Same Surgeon : Different Centre Equals Differing Lymph Node Harvest following Colorectal Cancer Resection
Joint Authors
Evans, M. D.
Robinson, S.
Stamatakis, J. D.
Badiani, S.
Karandikar, S. S.
Rees, A.
Langman, Gerald
Source
International Journal of Surgical Oncology
Issue
Vol. 2011, Issue 2011 (31 Dec. 2011), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2011-03-17
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
Introduction.
The aim of this study was to examine the effect of surgeon relocation on lymph node (LN) retrieval in colorectal cancer (CRC) resection.
Methods.
The study population was 213 consecutive patients undergoing CRC resection by a single surgeon, at two units: unit one 110 operations (2002–2005) and unit two 103 (2005–2009).
LN yields and case mix were compared.
Results.
Median LN harvests were significantly different between the two centres: unit 1: 13 nodes/patient and unit 2: 22 nodes/patient (P<.001).
In unit one 42% of cases were LN positive and in unit two 48% (P=.398).
There was no difference in case mix.
Multivariate analysis identified unit (P<.001) and pathologist (P=.007) as independent predictors of harvest.
Conclusions.
A surgeon moving units can experience significantly different LN yield following CRC resection.
Both units comply with national standards, but the “surgeon's results” at the two units appear to be pathologist dependent.
This has implications for nodal harvest as a surrogate marker of surgical quality.
American Psychological Association (APA)
Evans, M. D.& Robinson, S.& Badiani, S.& Rees, A.& Stamatakis, J. D.& Karandikar, S. S.…[et al.]. 2011. Same Surgeon : Different Centre Equals Differing Lymph Node Harvest following Colorectal Cancer Resection. International Journal of Surgical Oncology،Vol. 2011, no. 2011, pp.1-6.
https://search.emarefa.net/detail/BIM-469599
Modern Language Association (MLA)
Evans, M. D.…[et al.]. Same Surgeon : Different Centre Equals Differing Lymph Node Harvest following Colorectal Cancer Resection. International Journal of Surgical Oncology No. 2011 (2011), pp.1-6.
https://search.emarefa.net/detail/BIM-469599
American Medical Association (AMA)
Evans, M. D.& Robinson, S.& Badiani, S.& Rees, A.& Stamatakis, J. D.& Karandikar, S. S.…[et al.]. Same Surgeon : Different Centre Equals Differing Lymph Node Harvest following Colorectal Cancer Resection. International Journal of Surgical Oncology. 2011. Vol. 2011, no. 2011, pp.1-6.
https://search.emarefa.net/detail/BIM-469599
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-469599