The Value of Commission on Cancer Accreditation: Improving Survival Outcomes by Enhancing Compliance with Quality Measures

Misra, Subhasis; Ji, Fan; Yanala, Ujwal; Are, Chandrakanth

doi:10.1245/s10434-019-07335-6

Cited by 3 publications

(1 citation statement)

References 18 publications

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“…The potential for misclassification of race, particularly among individuals who identify as AI/AN, is another inherent limitation of cancer registry data [ 38 ]. Although the quality standards on which CoC accreditation is predicated are widely considered to have a positive effect on patient outcomes and survival [ 39 ], other facility factors, such as operative volume, may also directly impact patient outcomes [ 40 ]. Further, even among patients treated at CoC-accredited facilities, equal access may not always translate to equal care, as some recent NCDB analyses have challenged the potential role of race on prostate cancer outcomes, while others have identified Black race, female sex, and other patient demographic factors as predictors of less timely therapy and poorer survival in bladder cancer [ 41 , 42 ].…”

Section: Discussionmentioning

confidence: 99%

Racial Differences in Incident Genitourinary Cancer Cases Captured in the National Cancer Database

et al. 2021

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Background and Objectives: The National Cancer Database (NCDB) captures nearly 70% of all new cancer diagnoses in the United States, but there exists significant variation in this capture rate based on primary tumor location and other patient demographic factors. Prostate cancer has the lowest coverage rate of all major cancers, and other genitourinary malignancies likewise fall below the average NCDB case coverage rate. We aimed to explore NCDB coverage rates for patients with genitourinary cancers as a function of race. Materials and Methods: We compared the incidence of cancer cases in the NCDB with contemporary United States Cancer Statistics data. Results: Across all malignancies, American Indian/Alaskan Natives subjects demonstrated the lowest capture rates, and Asian/Pacific Islander subjects exhibited the second-lowest capture rates. Between White and Black subjects, capture rates were significantly higher for White subjects overall and for prostate cancer and kidney cancer in White males, but significantly higher for bladder cancer in Black versus White females. No significant differences were observed in coverage rates for kidney cancer in females, bladder cancer in males, penile cancer, or testicular cancer in White versus Black patients. Conclusions: Differential access to Commission on Cancer-accredited treatment facilities for racial minorities with genitourinary cancer constitutes a unique avenue for health equity research.

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Section: Discussionmentioning

confidence: 99%

Racial Differences in Incident Genitourinary Cancer Cases Captured in the National Cancer Database

et al. 2021

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American College of Surgeons survival calculator for biliary tract cancers: using machine learning to individualize predictions

Janczewski,

Cotler,

Zhu

et al. 2024

Surgery

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The Effect of the Adoption of the National Accreditation Program for Rectal Cancer Process on Compliance Standards at a Single Institution

Peters,

Thomas,

Applegarth

et al. 2024

The American Surgeon™

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Background: The National Accreditation Program for Rectal Cancer (NAPRC) was developed to enhance the quality of rectal cancer care in the United States. This project compared NAPRC compliance at a single tertiary care academic hospital before and after the institution adopted these standards in 2019. Methods: Rectal cancer patients from 2016 to 2023 who met NAPRC eligibility criteria were retrospectively reviewed for compliance with pre-selected patient care standards. Patients diagnosed prior to August 1, 2019 (pre-NAPRC) were compared with those diagnosed afterward (post-NAPRC) to determine whether compliance with these standards differed following the institution’s adoption of new guidelines. Results: This study included 353 patients, 146 pre-NAPRC and 207 post-NAPRC. The post-NAPRC group demonstrated significantly higher compliance with pretreatment standards compared to the pre-NAPRC group, including attaining magnetic resonance imaging (MRI) ( P = .015), computed tomography (CT) ( P < .001), and a carcinoembryonic antigen (CEA) level ( P < .001). Postoperative standards were more frequently met in the post-NAPRC group regarding the photographing of surgical specimens ( P < .001). No significant differences were observed in confirming a tissue diagnosis, starting treatment within a 60-day timeframe, or completing surgical pathology reports. Prior to initiation of the NAPRC process, the institution had achieved accreditation-level compliance in 2 of the 7 standards. Within 2 years of adopting NAPRC standards, complete compliance was met in 6 of the 7 measures. Conclusions: A single institution’s adoption of NAPRC standards improved compliance with multiple rectal cancer care standards, achieving near-complete accreditation level compliance within 2 years.

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The Value of Commission on Cancer Accreditation: Improving Survival Outcomes by Enhancing Compliance with Quality Measures

Abstract: In the United States, colorectal cancer is the third leading cause of cancer-related deaths in men and women and the second combined leading cause of cancer deaths.

Cited by 3 publications

References 18 publications

Racial Differences in Incident Genitourinary Cancer Cases Captured in the National Cancer Database

Racial Differences in Incident Genitourinary Cancer Cases Captured in the National Cancer Database

American College of Surgeons survival calculator for biliary tract cancers: using machine learning to individualize predictions

The Effect of the Adoption of the National Accreditation Program for Rectal Cancer Process on Compliance Standards at a Single Institution

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