Evaluation of Access to Hospitals Most Ready to Achieve National Accreditation for Rectal Cancer Treatment

JAMA Surgery
Alexis G AntunezScott E Regenbogen

Abstract

The American College of Surgeons National Accreditation Program for Rectal Cancer (NAPRC) promotes multidisciplinary care to improve oncologic outcomes in rectal cancer. However, accreditation requirements may be difficult to achieve for the lowest-performing institutions. Thus, it is unknown whether the NAPRC will motivate care improvement in these settings or widen disparities. To characterize hospitals' readiness for accreditation and identify differences in the patients cared for in hospitals most and least prepared for accreditation. A total of 1315 American College of Surgeons Commission on Cancer-accredited hospitals in the National Cancer Database from January 1, 2011, to December 31, 2015, were sorted into 4 cohorts, organized by high vs low volume and adherence to process standards, and patient and hospital characteristics and oncologic outcomes were compared. The patients included those who underwent surgical resection with curative intent for rectal adenocarcinoma, mucinous adenocarcinoma, or signet ring cell carcinoma. Data analysis was performed from November 2017 to January 2018. Hospitals' readiness for accreditation, as determined by their annual resection volume and adherence to 5 available NAPRC process stand...Continue Reading

References

May 19, 2007·The Journal of Urology·Brent K HollenbeckDavid C Miller
Jan 10, 2008·Annals of Surgical Oncology·Karl Y BilimoriaClifford Y Ko
Jan 19, 2008·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·José G GuillemSalvatore Pucciarelli
Oct 20, 2010·Archives of Surgery·Edward H Livingston, Iain Burchell
Sep 14, 2013·JAMA : the Journal of the American Medical Association·Lauren Hersch Nicholas, Justin B Dimick
Sep 10, 2014·Annals of Surgery·John R T MonsonUNKNOWN Consortium for Optimizing the Treatment of Rectal Cancer (OSTRiCh)
Nov 26, 2014·BMC Health Services Research·Christoph KowalskiHolger Pfaff
Apr 9, 2015·Diseases of the Colon and Rectum·Lyen C HuangKim F Rhoads
May 24, 2015·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·Dana A TelemAurora D Pryor
Jun 21, 2015·Surgical Endoscopy·Emmanuel GabrielSteven J Nurkin
May 2, 2017·Current Opinion in Urology·Amy N LuckenbaughKhurshid R Ghani
Mar 28, 2018·Journal of the American College of Surgeons·Justin T BradyUNKNOWN Consortium for Optimizing the Treatment of Rectal Cancer (OSTRiCh)
Apr 7, 2018·JAMA : the Journal of the American Medical Association·Susan HaasMark E Reynolds

❮ Previous
Next ❯

Citations

Feb 29, 2020·Diseases of the Colon and Rectum·Ana C De RooSamantha Hendren
Apr 18, 2020·Techniques in Coloproctology·M AdaminaUNKNOWN #ECCStGallen Scientific Committee
May 16, 2020·Frontiers in Oncology·Zhaomin Xu, Fergal J Fleming
Jul 30, 2020·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Pamela W LuNelya Melnitchouk
Apr 14, 2021·Surgical Oncology·Sarah B Stringfield, James W Fleshman

❮ Previous
Next ❯

Related Concepts

Related Feeds

Cancer Vaccines

Cancer vaccines are vaccines that either treat existing cancer or prevent development of a cancer.

Related Papers

American Journal of Obstetrics and Gynecology
K B BABCOCK
Kango tenbō. The Japanese journal of nursing science
S Fujisaku
© 2022 Meta ULC. All rights reserved