Compliance With Preoperative Elements of the American Society of Colon and Rectal Surgeons Rectal Cancer Surgery Checklist Improves Pathologic and Postoperative Outcomes
BACKGROUND:
In 2016, the American Society of Colon and Rectal Surgeons published a rectal cancer surgery checklist composed of the essential elements of preoperative, intraoperative, and postoperative care for patients undergoing rectal cancer surgery.
OBJECTIVE:
The purpose of this study was to assess whether compliance with preoperative checklist elements was associated with improved pathologic and 30-day postoperative outcomes after rectal cancer surgery.
DESIGN:
This was a retrospective cohort study.
SETTINGS:
The study involved North American hospitals contributing to the American College of Surgeons National Surgical Quality Improvement Program.
PATIENTS:
Adult patients who underwent elective rectal cancer surgery from 2016 to 2017 were included.
INTERVENTION:
The study encompassed checklist compliance with 6 preoperative elements from the checklist.
MAIN OUTCOME MEASURES:
Pathologic outcomes (circumferential resection margin status, distal resection margin status, and adequate lymph node harvest ≥12), 30-day surgical morbidity, and length of stay were measured.
RESULTS:
In total, 2217 patients were included in the analysis. Individual compliance with the 6 available preoperative checklist items was variable, including 91.3% for pretreatment documentation of tumor location within the rectum, 86.8% for complete colonoscopy, 84.0% for appropriate preoperative stoma marking, 79.8% for appropriate use of neoadjuvant radiotherapy, 76.6% for locoregio...
Source: Diseases of the Colon and Rectum - Category: Gastroenterology Tags: Original Contributions: Colorectal Cancer Source Type: research
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