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Colon Cancer and Low Lymph Node Count

Colon Cancer and Low Lymph Node Count ORIGINAL ARTICLE Who Is to Blame? James W. Jakub, MD; Greg Russell, MS; Cindy L. Tillman, CTR; Craig Lariscy, MD Objective: To identify the factors that contribute to the sure a uniform group of patients, all undergoing resec- disparity in the number of lymph nodes examined for tion with curative intent. curative colon cancer resections. Main Outcome Measures: Age of the patient; the sur- Design: Our prospectively accrued cancer registry was geon, pathologist, and pathology technician; stage of dis- analyzed for all colon cancer resections performed in a ease; and year of surgery were analyzed. consecutive 52-month period ( January 1, 2003, through April 30, 2007). Results: No statistical difference was found in the num- ber of lymph nodes retrieved based on the surgeon Setting: The study was performed at an 851-bed com- (P = .21), pathologist (P = .11), or pathology technician munity hospital. Seventeen surgeons performed colon re- (P = .26). Age of the patient, primary site of the tumor, sections, with the number of resections varying from 1 stage, and year of surgery were all significantly associ- to 154. Ten pathologists and 3 pathology assistants evalu- ated with number of lymph nodes retrieved (P .001). ated http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA Surgery American Medical Association

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Publisher
American Medical Association
Copyright
Copyright 2009 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
2168-6254
eISSN
2168-6262
DOI
10.1001/archsurg.2009.210
pmid
20026828
Publisher site
See Article on Publisher Site

Abstract

ORIGINAL ARTICLE Who Is to Blame? James W. Jakub, MD; Greg Russell, MS; Cindy L. Tillman, CTR; Craig Lariscy, MD Objective: To identify the factors that contribute to the sure a uniform group of patients, all undergoing resec- disparity in the number of lymph nodes examined for tion with curative intent. curative colon cancer resections. Main Outcome Measures: Age of the patient; the sur- Design: Our prospectively accrued cancer registry was geon, pathologist, and pathology technician; stage of dis- analyzed for all colon cancer resections performed in a ease; and year of surgery were analyzed. consecutive 52-month period ( January 1, 2003, through April 30, 2007). Results: No statistical difference was found in the num- ber of lymph nodes retrieved based on the surgeon Setting: The study was performed at an 851-bed com- (P = .21), pathologist (P = .11), or pathology technician munity hospital. Seventeen surgeons performed colon re- (P = .26). Age of the patient, primary site of the tumor, sections, with the number of resections varying from 1 stage, and year of surgery were all significantly associ- to 154. Ten pathologists and 3 pathology assistants evalu- ated with number of lymph nodes retrieved (P .001). ated

Journal

JAMA SurgeryAmerican Medical Association

Published: Dec 1, 2009

References

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