Multimodal CME for surgeons and pathologists improves colon cancer staging

Andrew J. Smith; Calvin H.L. Law; Mahmoud A. Khalifa; Eugene T.K. Hsieh; Sherif S. Hanna; Frances C. Wright; Peeter A. Poldre

doi:10.1207/S15430154JCE1802_09

Multimodal CME for surgeons and pathologists improves colon cancer staging

Andrew J. Smith, Calvin H.L. Law, Mahmoud A. Khalifa, Eugene T.K. Hsieh, Sherif S. Hanna, Frances C. Wright, Peeter A. Poldre

Laboratory Medicine and Pathology

Research output: Contribution to journal › Article › peer-review

37 Scopus citations

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.

Original language	English (US)
Pages (from-to)	81-85
Number of pages	5
Journal	Journal of Cancer Education
Volume	18
Issue number	2
DOIs	https://doi.org/10.1207/S15430154JCE1802_09
State	Published - Jan 1 2003

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title = "Multimodal CME for surgeons and pathologists improves colon cancer staging",

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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T1 - Multimodal CME for surgeons and pathologists improves colon cancer staging

AU - Smith, Andrew J.

AU - Law, Calvin H.L.

AU - Khalifa, Mahmoud A.

AU - Hsieh, Eugene T.K.

AU - Hanna, Sherif S.

AU - Wright, Frances C.

AU - Poldre, Peeter A.

PY - 2003/1/1

Y1 - 2003/1/1

N2 - 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.

AB - 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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Multimodal CME for surgeons and pathologists improves colon cancer staging

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