Use of a national registry to define a composite quality metric for rectal cancer

Quality assessment in oncologic surgery has traditionally involved reporting discrete metrics that may be difficult for patients and referring providers to interpret. We define a composite quality metric (CQM) for resection in rectal cancer. We queried the National Cancer Database to identify patien...

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Bibliographic Details
Published in:The American journal of surgery 2023-03, Vol.225 (3), p.514-518
Main Authors: Tonelli, Celsa M., Kulshrestha, Sujay, Singer, Marc, Pawlik, Timothy M., Luchette, Fred A., Abdelsattar, Zaid M., Baker, Marshall S.
Format: Article
Language:English
Subjects:
Adenocarcinoma
Age
Benchmarking
Cancer
Cancer therapies
Colorectal cancer
Comorbidity
Datasets
Humans
Laparoscopy
Length of stay
Lymph nodes
Lymphatic system
Mortality
Neoadjuvant Therapy
Neoplasm Staging
Oncology quality
Patients
Proctectomy
Quality assessment
Quality control
Quality improvement
Quality standards
Rectal cancer
Rectal Neoplasms - surgery
Rectum
Registries
Retrospective Studies
Summary sentences
Survival
Survival analysis
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Summary:Quality assessment in oncologic surgery has traditionally involved reporting discrete metrics that may be difficult for patients and referring providers to interpret. We define a composite quality metric (CQM) for resection in rectal cancer. We queried the National Cancer Database to identify patients undergoing low anterior resection for clinical stage II-III rectal adenocarcinoma between 2010 and 2017. CQM was defined as appropriate neoadjuvant therapy, margin-negative resection, appropriate lymph node assessment, postoperative length of stay (LOS) 
ISSN:0002-9610
1879-1883
DOI:10.1016/j.amjsurg.2022.11.038