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Improving Rectal Cancer Outcomes with the National Accreditation Program for Rectal Cancer
Steven D Wexner1, Christopher M White1
1Department of Colorectal Surgery, Cleveland Clinic Florida, Weston, Florida.
Clinics in Colon and Rectal Surgery
|September 24, 2020
Summary
The management of rectal cancer has evolved with multidisciplinary teams and improved treatments, decreasing stoma rates. The new National Accreditation Program for Rectal Cancer aims to further enhance patient outcomes in the US.
Area of Science:
- Oncology
- Surgical Oncology
- Gastroenterology
Background:
- Rectal cancer treatment has transformed over 50 years from surgical focus to multidisciplinary care.
- Significant advancements in surgery, chemotherapy, radiotherapy, imaging, and pathology have reduced morbidity and stoma rates.
- European trials highlight the efficacy of multidisciplinary team management for rectal cancer.
Purpose of the Study:
- To evaluate literature supporting advances driven by the American College of Surgeons Commission on Cancer National Accreditation Program for Rectal Cancer.
- To assess the impact of a standardized accreditation program on rectal cancer care in the United States.
Main Methods:
- Literature review of studies related to rectal cancer treatment evolution.
- Analysis of pre-intervention data from the National Accreditation Program for Rectal Cancer (launched 2017).
Main Results:
- The National Accreditation Program for Rectal Cancer is expected to increase participation and accreditation.
- Anticipated improvements in center performance and patient outcomes are projected following program implementation.
- Current analysis is limited to pre-intervention data.
Conclusions:
- Based on US studies and European successes, the program is expected to significantly improve rectal cancer management in the US.
- The multidisciplinary approach, bolstered by accreditation, is key to advancing rectal cancer care.
- Continued evaluation of post-intervention data will be crucial to confirm outcomes.
