AI Article Synopsis
- Effective treatment of localized colorectal cancer relies on accurately assessing lymph nodes in surgical specimens.
- A combination of formal education, informal leadership, and support strategies for pathologists and surgeons was implemented to enhance lymph node evaluation.
- The median number of lymph nodes assessed for Stage II CRC significantly increased from 8 to 18 after the intervention, indicating lasting improvements in cancer staging practices.
Article Abstract
Background: Optimal treatment of localized colorectal cancer (CRC) depends on accurate retrieval and assessment of lymph nodes (LN) in the resected specimen.
Methods: Formal CE, informal opinion leadership and reinforcing strategies aimed at pathologists and surgeons to improve LN assessment were implemented.
Results: In the pre-intervention period a median of 8 lymph nodes were assessed in making a designation of Stage II CRC (n = 115). Thirty months later (post-intervention period) the median number of LN reported in Stage II CRC increased to 18 (n = 41), p < 0.001.
Conclusion: A durable improvement in staging was realized through a multipronged change initiative aimed at both surgeons and pathologists.
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| http://dx.doi.org/10.1207/S15430154JCE1802_09 | DOI Listing |
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