scholarly journals A method to audit and score implementation of knowledge translation (KT) interventions in large health regions – an observational pilot study using rectal cancer surgery in Ontario

2020 ◽  
Author(s):  
Marko Simunovic ◽  
Christine Fahim ◽  
Angela Coates ◽  
David Urbach ◽  
Craig Earle ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Knowledge Translation ◽  
Assessment Tool ◽  
Cancer Surgery ◽  
Average Score ◽  
Rectal Cancer Surgery ◽  
Intervention Implementation ◽  
Cancer Agency ◽  
Quantitative Analyses

Abstract Background: Across Ontario, since the year 2006 various knowledge translation (KT) interventions designed to improve the quality of rectal cancer surgery have been implemented by the provincial cancer agency or by individual researchers. Ontario is divided administratively into 14 health regions. We piloted a method to audit and score for each region of the province KT interventions implemented to improve the quality of rectal cancer surgery. Methods: We interviewed stakeholders to audit KT interventions used in respective regions over years 2006 to 2014. Results were summarized into narrative and visual forms. KT experts reviewed these data and then, for each region, scored KT intervention implementation using a 20-item KT Signature Assessment Tool. Scores could range from 20-100 with higher scores commensurate with greater KT intervention implementation. Results: There were thirty interviews. KT experts produced scores for each region that were bimodally distributed, with an average score for 2 regions of 78 (range 73-83) and for 12 regions of 30.5 (range 22-38). Conclusion: Our methods efficiently identified two groups with similar KT Signature scores. Two regions had relatively high scores reflecting numerous KT interventions and the use of sustained iterative approaches in addition to those encouraged by the provincial cancer agency, while 12 regions had relatively low scores reflecting minimal activities. These groupings will be used for future comparative quantitative analyses to help determine if higher KT signature scores correlate with improved measures for region-level quality of rectal cancer surgery.

scholarly journals A method to audit and score implementation of knowledge translation (KT) interventions in large health regions – an observational pilot study using rectal cancer surgery in Ontario

2020 ◽  
Author(s):  
Marko Simunovic ◽  
Christine Fahim ◽  
Angela Coates ◽  
David Urbach ◽  
Craig Earle ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Knowledge Translation ◽  
Assessment Tool ◽  
Cancer Surgery ◽  
Average Score ◽  
Rectal Cancer Surgery ◽  
Intervention Implementation ◽  
Cancer Agency ◽  
Quantitative Analyses

Abstract Background: Across Ontario, since the year 2006 various knowledge translation (KT) interventions designed to improve the quality of rectal cancer surgery have been implemented by the provincial cancer agency or by individual researchers. Ontario is divided administratively into 14 health regions. We piloted a method to audit and score for each region of the province KT interventions implemented to improve the quality of rectal cancer surgery. Methods: We interviewed stakeholders to audit KT interventions used in respective regions over years 2006 to 2014. Results were summarized into narrative and visual forms. KT experts reviewed these data and then, for each region, scored KT intervention implementation using a 20-item KT Signature Assessment Tool. Scores could range from 20-100 with higher scores commensurate with greater KT intervention implementation. Results: There were thirty interviews. KT experts produced scores for each region that were bimodally distributed, with an average score for 2 regions of 78 (range 73-83) and for 12 regions of 30.5 (range 22-38). Conclusion: Our methods efficiently identified two groups with similar KT Signature scores. Two regions had relatively high scores reflecting numerous KT interventions and the use of sustained iterative approaches in addition to those encouraged by the provincial cancer agency, while 12 regions had relatively low scores reflecting minimal activities. These groupings will be used for future comparative quantitative analyses to help determine if higher KT signature scores correlate with improved measures for region-level quality of rectal cancer surgery.

scholarly journals A method to audit and score implementation of knowledge translation (KT) interventions in large health regions – an observational pilot study using rectal cancer surgery in Ontario

2020 ◽  
Author(s):  
Marko Simunovic ◽  
Christine Fahim ◽  
Angela Coates ◽  
David Urbach ◽  
Craig Earle ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Knowledge Translation ◽  
Assessment Tool ◽  
Cancer Surgery ◽  
Average Score ◽  
Rectal Cancer Surgery ◽  
Intervention Implementation ◽  
Cancer Agency ◽  
Quantitative Analyses

Abstract Background: Across Ontario, since the year 2006 various knowledge translation (KT) interventions designed to improve the quality of rectal cancer surgery have been implemented by the provincial cancer agency or by individual researchers. Ontario is divided administratively into 14 health regions. We piloted a method to audit and score for each region of the province the KT interventions implemented to improve the quality of rectal cancer surgery. Methods: We interviewed stakeholders to audit KT interventions used in respective regions over years 2006 to 2014. Results were summarized into narrative and visual forms. KT experts reviewed these data and then, for each region, scored implementation of KT interventions using a 20-item KT Signature Assessment Tool. Scores could range from 20-100 with higher scores commensurate with greater KT intervention implementation. Results: There were thirty interviews. KT experts produced scores for each region that were bimodally distributed, with an average score for 2 regions of 78 (range 73-83) and for 12 regions of 30.5 (range 22-38). Conclusion: Our methods efficiently identified two groups with similar KT Signature scores. Two regions had relatively high scores reflecting numerous KT interventions and the use of sustained iterative approaches in addition to those encouraged by the provincial cancer agency, while 12 regions had relatively low scores reflecting minimal activities. These groupings will be used for future comparative quantitative analyses to help determine if higher KT signature scores correlate with improved measures for region-level quality of rectal cancer surgery.

scholarly journals A method to audit and score implementation of knowledge translation (KT) interventions in large health regions – an observational pilot study using rectal cancer surgery in Ontario

2020 ◽  
Author(s):  
Marko Simunovic ◽  
Christine Fahim ◽  
Angela Coates ◽  
David Urbach ◽  
Craig Earle ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Knowledge Translation ◽  
Assessment Tool ◽  
Cancer Surgery ◽  
Average Score ◽  
Rectal Cancer Surgery ◽  
Modified Delphi ◽  
Delphi Approach ◽  
Cancer Agency

Abstract Background: Across Ontario, since the year 2006 various knowledge translation (KT) interventions designed to improve the quality of rectal cancer surgery have been implemented by the provincial cancer agency or by individual researchers. Ontario is divided administratively into 14 health regions. We piloted a method to audit and score for each region of the province the KT interventions implemented to improve the quality of rectal cancer surgery. Methods: We interviewed stakeholders to audit KT interventions used in respective regions over years 2006 to 2014. Results were summarized into narrative and visual forms. Using a modified Delphi approach, KT experts reviewed these data and then, for each region, scored implementation of KT interventions using a 20-item KT Signature Assessment Tool. Scores could range from 20-100 with higher scores commensurate with greater KT intervention implementation. Results: There were thirty interviews. KT experts produced scores for each region that were bimodally distributed, with an average score for 2 regions of 78 (range 73-83) and for 12 regions of 30.5 (range 22-38). Conclusion: Our methods efficiently identified two groups with similar KT Signature scores. Two regions had relatively high scores reflecting numerous KT interventions and the use of sustained iterative approaches in addition to those encouraged by the provincial cancer agency, while 12 regions had relatively low scores reflecting minimal activities outside of those encouraged by the provincial cancer agency. These groupings will be used for future comparative quantitative analyses to help determine if higher KT signature scores correlate with improved measures for quality of rectal cancer surgery.

scholarly journals Identifying a region-level ‘Knowledge Translation Signature’ in rectal cancer surgery – an observational pilot study

2019 ◽  
Author(s):  
Marko Simunovic ◽  
Christine Fahim ◽  
Angela Coates ◽  
David Urbach ◽  
Craig Earle ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Knowledge Translation ◽  
Assessment Tool ◽  
Rectal Surgery ◽  
Population Level ◽  
Cancer Surgery ◽  
Average Score ◽  
Rectal Cancer Surgery ◽  
Local Health ◽  
Cancer Agency

Abstract Background Knowledge translation (KT) interventions can facilitate the implementation of evidence-based practice and help close quality gaps. Across Ontario, since approximately the year 2006, numerous KT interventions have been implemented by the provincial cancer agency or by individual researchers. Ontario is divided administratively into 14 Local Health Integrated Networks (LHINs). We piloted a methodology to summarize and score at the LHIN level all KT activities implemented to improve the quality of rectal surgery (i.e., a KT Signature score).Methods We interviewed stakeholders to identify KT interventions used in respective LHINs over years 2006 to 2014. Results were summarized into narrative and visual forms. KT experts reviewed and scored final summaries using a 20-item KT Signature Assessment Tool. Scores for each item ranged from 1 – 5. Thus scores could range from 20-100 for each LHIN.Results There were thirty interviews. KT experts produced KT Signature scores for each LHIN that were bimodally distributed with an average score for 2 LHINs of 78 (range 73-83) and for 12 LHINs of 30.5 (range 22-38).Conclusion Related to region level KT interventions to improve rectal cancer surgery quality, we identified two KT Signature types. Scores in 12 Ontario LHINs were low reflecting minimal efforts. Two LHINs had high scores reflecting implementation of numerous KT interventions in addition to those encouraged by the provincial cancer agency. Our methods and results require further validation. But they should be of interest to stakeholders implementing interventions designed to improve medical care at a population level.

scholarly journals Quality of life after rectal cancer surgery (systematic review)

2021 ◽  
Vol 20 (1) ◽  
pp. 59-67
Author(s):  
A. B. Serebriy ◽  
E. A. Khomyakov ◽  
I. O. Nafedzov ◽  
O. Yu. Fomenko ◽  
E. G. Rybakov
Keyword(s):  
Quality Of Life ◽  
Risk Factors ◽  
Rectal Cancer ◽  
Anterior Resection ◽  
Low Anterior Resection ◽  
Life Quality ◽  
Cancer Surgery ◽  
Rectal Cancer Surgery ◽  
Low Anterior Resection Syndrome

Aim: search for modifiable and unmodifiable risk factors affecting the quality of life of patients after rectal cancer surgery.Materials and methods: the literature search was done according to the keywords: quality of life, rectal cancer, low anterior resection syndrome. Twelve prospective randomized studies, 2 cohort studies, and 2 meta-analyses are included in the study. The quality of life was assessed in the analyzed studies by using questionnaires for cancer patients and updated questionnaires for colorectal cancer: EORTC QLQ-CR29, QLQ-C30, QLQ-CR38, BIQ.Results: the literary data on influence of gender, age, surgery, stoma, and chemoradiotherapy on life quality of patients after rectal cancer surgery was analyzed.Conclusion: the most significant factor affecting the life quality of patients with rectal cancer is a violation of the body image if it is necessary to form the stoma on the anterior abdominal wall. The manifestations of the low anterior resection syndrome and the urination problems are significant risk factors in the case of restoration of bowel continuity.

Survival and Quality of Life of Patients After Rectal Cancer Surgery in a Low-Income Country: A Study in Cameroon, Sub-Saharan African Region

2021 ◽  
Author(s):  
Guy Aristide Bang ◽  
Eric Patrick Savom ◽  
Georges Bwelles ◽  
Julienne Yambassa Fayam ◽  
Yannick Mahamat Ekani Boukar ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Rectal Cancer ◽  
Low Income ◽  
Cancer Surgery ◽  
Income Country ◽  
Rectal Cancer Surgery ◽  
African Region ◽  
Low Income Country ◽  
Sub Saharan

Examining the Quality of Rectal Cancer Operative Reports in Teaching Institutions: Is There an Opportunity for Resident Education?

2016 ◽  
Vol 82 (10) ◽  
pp. 1023-1027
Author(s):  
Aaron B. Parrish ◽  
Yas Sanaiha ◽  
Beverley A. Petrie ◽  
Marcia M. Russell ◽  
Formosa Chen
Keyword(s):  
Rectal Cancer ◽  
Best Practices ◽  
Resident Education ◽  
Cancer Surgery ◽  
Teaching Hospitals ◽  
Rectal Cancer Surgery ◽  
Technical Quality ◽  
American Society ◽  
Junior Residents

The American Society of Colon and Rectal Surgeons rectal cancer checklist describes a set of best practices for rectal cancer surgery. The objective of this study was to assess the quality of operative reports for rectal cancer surgery based on the intraoperative American Society of Colon and Rectal Surgeons checklist items. Patients undergoing rectal cancer surgery at two public teaching hospitals from 2009 to 2015 were included. A total of 12 intraoperative checklist items were assessed. One hundred and fifty-eight operative reports were reviewed. Overall adherence to checklist items was 55 per cent, and was significantly higher in attending versus resident dictated reports (67% vs 51%, P < 0.01). Senior residents had significantly higher adherence to checklist items than junior residents (55% vs 44%, P < 0.01). However, overall adherence to rectal cancer checklist items was low. This represents an opportunity to improve the quality of operative documentation in rectal cancer surgery, which could also impact the technical quality of the operation itself.

Sign in / Sign up

Export Citation Format

Share Document