Ann Surg Oncol (2018) 25:2332–2339 https://doi.org/10.1245/s10434-018-6530-6 OR IGINAL ARTIC L E – COLORECTAL CANCER Nationwide Heterogeneity in Hospital-Speciﬁc Probabilities of Rectal Cancer Understaging and Its Effects on Outcomes 1,2,3 4 5 2 Adan Z. Becerra, PhD , Steven D. Wexner, MD , David W. Dietz, MD , Zhaomin Xu, MD , 2 2 2 2 Christopher T. Aquina, MD , Carla F. Justiniano, MD , Alex A. Swanger, BA , Larissa K. Temple, MD , 6 7 2 Katia Noyes, PhD , John R. Monson, MD , and Fergal J. Fleming, MD Division of Epidemiology, Department of Public Health Sciences, University of Rochester Medical Center, Rochester, NY; Surgical Health Outcomes and Research Enterprise, University of Rochester Medical Center, Rochester, NY; 3 4 5 Aledade, Inc, Bethesda, MD; Department of Colorectal Surgery, Cleveland Clinic Florida, Weston, FL; Department of Colorectal Surgery, University Hospitals Cleveland Medical Center, Cleveland, OH; Department of Epidemiology and Environmental Health, University at Buffalo, Buffalo, NY; Center for Colon and Rectal Surgery, Florida Hospital Medical Group, Orlando, FL ABSTRACT 3–72%, median = 15%). Understaging was independently Background. Rectal cancer patients who are understaged associated with positive CRM [odds ratio (OR) 1.59, 95% may not be offered the
Annals of Surgical Oncology – Springer Journals
Published: May 30, 2018
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