دورية أكاديمية
Meeting the New Commission on Cancer Operative Standards: Where Do We Stand Now?
| العنوان: | Meeting the New Commission on Cancer Operative Standards: Where Do We Stand Now? |
|---|---|
| المؤلفون: | Carpenter EL; Department of Surgery, Brooke Army Medical Center, San Antonio TC, TX 78234, USA., Adams AM; Department of Surgery, Brooke Army Medical Center, San Antonio TC, TX 78234, USA., McCarthy PM; Department of Surgery, Brooke Army Medical Center, San Antonio TC, TX 78234, USA., Chick RC; Department of Surgery, Brooke Army Medical Center, San Antonio TC, TX 78234, USA., Spitzer HV; Department of Surgery, William Beaumont Army Medical Center, 5005 N Piedras St, El Paso, TX 79920, USA., Nelson DW; Department of Surgery, William Beaumont Army Medical Center, 5005 N Piedras St, El Paso, TX 79920, USA., Clifton GT; Department of Surgery, Brooke Army Medical Center, San Antonio TC, TX 78234, USA., Bowen DK; Department of Surgery, Brooke Army Medical Center, San Antonio TC, TX 78234, USA., Krell RW; Department of Surgery, Brooke Army Medical Center, San Antonio TC, TX 78234, USA., Vreeland TJ; Department of Surgery, Brooke Army Medical Center, San Antonio TC, TX 78234, USA. |
| المصدر: | Military medicine [Mil Med] 2023 Jul 22; Vol. 188 (7-8), pp. e1558-e1562. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Oxford University Press Country of Publication: England NLM ID: 2984771R Publication Model: Print Cited Medium: Internet ISSN: 1930-613X (Electronic) Linking ISSN: 00264075 NLM ISO Abbreviation: Mil Med Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: 2018- : Oxford : Oxford University Press Original Publication: Washington, D.C. : Association of Military Surgeons, United States, 1955- |
| مواضيع طبية MeSH: | Lung Neoplasms*/surgery, Humans ; Rectal Neoplasms/surgery ; Male ; Female ; Accreditation/methods ; Accreditation/trends ; Retrospective Studies |
| مستخلص: | Introduction: The 2020 Commission on Cancer accreditation standards 5.7 and 5.8 address total mesorectal excision for rectal cancer and lymph node sampling for lung cancer. The purpose of this review was to assess our institution's compliance with these operative standards, which will be required in 2022 and 2023, and provide recommendations to other military training facilities seeking to comply with these standards. Materials and Methods: A 2018-2020 single institution chart review was performed of operative and pathology reports. Identified deficits were addressed in meetings with colorectal and thoracic surgery leadership, and cases were followed to reassess compliance. Results: A total of 12 rectal and 48 lung cancer cases met the inclusion criteria and were examined. Pre-intervention compliance for standards 5.7 and 5.8 was 58% and 35%, respectively, because of inadequate synoptic reporting and lymph node sampling. After intervention, compliance was 100%. Conclusions: Our institution requires changes to comply with new standards, including in areas of documentation and systematic pulmonary lymph node sampling. We provide lessons learned from our own institutional experience, including practical tips and recommendations to achieve compliance. All military training facilities performing lung and rectal oncologic resections should conduct an internal review of applicable cases in preparation for upcoming American College of Surgeons Commission on Cancer site visits. (© The Association of Military Surgeons of the United States 2022. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.) |
| تواريخ الأحداث: | Date Created: 20220916 Date Completed: 20240619 Latest Revision: 20240619 |
| رمز التحديث: | 20240619 |
| DOI: | 10.1093/milmed/usac274 |
| PMID: | 36111895 |
| قاعدة البيانات: | MEDLINE |
| تدمد: | 1930-613X |
|---|---|
| DOI: | 10.1093/milmed/usac274 |