Patterns of Care and Outcomes of Rectal Cancer Patients from the Iowa Cancer Registry: Role of Hospital Volume and Tumor Location.
Paolo GoffredoA A HartC G TranA R KahlX GaoN J Del VecchioM E CharltonI HassanPublished in: Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract (2023)
Low tumor location was not associated with care in high-volume hospitals. High-volume and NCI-designated hospitals had higher nodal yields, but not significantly higher neoadjuvant chemoradiation, negative circumferential margin, or sphincter preservation rates. Therefore, providing educational/quality improvement support in lower volume centers may be more pragmatic than attempting to centralize rectal cancer care among high-volume centers.
Keyphrases
- rectal cancer
- quality improvement
- healthcare
- locally advanced
- end stage renal disease
- palliative care
- neoadjuvant chemotherapy
- newly diagnosed
- lymph node
- chronic kidney disease
- ejection fraction
- peritoneal dialysis
- prognostic factors
- papillary thyroid
- radiation therapy
- type diabetes
- patient reported outcomes
- adipose tissue
- study protocol
- young adults
- weight loss