Surgeons' knowledge of quality indicators for gastric cancer surgery.

Surgeons' knowledge of quality indicators for gastric cancer surgery. Research Abstract Details 

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Surgeons' knowledge of quality indicators for gastric cancer surgery. Abstract Text:

Lucy K Helyer,Catherine O'Brien,Natalie G Coburn,Carol J Swallow,Lucy K Helyer,Catherine O'Brien,Natalie G Coburn,Carol J Swallow,Lucy K Helyer,Catherine O'Brien,Natalie G Coburn,Carol J Swallow,

BACKGROUND: Gastric cancer survival in the West is inferior to that achieved in Asian centers. While differences in tumor biology may play a role, poor quality surgery likely contributes to understaging. We hypothesize that the majority of surgeons performing gastric cancer surgery in North America are unaware of the recommended standards. METHODS: Using the Ontario College of Physicians and Surgeons registry, surgeons who potentially included gastric cancer surgery in their scope of practice were identified. A questionnaire was mailed to 559; of those, 206 surgeons reported managing gastric cancer. Results were evaluated by chi(2) and logistic regression; P < 0.05 was considered significant. RESULTS: Eighty-six percent of respondents were male and 53% practiced in an urban nonacademic setting. Forty percent reported operating on two to five cases of gastric cancer per year, and 42% on fewer than two cases per year. One-third of surgeons identified 4 cm or less to be the desired gross proximal margin. Half used frozen section to evaluate margin status. Twenty percent of surgeons were unsure of the number of lymph nodes (LN) needed to accurately stage gastric cancer, and the median number reported by the remainder was 10 (range, 0-30). Only 16 of 206 identified both a proximal margin of 5 cm or less and 15 or more LN as desired targets. Those performing more than five gastric resections per year were more likely to report a D2 resection (P = 0.008). CONCLUSION: The majority of surgeons operating on gastric cancer in Ontario did not identify recommended quality indicators of gastric cancer surgery. A continuing medical education program should be designed to address this knowledge gap to improve the quality of surgery and patient outcomes.

Surgeons' knowledge of quality indicators for gastric cancer surgery. Publishing Authors By Initials

LK Helyer,C O'Brien,NG Coburn,CJ Swallow,LK Helyer,C O'Brien,NG Coburn,CJ Swallow,LK Helyer,C O'Brien,NG Coburn,CJ Swallow,

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Surgeons' knowledge of quality indicators for gastric cancer surgery. Journal Published:

PUBLICATION TYPE: Journal Article

Journal: Gastric cancer : official journal of the Internati

VOLUME: 10

Page Numbers: 205-14

Journal Abbreviation: Gastric Cancer

ISSN: 1436-3291

DAY: 25

MONTH: 12

YEAR: 2007

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LANGUAGE: eng

NlmUniqueID: 100886238

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AFFILIATION: Department of Surgical Oncology, Princess Margaret Hospital, University Health Network, 610 University Avenue, Toronto, Ontario, M5G 2M9, Canada.

Country: Japan

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MEDLINETA: Gastric Cancer

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