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Bi-National Colorectal Cancer Audit
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At a glance

The Bi-National Colorectal Cancer Audit (BCCA) is a Clinical Quality Registry established by the Colorectal Surgical Society of Australia and New Zealand (CSSANZ). It was started as a clinical audit and first commenced in 2007 with patients undergoing resection or treatment for colorectal cancer recorded into the database. It is now governed by a collaboration of invested parties (CSSANZ, RACS, NZAGS, GSA, and consumers). The number of entries currently stored in the database is over 24,000 episodes. The data is used for clinical audit of the surgical practices of Australian and New Zealand surgeons for the purpose of quality assurance. The audit also works towards creating a large dataset containing Australian and New Zealand data that can be used for research and quality improvement purposes, with the aim of advancing knowledge and understanding of treatment for colorectal cancer. BCCA is a declared Quality Assurance Activity by both the Australian and New Zealand Health Departments and is also an Approved Activity for the purposes of Clinical Professional Development (CPD) for the Royal Australasian College of Surgeons (RACS).

The BCCA collects data from over 200 registered contributors with participation from many public and private hospitals represented throughout Australia and New Zealand. The number of contributors continues to grow with both urban and rural areas represented. To access the BCCA database, you need to be a registered contributor with ethics approval for your participating hospital site. Please contact the Project Manager at for further information.

Data Access

In accordance with the BCCA Data Access Policy researchers affiliated with BCCA users can submit data requests to BCCA to access deidentified data. Please see the above Data Access Policy for more detail and to find out how to submit an application.

Approved Projects

1. What’s the best technique for comparing hospital performance on return to theatre data? Funnel plots? Risk-adjustment? Multilevel regression analyses?
Investigator: Professor Cameron Platell, St John of God Subiaco (Complete)

2. Validation of the ACPGBI risk prediction model for 30-day mortality after surgery for colorectal cancer – does it apply in Australia?
Investigator: Associate Prof Paul McMurrick, Cabrini Institute

3. Factors affecting CRM positivity in rectal cancer resection and the impact on management
Investigator: Mr Satish Warrier, Peter MacCallum Cancer Centre (Complete)

4. Clinical Characteristics and Long-term Outcomes for Pathological Complete Response in Locally Advanced Rectal Cancer
Investigators: Mr Joseph Kong, Peter MacCallum Cancer Centre

5. Outcome of Emergency and Urgent versus Elective Colorectal Cancer Resection - Results from Bi-National Colorectal Cancer Audit
Investigator: Dr Angus Lee, Epworth Health

6. Outcomes of Surgical Treatment of Colorectal Cancer in Patients Over 80 Years of Age
Investigator: Professor Frank Frizelle, University of Otago, Christchurch

7. Locoregional Recurrence in Patients with Malignant Colovesical Fistula Following Anterior Resection with Partial or Complete Cystectomy
Investigator: Dr Jonathan Chua, Eastern Health

8. Abdominoperineal Resection in Australasia: Predictive Factors for Non-Restorative Resection and Clinical Outcomes-Research Proposal
Investigator: Dr Nicholas Smith, Epworth Health

9. Trends in Uptake of Minimally Invasive Surgery for Colorectal Cancer Cesection: A Binational Perspective.
Investigator: Dr Katherine Zhu, Alfred Health

Bi-National Colorectal Cancer Audit
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