Evidence map›Paper›PMID 40533251›Full record

ArticleCanadian journal of surgery. Journal canadien de chirurgie

High- versus low-intensity knowledge translation interventions for surgeons and rates of local tumour recurrence after rectal cancer surgery: an Ontario study.

Marko Simunovic, Christine Fahim, Vanja Grubac, David R Urbach, Greg Pond, Erin Kennedy, Nancy N Baxter

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Canadian journal of surgery. Journal canadien de chirurgie. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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, 1 synthesis or guideline pooled it.

  1. Pooled it
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

7 authors.

Marko SimunovicFrom the Department of Surgery, McMaster University, Hamilton, Ont. (Simunovic, Grubac); the Department of Oncology, McMaster University, Hamilton, Ont. (Simunovic, Pond); the Escarpment Cancer Research Institute, McMaster University, Hamilton, Ont. (Simunovic, Pond); the Li Ka Shing Knowledge Institute, Toronto, Ont. (Fahim); the Department of Surgery, University of Toronto, Toronto, Ont. (Urbach, Kennedy); the Institute of Health Policy, Management, and Evaluation, Dalla Lana School of Public Health, University of Toronto, Toronto, Ont. (Baxter); the Faculty of Medicine and Health, University of Sydney, Sydney, Australia (Baxter) simunovi@hhsc.ca.
Christine FahimFrom the Department of Surgery, McMaster University, Hamilton, Ont. (Simunovic, Grubac); the Department of Oncology, McMaster University, Hamilton, Ont. (Simunovic, Pond); the Escarpment Cancer Research Institute, McMaster University, Hamilton, Ont. (Simunovic, Pond); the Li Ka Shing Knowledge Institute, Toronto, Ont. (Fahim); the Department of Surgery, University of Toronto, Toronto, Ont. (Urbach, Kennedy); the Institute of Health Policy, Management, and Evaluation, Dalla Lana School of Public Health, University of Toronto, Toronto, Ont. (Baxter); the Faculty of Medicine and Health, University of Sydney, Sydney, Australia (Baxter).
Vanja GrubacFrom the Department of Surgery, McMaster University, Hamilton, Ont. (Simunovic, Grubac); the Department of Oncology, McMaster University, Hamilton, Ont. (Simunovic, Pond); the Escarpment Cancer Research Institute, McMaster University, Hamilton, Ont. (Simunovic, Pond); the Li Ka Shing Knowledge Institute, Toronto, Ont. (Fahim); the Department of Surgery, University of Toronto, Toronto, Ont. (Urbach, Kennedy); the Institute of Health Policy, Management, and Evaluation, Dalla Lana School of Public Health, University of Toronto, Toronto, Ont. (Baxter); the Faculty of Medicine and Health, University of Sydney, Sydney, Australia (Baxter).
David R UrbachFrom the Department of Surgery, McMaster University, Hamilton, Ont. (Simunovic, Grubac); the Department of Oncology, McMaster University, Hamilton, Ont. (Simunovic, Pond); the Escarpment Cancer Research Institute, McMaster University, Hamilton, Ont. (Simunovic, Pond); the Li Ka Shing Knowledge Institute, Toronto, Ont. (Fahim); the Department of Surgery, University of Toronto, Toronto, Ont. (Urbach, Kennedy); the Institute of Health Policy, Management, and Evaluation, Dalla Lana School of Public Health, University of Toronto, Toronto, Ont. (Baxter); the Faculty of Medicine and Health, University of Sydney, Sydney, Australia (Baxter).
Greg PondFrom the Department of Surgery, McMaster University, Hamilton, Ont. (Simunovic, Grubac); the Department of Oncology, McMaster University, Hamilton, Ont. (Simunovic, Pond); the Escarpment Cancer Research Institute, McMaster University, Hamilton, Ont. (Simunovic, Pond); the Li Ka Shing Knowledge Institute, Toronto, Ont. (Fahim); the Department of Surgery, University of Toronto, Toronto, Ont. (Urbach, Kennedy); the Institute of Health Policy, Management, and Evaluation, Dalla Lana School of Public Health, University of Toronto, Toronto, Ont. (Baxter); the Faculty of Medicine and Health, University of Sydney, Sydney, Australia (Baxter).
Erin KennedyFrom the Department of Surgery, McMaster University, Hamilton, Ont. (Simunovic, Grubac); the Department of Oncology, McMaster University, Hamilton, Ont. (Simunovic, Pond); the Escarpment Cancer Research Institute, McMaster University, Hamilton, Ont. (Simunovic, Pond); the Li Ka Shing Knowledge Institute, Toronto, Ont. (Fahim); the Department of Surgery, University of Toronto, Toronto, Ont. (Urbach, Kennedy); the Institute of Health Policy, Management, and Evaluation, Dalla Lana School of Public Health, University of Toronto, Toronto, Ont. (Baxter); the Faculty of Medicine and Health, University of Sydney, Sydney, Australia (Baxter).
Nancy N BaxterFrom the Department of Surgery, McMaster University, Hamilton, Ont. (Simunovic, Grubac); the Department of Oncology, McMaster University, Hamilton, Ont. (Simunovic, Pond); the Escarpment Cancer Research Institute, McMaster University, Hamilton, Ont. (Simunovic, Pond); the Li Ka Shing Knowledge Institute, Toronto, Ont. (Fahim); the Department of Surgery, University of Toronto, Toronto, Ont. (Urbach, Kennedy); the Institute of Health Policy, Management, and Evaluation, Dalla Lana School of Public Health, University of Toronto, Toronto, Ont. (Baxter); the Faculty of Medicine and Health, University of Sydney, Sydney, Australia (Baxter).

Funding

CIHR
6 · The paper itself

Abstract

backgroundGiven that diagnostic, neoadjuvant treatment, and surgical approaches to rectal cancer have changed markedly in the last 25 years, knowledge translation (KT) may be useful to optimize rectal cancer surgery and improve patient outcomes. We sought to evaluate the impact of surgeon-directed KT to improve the quality of rectal cancer surgery on local tumour recurrence in Ontario.

methodsOntario's 14 health regions were previously categorized into 2 high-intensity and 12 low-intensity KT regions, based on KT methods (e.g., theory, audit, feedback), applied from 2006 to 2012 to improve the quality of rectal cancer surgery. In the high-intensity regions, efforts encouraged preoperative magnetic resonance imaging, appropriate radiation, and optimal surgical technique. We abstracted hospital chart data from across Ontario for a random sample of cases from 2010 to 2012 based on the respective population of a region and the relative hospital case volume within their region. The main study outcome was local tumour recurrence.

resultsIn the high-intensity and low-intensity KT regions, we reviewed data from 523 (48.6%) and 557 (51.4%) patients, respectively. Descriptive variables (e.g., age, sex, tumour stage) were similar between groups. In the high- and low-intensity regions, the proportion of patients with a permanent stoma was 31.4% and 26.4% (

conclusionThe use of resource-intense methods was not associated with improved patient outcomes, including local tumour recurrence. New approaches are needed to optimize the population-level quality of rectal cancer surgery.

Indexed as

Neoplasm Recurrence, LocalRectal NeoplasmsSurgeonsTranslational Research, BiomedicalAgedFemaleHumansMaleMiddle AgedOntarioQuality ImprovementRetrospective Studies

Identifiers

PMID40533251
PMCPMC12180919

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.