BIC4VMR: Breakthrough Improvement Collaborative for Ventral Mesh Rectopexy
Study Details
Study Description
Brief Summary
Different studies showed large variation between care processes in multiple diseases, this leads to large variation in outcomes. Better adherence to evidence-based guidelines for these diseases can reduce this variation and can improve the health outcomes.
Ventral mesh rectopexy has gained popularity in Europe to treat different rectal prolapse syndromes. This procedure has been shown to achieve acceptable anatomic results with low recurrence rates, few complications, and improvements of both constipation and fecal incontinence. However, there is limited data on the care process and outcomes. Moreover, there is no insight in the variation between different centers for patients undergoing ventral mesh rectopexy.
This study aims to map the variation in care for patients undergoing ventral mesh rectopexy in Flemish hospitals and to get an overview about the variation within and between these hospitals. Hereby, this will be a repeat of the studies for colorectal cancer, fragility hip fractures, stroke and breast cancer surgery.
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
|
Study Design
Outcome Measures
Primary Outcome Measures
- Length of stay [through study completion, an average of 4 months]
Number of days in the hospital
Secondary Outcome Measures
- In-hospital complication rate [through study completion, an average of 4 months]
Re-intervention, wound complications, surgical site infection, ileus and postoperative bleeding
- in-hospital mortality [through study completion, an average of 4 months]
Mortality during hospitalization
- 30 day readmission rate [through study completion, an average of 4 months]
Readmission rate within 30 days after discharge
- 30 days mortality rate [through study completion, an average of 4 months]
Mortality rate within 30 days after discharge
Eligibility Criteria
Criteria
Inclusion Criteria:
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Minimum age of 18 years;
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Elective admission for ventral mesh rectopexy
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Total rectal prolapse
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Grade III Internal prolapse with incontinence or obstructed defaecation
Exclusion Criteria:
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Colpo posterior
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Patients diagnosed with severe dementia (DSM IV) or severe concomitant disease that may affect very short-term outcome (life expectancy less than 3 months) and hence influence deviations from standard acute care.
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | KU Leuven | Leuven | Belgium | 3000 |
Sponsors and Collaborators
- KU Leuven
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- BIC4VMR