Institution-Level Evolution of Lung Cancer Resection Quality With Implementation of a Lymph Node Specimen Collection Kit.

ABSTRACT:

Introduction

Lung cancer surgery with a lymph node kit improves patient-level outcomes, but institution-level impact is unproven.

Methods

Using an institutional stepped-wedge implementation study design, we compared lung cancer resection quality between institutions in preimplementation and postimplementation phases of kit deployment and, within implementing institutions, resections without versus with the kit. Benchmarks included rates of nonexamination of lymph nodes, nonexamination of mediastinal lymph nodes, and attainment of American College of Surgeons Operative Standard 5.8. We report institution-level adjusted ORs (aORs) for attaining quality benchmarks.

Results

From 2009 to 2020, three preimplementing hospitals had 953 resections; 11 implementing hospitals ha

SUBMITTER: Akinbobola O 

PROVIDER: S-EPMC10505555 | biostudies-literature | 2023 Jul

REPOSITORIES: biostudies-literature