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Colorectal Cancer Surgery Quality in Manitoba: A Population-Based Descriptive Analysis

Unwarranted clinical variation in healthcare impacts access, productivity, performance, and outcomes. A strategy proposed for reducing unwarranted clinical variation is to ensure that population-based data describing the current state of health care services are available to clinicians and healthcar...

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Autores principales: Ratnayake, Iresha, Park, Jason, Biswanger, Natalie, Feely, Allison, Musto, Grace, Decker, Kathleen
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8293066/
https://www.ncbi.nlm.nih.gov/pubmed/34208635
http://dx.doi.org/10.3390/curroncol28030206
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author Ratnayake, Iresha
Park, Jason
Biswanger, Natalie
Feely, Allison
Musto, Grace
Decker, Kathleen
author_facet Ratnayake, Iresha
Park, Jason
Biswanger, Natalie
Feely, Allison
Musto, Grace
Decker, Kathleen
author_sort Ratnayake, Iresha
collection PubMed
description Unwarranted clinical variation in healthcare impacts access, productivity, performance, and outcomes. A strategy proposed for reducing unwarranted clinical variation is to ensure that population-based data describing the current state of health care services are available to clinicians and healthcare decision-makers. The objective of this study was to measure variation in colorectal cancer surgical treatment patterns and surgical quality in Manitoba and identify areas for improvement. This descriptive study included individuals aged 20 years or older who were diagnosed with invasive cancer (adenocarcinoma) of the colon or rectum between 1 January 2010 and 31 December 2014. Laparoscopic surgery was higher in colon cancer (24.1%) compared to rectal cancer (13.6%). For colon cancer, the percentage of laparoscopic surgery ranged from 12.9% to 29.2%, with significant differences by regional health authority (RHA) of surgery. In 86.1% of colon cancers, ≥12 lymph nodes were removed. In Manitoba, the negative circumferential resection margin for rectal cancers was 96.9%, and ranged from 96.0% to 100.0% between RHAs. The median time between first colonoscopy and resection was 40 days for individuals with colon cancer. This study showed that high-quality colorectal cancer surgery is being conducted in Manitoba along with some variation and gaps in quality. As a result of this work, a formal structure for ongoing measuring and reporting surgical quality has been established in Manitoba. Quality improvement initiatives have been implemented based on these findings and periodic assessments of colorectal cancer surgery quality will continue.
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spelling pubmed-82930662021-07-22 Colorectal Cancer Surgery Quality in Manitoba: A Population-Based Descriptive Analysis Ratnayake, Iresha Park, Jason Biswanger, Natalie Feely, Allison Musto, Grace Decker, Kathleen Curr Oncol Article Unwarranted clinical variation in healthcare impacts access, productivity, performance, and outcomes. A strategy proposed for reducing unwarranted clinical variation is to ensure that population-based data describing the current state of health care services are available to clinicians and healthcare decision-makers. The objective of this study was to measure variation in colorectal cancer surgical treatment patterns and surgical quality in Manitoba and identify areas for improvement. This descriptive study included individuals aged 20 years or older who were diagnosed with invasive cancer (adenocarcinoma) of the colon or rectum between 1 January 2010 and 31 December 2014. Laparoscopic surgery was higher in colon cancer (24.1%) compared to rectal cancer (13.6%). For colon cancer, the percentage of laparoscopic surgery ranged from 12.9% to 29.2%, with significant differences by regional health authority (RHA) of surgery. In 86.1% of colon cancers, ≥12 lymph nodes were removed. In Manitoba, the negative circumferential resection margin for rectal cancers was 96.9%, and ranged from 96.0% to 100.0% between RHAs. The median time between first colonoscopy and resection was 40 days for individuals with colon cancer. This study showed that high-quality colorectal cancer surgery is being conducted in Manitoba along with some variation and gaps in quality. As a result of this work, a formal structure for ongoing measuring and reporting surgical quality has been established in Manitoba. Quality improvement initiatives have been implemented based on these findings and periodic assessments of colorectal cancer surgery quality will continue. MDPI 2021-06-16 /pmc/articles/PMC8293066/ /pubmed/34208635 http://dx.doi.org/10.3390/curroncol28030206 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Ratnayake, Iresha
Park, Jason
Biswanger, Natalie
Feely, Allison
Musto, Grace
Decker, Kathleen
Colorectal Cancer Surgery Quality in Manitoba: A Population-Based Descriptive Analysis
title Colorectal Cancer Surgery Quality in Manitoba: A Population-Based Descriptive Analysis
title_full Colorectal Cancer Surgery Quality in Manitoba: A Population-Based Descriptive Analysis
title_fullStr Colorectal Cancer Surgery Quality in Manitoba: A Population-Based Descriptive Analysis
title_full_unstemmed Colorectal Cancer Surgery Quality in Manitoba: A Population-Based Descriptive Analysis
title_short Colorectal Cancer Surgery Quality in Manitoba: A Population-Based Descriptive Analysis
title_sort colorectal cancer surgery quality in manitoba: a population-based descriptive analysis
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8293066/
https://www.ncbi.nlm.nih.gov/pubmed/34208635
http://dx.doi.org/10.3390/curroncol28030206
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