Taylor, J.C. orcid.org/0000-0002-2518-5799, Burke, D., Iversen, L.H. et al. (6 more authors) (2024) Minimally Invasive Surgery for Colorectal Cancer: Benchmarking Uptake for a Regional Improvement Programme. Clinical Colorectal Cancer, 23 (4). pp. 382-391. ISSN 1533-0028
Abstract
Background The uptake of minimally invasive surgery (MIS) for patients with colorectal cancer has progressed at differing rates, both across countries, and within countries. This study aimed to investigate uptake for a regional colorectal cancer improvement programme in England.
Method We calculated the proportion of patients receiving elective laparoscopic and robot-assisted surgery amongst those diagnosed with colorectal cancer over 3 time periods (2007-2011, 2012-2016 and 2017-2021) in hospitals participating in the Yorkshire Cancer Research Bowel Cancer Improvement Programme (YCR BCIP). These were benchmarked against national rates. Regression analysis and funnel plots were used to develop a data driven approach for analysing trends in the use of MIS at hospitals in the programme.
Results In England, resections performed by MIS increased from 34.9% to 72.9% for colon cancer and from 28.8% to 72.5% for rectal cancer. Robot-assisted surgery increased from 0.1% to 2.7% for colon cancer and from 0.2% to 7.9% for rectal cancer. Wide variation in the uptake of MIS was observed at a hospital level. Detailed analysis of the YCR BCIP region identified a decreasing number of surgical departments, since the start of the programme, as potential outliers for MIS when compared to the English national average.
Conclusion Wide variation in use of MIS for colorectal cancer exists within the English National Health Service and a data-driven approach can help identify outlying hospitals. Addressing some of the challenges behind the uptake of MIS, such as ensuring adequate provision of surgical training and equipment, could help increase its use.
Micro abstract Use of minimally invasive surgery can benefit recovery in patients treated for colorectal cancer. We investigated its uptake in England between 2007 and 2021. As expected, use of laparoscopic and robotic surgery increased but we observed wide variation at the hospital level. Our data-driven approach identified potential outlying hospitals for further investigation through a regional cancer improvement programme.
Metadata
Item Type: | Article |
---|---|
Authors/Creators: |
|
Copyright, Publisher and Additional Information: | © 2024 The Author(s). This is an open access article under the terms of the Creative Commons Attribution License (CC-BY 4.0), which permits unrestricted use, distribution and reproduction in any medium, provided the original work is properly cited. |
Keywords: | Laparoscopic surgery; robotic surgery; population-based; Denmark; England |
Dates: |
|
Institution: | The University of Leeds |
Academic Units: | The University of Leeds > Faculty of Medicine and Health (Leeds) > School of Medicine (Leeds) > Leeds Institute of Medical Research (LIMR) > Division of Pathology and Data Analytics |
Funding Information: | Funder Grant number Yorkshire Cancer Research Account Ref: 2UOLEEDS L394-RA/2015/R1/003 Cancer Research UK Supplier No: 138573 C23434/A23706 |
Depositing User: | Symplectic Publications |
Date Deposited: | 19 Jun 2024 14:58 |
Last Modified: | 12 Mar 2025 10:59 |
Status: | Published |
Publisher: | Elsevier |
Identification Number: | 10.1016/j.clcc.2024.05.013 |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:213584 |