Measuring Concordance with Guidelines for the Diagnosis and Treatment of Colon Cancer

Rahal, Rami; Klein-Geltink, Julie; Forte, Tonia; Lockwood, Gina; Bryant, Heather

doi:10.3747/co.20.1436

Cited by 3 publications

(2 citation statements)

References 6 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Patients with non-curative resection were suggested to undergo surgical resection accompanied by lymph node dissection. 3 4 …”

Section: Methodsmentioning

confidence: 99%

Factors for Endoscopic Submucosal Dissection in Early Colorectal Neoplasms: A Single Center Clinical Experience in China

Wang

et al. 2015

Clin Endosc

View full text Add to dashboard Cite

Background/AimsEarly colorectal (CR) neoplasm can be cured by endoscopic submucosal dissection (ESD), but clinical experience and factors associated with complications from ESD for CR neoplasms in China have not been reported.MethodsSeventy-eight cases of early CR neoplasm treated with endoscopic resection performed between December 2012 and December 2013 at Beijing Military General Hospital were included. Factors associated with ESD complications and procedure times were evaluated.ResultsThe en bloc resection rate was 88.5% (69/78), tumor size was 32.1±10.7 mm, and procedure time was 71.8±49.5 minutes. The major complication was perforation, which occurred in 8.97% of the ESD procedures. Multivariate logistic regression analysis indicated that only tumor size (p=0.022) was associated with ESD perforation. Tumor size (p<0.001) and the non-lifting sign (p=0.017) were independent factors for procedure time, and procedure time (p=0.016) was a key factor for en bloc resection. After a median 10 months (range, 4 to 16) of follow-up, no patients had local recurrence.ConclusionsThis study indicated that ESD is an applicable method for large early CR neoplasm in the colon and rectum. Tumor size and the non-lifting sign might be considerable factors for increased complication rate and procedural time of ESD.

show abstract

“…Patients with non-curative resection were suggested to undergo surgical resection accompanied by lymph node dissection. 3 4 …”

Section: Methodsmentioning

confidence: 99%

Factors for Endoscopic Submucosal Dissection in Early Colorectal Neoplasms: A Single Center Clinical Experience in China

Wang

et al. 2015

Clin Endosc

View full text Add to dashboard Cite

show abstract

“…RWD can offer insights into the quality of decision-making and how decisions are implemented. Studies that describe patterns of care facilitate measurement of performance compared with guideline recommendations [70][71][72] ; investigators can also identify factors associated with the underutilization of recommended therapies. RWD can enable the identification of variations in practice.…”

Section: Quality Of Derived Variablesmentioning

confidence: 99%

Real-world data: towards achieving the achievable in cancer care

2019

View full text Add to dashboard Cite

The use of data from the real world to address clinical and policy-relevant questions that cannot be answered using data from clinical trials is garnering increased interest. Indeed, data from cancer registries and linked treatment records can provide unique insights into patients, treatments and outcomes in routine oncology practice. In this Review , we explore the quality of real-world data (RWD), provide a framework for the use of RWD and draw attention to the methodological pitfalls inherent to using RWD in studies of comparative effectiveness. Randomized controlled trials and RWD remain complementary forms of medical evidence; studies using RWD should not be used as substitutes for clinical trials. The comparison of outcomes between nonrandomized groups of patients who have received different treatments in routine practice remains problematic. Accordingly , comparative effectiveness studies need to be designed and interpreted very carefully. With due diligence, RWD can be used to identify and close gaps in health care, offering the potential for short-term improvement in health-care systems by enabling them to achieve the achievable.

show abstract

The Distribution of Colorectal Surgeons in the United States

McCarty

Fields

et al. 2020

Journal of Surgical Research

View full text Add to dashboard Cite

Measuring Concordance with Guidelines for the Diagnosis and Treatment of Colon Cancer

Abstract: Colorectal cancer is the second leading cause of cancer death and the third most commonly diagnosed cancer in Canada, with an estimated 9200 deaths and 23,300 new cases in 2012. [...]

Cited by 3 publications

References 6 publications

Factors for Endoscopic Submucosal Dissection in Early Colorectal Neoplasms: A Single Center Clinical Experience in China

Factors for Endoscopic Submucosal Dissection in Early Colorectal Neoplasms: A Single Center Clinical Experience in China

Real-world data: towards achieving the achievable in cancer care

The Distribution of Colorectal Surgeons in the United States

Contact Info

Product

Resources

About