| Autor: |
Peters, Garrett W., Thomas, Gregory, Applegarth, Jacob A., Wasvary, Joanna, Bohler, Forrest, Callahan, Rose E., Bergeron, Shelli, Wasvary, Harry J. |
| Zdroj: |
The American Surgeon; 20240101, Issue: Preprints |
| Abstrakt: |
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. |
| Databáze: |
Supplemental Index |
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