T.; Gklavas, A.; Politis, D.; Petropoulou, T.; Polidorou, A.; Ioannidis, A.; Konstantinidis, M.; Konstantinidou, S.; Konstantinidis, K.; Manatakis, D.; Barkolias, C.; Balalis, D.; Tasis, N.; Kapiris, S.; Kolinioti, A.; Sotiropoulou, M.; Psarologos, M.; Metaxas, P.; Papadopoulos, A.; Manioti, E.; Mouzakis, O.; Broutas, D.; Nikolaou, V.; Tzovaras, G.; Baloyiannis, I.; Perivoliotis, K.; Mamaloudis, I.; Bobou, F.; Bouchagier, K.; Skroubis, G.; Maroulis, I.; Mulita, F.; Abalov, E.; Ioannidis, O.; Loutzidou, L.; Anestiadou, E.; Bitsianis, S.; Symeonidis, S.; Theodoropoulos, G.; Frountzas, M.; Volteas, S.; Dimitriou, N.; Thermou, D.; Karantzikos, G.; Kympouris, S.; Mavrantonis, C.; Alexakou, P.; Karagouni, A.; Boltsis, N.; Paradellis, D.; Schizas, D.; Karavokyros, I.; Machairas, N.; Syllaios, A.; Kykalos, S.; Stamou, K.; Tsiotos, G.; Fanidou, D.; Kontis, E.; Katsaros, I.; Kaouras, E.; Katsiaras, L.; Manikis, P.; Zampitis, N.; Marinis, A.; Bourmpouteli, E.; Merrakos, M.; Stefou, F.;
Abstract:
Introduction: Benchmarking colorectal surgery outcomes informs quality improvement. The ESCP CORREA 2022 snapshot audit aimed to assess contemporary colorectal resection practices and short-term outcomes across European countries and beyond. Methods: An international prospective multicentre audit was conducted in which adults undergoing elective or emergency colorectal resection during a 6-week period (January–April 2022) at participating hospitals were included. Data on patient demographics, indications, surgical approach (open, laparoscopic or robotic) and 30-day postoperative outcomes (complications, reoperation and mortality) were collected for analysis. The outcomes were analysed and compared with those of previous audits to identify trends in colorectal surgery. Results: The study enrolled 3521 patients (56.8% men) from 216 hospitals across 53 countries. In 72.2% of the cases, the indication for resection was malignancy, followed by diverticular disease in 9.0%, Crohn's disease in 3.7% and ulcerative colitis in 2.3% of the cases. Of the surgeries, 74.4% were elective. Minimally invasive surgery was performed in 55.2% of the cases (48.7% laparoscopic and 6.5% robotic). Primary anastomosis was performed in 90.3% of the patients. The 30-day anastomotic leak rate was 7.96%; in malignant and benign diseases, the leak rates were 7.3% and 10.2%, respectively. The leak rates for right, left, anterior rectal resection, pouch and subtotal colectomy were 6.9%, 7.7%, 9.7%, 16.0% and 11.8%, respectively. In the multivariable analysis, the risk factors for leakage included male sex (9.3% vs. 6.3%, OR = 0.69, 95% CI 0.51–0.95, p = 0.023) and emergency surgery (11.4% vs. 7.1%, OR = 1.58, 95% CI 1.10–2.27, p = 0.013). Thirty-day mortality was 2.38%. Conclusions: This large international audit provides the status of the management of colorectal surgery. This shows that minimally invasive techniques are widely adopted, and 30-day mortality is low; however, anastomotic leak rates remain persistently high. These findings highlight the ongoing need for targeted research and quality-improvement initiatives to reduce anastomotic failure and improve outcomes of colorectal surgery.
Tipologia CRIS:
1.1 Articolo in rivista
Elenco autori:
Negoi, I.; Van Ramhorst, G.; Sebastian, S.; Pellino, G.; Elhadi, M.; Dulskas, A.; Kadir, B.; Glasbey, J.; Neary, P.; Bravo, A. M. M.; Keatley, J.; El-Hussuna, A.; Pinkney, T.; Chaudhry, S.; Magill, L.; Perry, R.; Blackwell, S.; Chaudhri, S.; Chowdhury, S.; Dardanov, D.; Foppa, C.; Gallo, G.; Li, E.; Morton, D.; Pata, F.; Van Ramshorst, G.; Mendes, B. S.; Singh, B.; Aytac, E.; Breukink, S.; Buchwald, P.; Christou, N.; Horesh, N.; Horisberger, K.; Khan, J.; Koskenvuo, L.; Kosir, Y.; Lederhuber, H.; Shalaby, M.; Vaizey, C.; Bilali, S.; Ferko, S.; Gjata, A.; Shehi, E.; Shahu, J.; Bouaoud, S.; Abdoun, M.; Bouchenak, K.; Saada, H.; Ouyahia, A.; Rais, M.; Seddik, E.; Bouaoud, M.; Kouicem, A.; Yacine, N.; Nawel, L.; Talbi, N.; Tidjane, A.; Tabeti, B.; Hebbar, A.; Lalmi, I.; Bouanani, A.; Bali, O.; Benallel, N.; Chwat, C.; Lemme, G.; Rosato, G.; Alexandre, F.; Valli, D.; Gosselink, M.; Daryanani, D.; Smit, J.; Ponson, A.; Casseres, Y.; Strugnell, N.; D'Souza, B.; Badiani, S.; Kuany, T.; Aigner, F.; Mitteregger, M.; Uranitsch, S.; Allmer, C.; Moitzi, G.; Wallner, E.; Stadler, R.; Herbst, F.; Iliev, I.; Samadov, E.; Ibrahimli, A.; Saeed, M.; Varkey, R.; Ebrahim, B.; Aljazaf, H.; Juma, I.; Monami, B.; Markiewicz, S.; Francart, D.; Jehaes, F.; Debergh, N.; Malvaux, P.; Grandjean, S.; Stijns, J.; Van Eetvelde, E.; Van De Winkel, T.; Violon, S.; Van Ramshorst, G.; Tavares Sousa Castro, S.; Van De Putte, D.; Van Nieuwenhove, Y.; Pattyn, P.; Ivanov, T.; Filipov, E.; Georgiev, D.; Neykov, V.; Dardanov, D.; Sokolov, M.; Maslyankov, S.; Toshev, S.; Gribnev, P.; Koychev, A.; Karamanliev, M.; Dimitrov, D.; Vladova, P.; Shoshkova, M.; Shanker, A.; Slavchev, M.; Belev, N.; Penkov, R.; Atanasov, B.; Krastev, P.; Yotsov, I.; Santak, G.; Gouvas, N.; Papatheodorou, P.; Konstantinou, K.; Kokkinos, G.; Stylianou, A.; Christensen, P.; Balachandran, R.; Eriksen, J.; Kristensen, M.; Ingvarsdottir, S.; Ellebaek, M.; Baelum, J.; Kjaer, M.; Cuk, P.; Al-Najami, I.; Love, U.; Fink, P.; Eliasen, T.; Zavrakidis, D.; Lynge, S.; Sjaelland, L.; Abdel-Maboud, M.; Mahmoud, S.; Abozied, H.; Al Sayed, M.; Swealem, A.; Elshinnawy, A.; Amer, A.; Ewedah, M.; Shalaby, M.; Elfeki, H.; Sakr, A.; Sanad, A.; Sadek, M.; Abdelwahab, K.; Nazif, I.; Aboelfarh, H.; Refky, B.; Shetiwy, M.; Metwally, I.; Abdelkhalek, M.; Zuhdy, M.; Omar, M.; Safy, A.; Alansary, M.; Trilling, B.; Faucheron, J.; Tidadini, F.; Audeguy, L.; Chenevas-Paule, Q.; Roudier, A.; De Angelis, N.; Schena, C.; Bianchi, G.; Christou, N.; Furst, A.; Brunner, M.; Blumel, S.; Schmidt, V.; Krappitz, A.; Turler, A.; Derenbach, M.; Lydia, W.; Baral, J.; Muench, S.; Pullig, F.; Langbecker, R.; Jauch, D.; Fichtner-Feigl, S.; Neeff, H.; Berlin, C.; Matuschik, L.; Kleeff, J.; Ronellenfitsch, U.; Bayram, O.; Klose, J.; Rieder, S.; Korkolis, D.; Sarafi, A.; Fradelos, E.; Kavalieratos, G.; Katsoulis, I.; Papaconstantinou, I.; Konstadoulakis, M.; Theodosopoulos, T.; Gklavas, A.; Politis, D.; Petropoulou, T.; Polidorou, A.; Ioannidis, A.; Konstantinidis, M.; Konstantinidou, S.; Konstantinidis, K.; Manatakis, D.; Barkolias, C.; Balalis, D.; Tasis, N.; Kapiris, S.; Kolinioti, A.; Sotiropoulou, M.; Psarologos, M.; Metaxas, P.; Papadopoulos, A.; Manioti, E.; Mouzakis, O.; Broutas, D.; Nikolaou, V.; Tzovaras, G.; Baloyiannis, I.; Perivoliotis, K.; Mamaloudis, I.; Bobou, F.; Bouchagier, K.; Skroubis, G.; Maroulis, I.; Mulita, F.; Abalov, E.; Ioannidis, O.; Loutzidou, L.; Anestiadou, E.; Bitsianis, S.; Symeonidis, S.; Theodoropoulos, G.; Frountzas, M.; Volteas, S.; Dimitriou, N.; Thermou, D.; Karantzikos, G.; Kympouris, S.; Mavrantonis, C.; Alexakou, P.; Karagouni, A.; Boltsis, N.; Paradellis, D.; Schizas, D.; Karavokyros, I.; Machairas, N.; Syllaios, A.; Kykalos, S.; Stamou, K.; Tsiotos, G.; Fanidou, D.; Kontis, E.; Katsaros, I.; Kaouras, E.; Katsiaras, L.; Manikis, P.; Zampitis, N.; Marinis, A.; Bourmpouteli, E.; Merrakos, M.; Stefou, F.; Banky, B.; Onody, P.; Lakatos, L.; Daniel, A.; Bencze, V.; Fulop, A.; Valsdottir, E.; Atladottir, J.;
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