Evidence map›Paper›PMID 32012108›Full record

ArticleJMIR research protocols2020

The Canadian Partnership Against Cancer Rectal Cancer Project: Protocol for a Pan-Canadian, Multidisciplinary Quality Improvement Initiative to Optimize the Quality of Rectal Cancer Care.

Amandeep Pooni, Selina Schmocker, Carl Brown, Anthony MacLean, Lara Williams, Nancy N Baxter, Marko Simunovic, Alexander Sender Liberman, Sebastien Drolet, Katerina Neumann and 3 more

Open access · goldAbstract read
In one paragraph

Article in JMIR research protocols, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.1field-weighted citation impact, top 58% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 9 institutions in 1 country.

Amandeep PooniDepartment of Surgery, Mount Sinai Hospital, Toronto, ON, Canada.ORCID https://orcid.org/0000-0002-0854-2395
Selina SchmockerZane Cohen Centre for Digestive Diseases, Mount Sinai Hospital, Toronto, ON, Canada.ORCID https://orcid.org/0000-0002-6136-1251
Carl BrownDepartment of Surgery, St Paul's Hospital, Vancouver, BC, Canada.ORCID https://orcid.org/0000-0002-5368-3541
Anthony MacLeanDepartment of Surgery, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada.ORCID https://orcid.org/0000-0002-0833-4609
Lara WilliamsDepartment of Surgery, The Ottawa Hospital, Ottawa, ON, Canada.ORCID https://orcid.org/0000-0002-7021-0316
Nancy N BaxterInstitute of Health Policy, Management, and Evaluation, Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada.ORCID https://orcid.org/0000-0003-4793-4620
Marko SimunovicDepartment of Surgery, McMaster Universtiy, Hamilton, ON, Canada.ORCID https://orcid.org/0000-0003-2245-3468
Alexander Sender LibermanDepartment of Surgery, McGill University, Montreal, QC, Canada.ORCID https://orcid.org/0000-0002-4494-4834
Sebastien DroletDepartment of Surgery, Université Laval, Quebec City, QC, Canada.ORCID https://orcid.org/0000-0003-1747-9057
Katerina NeumannDepartment of Surgery, Queen Elizabeth II Health Sciences Centre, Victoria General Site, Halifax, NS, Canada.ORCID https://orcid.org/0000-0002-0506-0219
Kartik JhaveriInstitute of Health Policy, Management, and Evaluation, Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada.ORCID https://orcid.org/0000-0003-0938-0321
Richard KirschInstitute of Health Policy, Management, and Evaluation, Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada.ORCID https://orcid.org/0000-0002-2013-6541
Erin Diane KennedyDepartment of Surgery, Mount Sinai Hospital, Toronto, ON, Canada.ORCID https://orcid.org/0000-0003-0707-5294
Mount Sinai Hospital · CAMcGill University · CAMcMaster University · CAOttawa Hospital · CAQueen Elizabeth II Health Sciences Centre · CASt. Michael's Hospital · CASt. Paul's Hospital · CAUniversité Laval · CAUniversity of Calgary · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOver the last 2 decades, the use of multimodal strategies, including total mesorectal excision (TME) surgery, preoperative chemotherapy, multidisciplinary case conference, pelvic magnetic resonance imaging, and pathologic assessment using Quirke method, has led to significant improvements in oncologic outcomes for patients with rectal cancer. Although the literature supports claims on the effectiveness of these multimodal strategies, the uptake of these multimodal strategies varies considerably among centers, suggesting that the best evidence is not always implemented into clinical practice.

objectiveThis study aims to perform a quality improvement initiative to (1) identify existing gaps in care for these multimodal strategies and (2) implement knowledge translation (KT) interventions to close these gaps to optimize quality of care for patients with rectal cancer across high-volume centers in Canada.

methodsProcess indicators for the selected multimodal strategies to optimize rectal cancer care will be selected and prospectively collected for all patients with stages 1 to 3 rectal cancer undergoing TME surgery. KT interventions, including audit and feedback, opinion leaders, and community of practice, will be implemented to increase the uptake of these clinical strategies.

resultsThe uptake of the process indicators over time and the effect of the uptake of the process indicators on short- and long-term oncologic outcomes will be evaluated for each multimodal strategy.

conclusionsThis quality improvement initiative will identify existing gaps in care for the selected multimodal strategies and implement KT interventions to close these gaps. The results of this study will inform further efforts to optimize rectal cancer care. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): DERR1-10.2196/15535.

Indexed as

knowledge translationquality improvementrectal cancer

Identifiers

PMID32012108
PMCPMC7016615
OpenAlexW3003964275

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.