Do Better Operative Reports Equal Better Surgery? A Comparative Evaluation of Compliance With Operative Standards for Cancer Surgery.

Λεπτομέρειες βιβλιογραφικής εγγραφής
Τίτλος:	Do Better Operative Reports Equal Better Surgery? A Comparative Evaluation of Compliance With Operative Standards for Cancer Surgery.
Συγγραφείς:	Reeves ME; Department of Surgery, School of Medicine, Loma Linda University, Loma Linda, CA, USA., Mudgway R; Department of Surgery, School of Medicine, University of California, Riverside, CA, USA., Lee SK; Department of Surgery, School of Medicine, Loma Linda University, Loma Linda, CA, USA., Kadakia N; Department of Surgery, School of Medicine, University of California, Riverside, CA, USA., Santos C; Department of Surgery, School of Medicine, University of California, Riverside, CA, USA., Malek K; Department of Surgery, School of Medicine, Loma Linda University, Loma Linda, CA, USA., Solomon NL; Department of Surgery, School of Medicine, Loma Linda University, Loma Linda, CA, USA., Lum SS; Department of Surgery, School of Medicine, Loma Linda University, Loma Linda, CA, USA.; Department of Surgery, School of Medicine, University of California, Riverside, CA, USA.
Πηγή:	The American surgeon [Am Surg] 2020 Oct; Vol. 86 (10), pp. 1281-1288. Date of Electronic Publication: 2020 Oct 30.
Τύπος έκδοσης:	Comparative Study; Journal Article
Γλώσσα:	English
Στοιχεία περιοδικού:	Publisher: SAGE Publications in association with Southeastern Surgical Congress Country of Publication: United States NLM ID: 0370522 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1555-9823 (Electronic) Linking ISSN: 00031348 NLM ISO Abbreviation: Am Surg Subsets: MEDLINE
Imprint Name(s):	Publication: 2020- : [Thousand Oaks, CA] : SAGE Publications in association with Southeastern Surgical Congress Original Publication: Atlanta Ga : Southeastern Surgical Congress
Ιατρικοί όροι (MeSH):	Quality Assurance, Health Care, Guideline Adherence/standards , Neoplasms/surgery , Practice Patterns, Physicians'/standards , Surgical Oncology/*standards, Lymph Node Excision/standards ; Benchmarking ; Female ; Humans ; Male ; Practice Guidelines as Topic ; Quality Improvement ; Registries ; Retrospective Studies ; United States
Περίληψη:	To improve the quality of cancer operations, the American College of Surgeons published Operative Standards for Cancer Surgery, which has been incorporated into Commission on Cancer (CoC) accreditation requirements. We sought to determine if compliance with operative standards was associated with technical surgical outcomes. Oncologic operative reports from 2017 at a CoC and non-CoC institution were examined for documentation of Operative Standards essential steps. Lymph node (LN) yield for lung and colon cases and re-excision rates for breast cases were recorded. Correct documentation was poor for colon, breast, and lung cases with numerous elements documented in <10% of operative reports at both centers. For lung cases, there was no significant difference in meeting ≥10 LN benchmark or average LN yield between the 2 institutions. For colon cases, average lymph node yield was lower in the non-CoC facility, but there was no significant difference in meeting ≥12 LN benchmark. For breast cases, re-excision rates were similar in both programs. Many essential steps in Operative Standards were poorly documented in operative reports, regardless of CoC status. Achieving benchmark technical surgical outcomes was not associated with documented compliance with these standards. Whether improved documentation leads to better surgical outcomes requires further investigation.
Contributed Indexing:	Keywords: Commission on Cancer; cancer operations; operative reports; operative standards; surgical oncology; surgical outcomes
Entry Date(s):	Date Created: 20201030 Date Completed: 20210104 Latest Revision: 20210104
Update Code:	20260130
DOI:	10.1177/0003134820964225
PMID:	33124892
Βάση Δεδομένων:	MEDLINE

Περιγραφή
ISSN:	1555-9823
DOI:	10.1177/0003134820964225