NCCN guideline concordance in colon and rectal cancer patients within a comprehensive health system.

ABSTRACT:

Background

The National Comprehensive Cancer Care Network (NCCN) provides recommendations for patients with colorectal cancer. Concordance with evidence-based guidelines improves outcomes. Our objectives were to 1) examine rates of guideline non-concordance in a large vertically integrated health system; 2) examine factors associated with non-concordant care, and 3) identify geographical patterns of non-concordant care.

Methods

Colorectal cancer patients were identified from a single-state 16 hospital health-system cancer registry diagnosed between 2011 and 2021. We defined major (MAJ) and minor (MIN) quality indicators of guideline-concordance based on NCCN guidelines. Regression methods were used to identify predictors of major quality criteria non-concordance. County-leve

SUBMITTER: Robinson TP 

PROVIDER: S-EPMC11745911 | biostudies-literature | 2025 Feb

REPOSITORIES: biostudies-literature