Journal article
Association of commission on cancer accreditation with receipt of guideline‐concordant care and survival among patients with colon cancer
World journal of surgery, Vol.49(1), pp.34-45
01/2025
DOI: 10.1002/wjs.12391
PMCID: PMC11711115
PMID: 39511628
Abstract
Abstract Background Guideline‐concordant care (GCC) is associated with improved survival for patients with cancer; however, variations in receipt of GCC remain a concern. The objective of this study was to evaluate the association of Commission on Cancer (CoC) hospital accreditation status with receipt of GCC and survival among patients with colon cancer. Methods This retrospective observational study identified patients diagnosed with stage I–IV colon cancer from 2018 to 2020 from the National Program of Cancer Registries and Surveillance, Epidemiology, and End Results Program Database. Guideline concordance was defined as receipt of stage‐appropriate lymphadenectomy or chemotherapy. Multivariable logistic regression models investigated associations with receipt of GCC. Cox proportional hazards regression models assessed 3‐year cancer‐specific mortality risk. Results Of 222,583 patients with colon cancer, 146,629 (91.2%) of eligible patients received guideline‐concordant lymphadenectomy and 70,586 (81.9%) of the eligible patients received guideline‐concordant chemotherapy. Treatment at CoC‐accredited hospitals was the strongest modifiable predictor for receipt of guideline‐concordant lymphadenectomy (odds ratio [OR] 1.82; 95% confidence interval [CI] 1.75–1.88) and chemotherapy (OR 2.14; 95% CI 2.06–2.23). Among patients treated at CoC‐accredited hospitals, risk adjusted mortality was decreased for patients with stage I–II disease (hazard ratio [HR] 0.94; 95% CI 0.80–0.99), stage III disease (HR 0.93; 95% CI 0.88–0.98), and stage IV disease (HR 0.88; 95% CI 0.84–0.92). Conclusions For patients with colon cancer, treatment at CoC‐accredited hospitals was associated with increased receipt of GCC and decreased mortality risk. Benchmarking data may serve as a valuable accountability tool for quality assessment to improve cancer treatment and outcomes.
Details
- Title: Subtitle
- Association of commission on cancer accreditation with receipt of guideline‐concordant care and survival among patients with colon cancer
- Creators
- Kelley Chan - American College of SurgeonsBryan E. Palis - American College of SurgeonsJoseph H. Cotler - American College of SurgeonsLauren M. Janczewski - American College of SurgeonsRonald J. Weigel - University of IowaDavid J. Bentrem - Northwestern UniversityClifford Y. Ko - University of California, Los Angeles
- Resource Type
- Journal article
- Publication Details
- World journal of surgery, Vol.49(1), pp.34-45
- DOI
- 10.1002/wjs.12391
- PMID
- 39511628
- PMCID
- PMC11711115
- NLM abbreviation
- World J Surg
- ISSN
- 0364-2313
- eISSN
- 1432-2323
- Publisher
- WILEY
- Grant note
- American College of Surgeons Clinical ScholarsAmerican College of Surgeons Clinical Scholars in Residence Program Grant
KC is supported by the American College of Surgeons Clinical Scholars in Residence Program Grant.
- Language
- English
- Electronic publication date
- 11/07/2024
- Date published
- 01/2025
- Academic Unit
- Molecular Physiology and Biophysics; Anatomy and Cell Biology; Surgery; Biochemistry and Molecular Biology
- Record Identifier
- 9984748257402771
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