Pathologic Factors Affecting Colorectal Cancer Survival in a Jamaican Population-the UHWI Experience.

Objective: Colorectal carcinoma (CRC) is the third most common cancer and a leading cause of cancer-related deaths in Jamaica. Globally, CRC mortality rates have been decreasing in developed countries; however, CRC mortality rates are trending upwards in low-income or developing countries. Our objectives are to estimate the overall 5-year survival and to determine the pathologic factors associated with overall survival of colorectal adenocarcinoma after surgery at the University Hospital of the West Indies (UHWI).

Measuring processes of care in general surgery: assessment of technical and nontechnical skills.

Measuring the quality of health care is becoming increasingly important. Quality is often conceptualized as 3 dimensions of care: structures, processes, and outcomes. Unfortunately, there is little consensus about what should be measured--and how it should be measured--when it comes to measuring processes of care related to the conduct of surgical procedures.