Educational initiatives improve quality of care delivery

Investigators on the study chose to focus their educational efforts on node retrieval because although research shows that the standard number of lymph nodes that should be removed during colorectal cancer surgery is 12 and that patients who have 12 or more nodes removed and examined have more accurate staging and improved survival, there are still a number of hospitals who are not reaching this goal.

"We wanted to pick a quality metric which was easily quantifiable and could be measured over time to determine the impact of our educational initiative," said Steven Cohen, MD, associate medical director for Fox Chase Cancer Center Partners and senior author of the study.

The educational interventions were conducted at 12 of Fox Chase's partner hospitals between 2004 and 2006 and included group presentations at hospital tumor boards, cancer committees, quality committees, and regional Continuing Medical Education conferences. In addition, individual presentations to staff pathologists and surgeons were held. The study utilized tumor registries to gather data on patients that had undergone curative surgery for colon cancer from 2003 (pre-intervention) to 2006 (post-intervention).

The study showed that the percentage of colon cancer operations with at least 12 lymph nodes retrieved increased significantly over the four years that the educational interventions took place.

"Studies like this show how groups of hospitals, like those involved in the Fox Chase Cancer Center Partners Program, can work together to improve quality of care for cancer patients," said Cohen.

Source: Fox Chase Cancer Center (news : web)