ArticleThe Annals of thoracic surgery2018
Effectiveness of Implemented Interventions on Pathologic Nodal Staging of Non-Small Cell Lung Cancer.
Article in The Annals of thoracic surgery, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Survival After Mediastinal Node Dissection, Systematic Sampling, or Neither for Early Stage NSCLC.Journal of thoracic oncology : official publication of the International Association for the Study of Lung Cancer · 2020Pooled it
- Two Interventions on Pathologic Nodal Staging in a Population-Based Lung Cancer Resection Cohort.The Annals of thoracic surgery · 2024Article
- Enhanced Survival with Lymphadenectomy in Early-Stage Metachronous Second Primary Lung Cancer: A Retrospective Analysis.Oncology research and treatment · 2024Article
- A standard for hilar and intrapulmonary lymph node dissection and pathological examination in early non-small cell lung cancer.Translational lung cancer research · 2021Article
- Trends in Accuracy and Comprehensiveness of Pathology Reports for Resected NSCLC in a High Mortality Area of the United States.Journal of thoracic oncology : official publication of the International Association for the Study of Lung Cancer · 2021Article
- Comparative Effectiveness of a Lymph Node Collection Kit Versus Heightened Awareness on Lung Cancer Surgery Quality and Outcomes.Journal of thoracic oncology : official publication of the International Association for the Study of Lung Cancer · 2021Article
- Spanish Lung Cancer Group SCAT trial: surgical audit to lymph node assessment based on IASLC recommendations.Translational lung cancer research · 2021Article
- Closing the gap: Contribution of surgical best practices to outcome differences between high- and low-volume centers for lung cancer resection.Cancer medicine · 2020Article
- Early-Stage NSCLC: Advances in Thoracic Oncology 2018.Journal of thoracic oncology : official publication of the International Association for the Study of Lung Cancer · 2019Review
- Survival Before and After Direct Surgical Quality Feedback in a Population-Based Lung Cancer Cohort.The Annals of thoracic surgery · 2019Article
- Meticulous lymph node dissection and gross pathological examination improves survival in non-small cell lung cancer patients.Journal of thoracic disease · 2018Article
- The role of the surgeon in treating patients with lung cancer. An updating article.Sao Paulo medical journal = Revista paulista de medicinaArticle
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Abstract
backgroundAccurate pathologic nodal staging improves early stage non-small cell lung cancer survival. In an ongoing implementation study, we measured the impact of a surgical lymph node specimen collection kit and a more thorough pathologic gross dissection method on attainment of guideline-recommended pathologic nodal staging quality.
methodsWe prospectively collected data on curative intent non-small cell lung cancer resections from 2009 to 2016 from 11 hospitals in four contiguous Dartmouth Hospital referral regions. We categorized patients into four groups based on exposure to the two interventions in our staggered implementation study design. We used χ
resultsOf 2,469 patients, 1,615 (65%) received neither intervention; 167 (7%) received only the pathology intervention; 264 (11%) received only the surgery intervention; and 423 (17%) had both. Rates of nonexamination of lymph nodes reduced sequentially in the order of no intervention, novel dissection, kit, and combined interventions, including nonexamination of any lymph nodes and hilar/intrapulmonary and mediastinal nodes (p < 0.001 for all comparisons). The rates of attainment of National Comprehensive Cancer Network, Commission on Cancer, American Joint Committee on Cancer, and American College of Surgeons Oncology Group guidelines increased significantly in the same sequential order (p < 0.001 for all comparisons).
conclusionsThe combined effect of two interventions to improve pathologic lymph node examination has a greater effect on attainment of a range of surgical quality criteria than either intervention alone.
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