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
JAMA Surgery – American Medical Association
Published: Dec 1, 2009
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