Rectal cancer patients benefit from implementation of a dedicated colorectal cancer center in a Veterans affairs medical center

Jonathan A. Wilks, Catherine Liebig, Syed H. Tasleem, Kujtim Haderxhanaj, Liz Lee, Buckminster Farrow, Samir Awad, David Berger, Daniel Albo

Research output: Contribution to journalArticle

13 Citations (Scopus)

Abstract

Background: A dedicated colorectal cancer (CRC) center was created in a Veterans Affairs Medical Center with the intent of improving quality of patient care and multidisciplinary cooperation. Methods: Retrospective and prospective databases before and after creation of the CRC center, respectively, were created. Patients entered in each database included those requiring surgical intervention for CRC treatment. Statistical analyses included Fisher's exact, chi-square, and unpaired Student t tests as well as analysis of variance. Results: The overall quality of care of CRC patients has improved as evidenced by a larger percentage of complete, margin-negative resections (P <.05) as well as an increase in the number of lymph nodes excised at surgery (P <.0001). Furthermore, a multidisciplinary approach is clearly beneficial as evidenced by the increased number of CRC patients receiving appropriate multidisciplinary therapy (P <.0001). Conclusions: A dedicated CRC center has significantly improved quality of care for CRC patients.

Original languageEnglish (US)
Pages (from-to)100-104
Number of pages5
JournalAmerican Journal of Surgery
Volume198
Issue number1
DOIs
StatePublished - Jul 1 2009
Externally publishedYes

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Veterans
Rectal Neoplasms
Colorectal Neoplasms
Quality of Health Care
Databases
Patient Care
Analysis of Variance
Lymph Nodes
Students
Therapeutics

Keywords

  • Cancer center
  • Clinical outcomes
  • Colorectal cancer
  • Rectal cancer
  • Veterans

ASJC Scopus subject areas

  • Surgery

Cite this

Rectal cancer patients benefit from implementation of a dedicated colorectal cancer center in a Veterans affairs medical center. / Wilks, Jonathan A.; Liebig, Catherine; Tasleem, Syed H.; Haderxhanaj, Kujtim; Lee, Liz; Farrow, Buckminster; Awad, Samir; Berger, David; Albo, Daniel.

In: American Journal of Surgery, Vol. 198, No. 1, 01.07.2009, p. 100-104.

Research output: Contribution to journalArticle

Wilks, Jonathan A. ; Liebig, Catherine ; Tasleem, Syed H. ; Haderxhanaj, Kujtim ; Lee, Liz ; Farrow, Buckminster ; Awad, Samir ; Berger, David ; Albo, Daniel. / Rectal cancer patients benefit from implementation of a dedicated colorectal cancer center in a Veterans affairs medical center. In: American Journal of Surgery. 2009 ; Vol. 198, No. 1. pp. 100-104.
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