2022 World Conference on Lung Cancer (ePosters)-EP02.03-022. Evolution of Lung Cancer Resection Quality: A Prospective Staggered Implementation Quality Improvement Study

EP02.03-022. Evolution of Lung Cancer Resection Quality: A Prospective Staggered Implementation Quality Improvement Study

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This study evaluated the evolution of surgical quality in lung cancer resections with the implementation of a lymph node (LN) specimen collection kit. The researchers assessed the institution-level surgical quality by comparing implementing and non-implementing institutions using the kit. They measured the quality of surgery based on non-examination of LNs (pNX) and mediastinal LNs (pNXmed), as well as the American College of Surgeons Operative Standard 5.8 (ACS_OS 5.8) which includes negative margins and examination of specific LN stations.<br /><br />The results showed that implementing the use of the LN collection kit significantly improved the institution-level quality of curative-intent surgical resection for non-small cell lung cancer (NSCLC). The odds of attaining good quality metrics, such as negative margins and examination of the required LN stations, were higher in institutions that implemented the kit compared to non-implementing institutions. The odds of poor quality metrics, such as non-examination of LNs and mediastinal LNs, were significantly reduced with the use of the kit.<br /><br />The study highlights the importance of routine use of LN collection kits in curative-intent resections for NSCLC. It suggests that encouraging the use of such kits can contribute to improving surgical quality and reducing survival disparities in lung cancer patients. The findings demonstrate the potential impact of implementing corrective interventions, such as the use of LN collection kits, on improving surgical outcomes in lung cancer resections.

Asset Subtitle

Raymond U Osarogiagbon

Meta Tag

Speaker Raymond U Osarogiagbon

Topic Early Stage Non-small Cell Lung Cancer - Surgery

Keywords

surgical quality

lung cancer resections

lymph node specimen collection kit

institution-level surgical quality

implementing institutions

non-implementing institutions

non-small cell lung cancer

curative-intent surgical resection

negative margins

LN stations