Colorectal cancer: Quality of surgical care in Michigan. - PubMed - NCBI

Colorectal cancer: Quality of surgical care in Michigan. - PubMed - NCBI

Am J Surg. 2017 Mar;213(3):548-552. doi: 10.1016/j.amjsurg.2016.11.038. Epub 2016 Nov 27.

Colorectal cancer: Quality of surgical care in Michigan.

Kanters A1, Mullard AJ2, Arambula J2, Fasbinder L2, Krapohl G2, Wong SL3, Campbell DA Jr2, Hendren S4.

Author information

Abstract

OBJECTIVE:

Surgery remains the cornerstone therapy for colorectal cancer (CRC). This study assesses CRC quality measures for surgical cases in Michigan.

METHODS:

In this retrospective cohort study, processes of care and outcomes for CRC resection cases were abstracted in 30 hospitals in the Michigan Surgical Quality Collaborative (2014-2015). Measures were case-mix and reliability adjusted, using logistic regression models.

RESULTS:

For 871 cases (640 colon cancer, 231 rectal cancer), adjusted morbidity (27.4%) and mortality rates (1.5%) were low. Adjusted process measures showed gaps in quality of care. Mesorectal excision was documented in 59.4% of rectal cancer (RC) cases, 65% of RC cases had sphincter preserving surgery, 18.7% of cases had < 12 lymph nodes examined, 7.9% had a positive margin, 52.1% of stage II/III RC cases had neoadjuvant therapy, and 36% of ostomy cases had site marking.

CONCLUSION:

This study finds gaps in quality of care measures for CRC, suggesting opportunity for regional quality improvement.

Copyright © 2016 Elsevier Inc. All rights reserved.

KEYWORDS:

Colorectal cancer; Michigan Surgical Quality Collaborative (MSQC); Outcome assessment; Process measures; Quality improvement

PMID:

 

27939006

 

PMCID:

 

PMC5346056

 [Available on 2018-03-01]

 

DOI:

 

10.1016/j.amjsurg.2016.11.038

[Indexed for MEDLINE]