2024 World Conference on Lung Cancer (WCLC) - ePosters-EP.07A.10 Concordance Between Lymph Node Station Examination Reported on a Checklist and the Final Pathology Report after Curative Lung Cancer Resection

EP.07A.10 Concordance Between Lymph Node Station Examination Reported on a Checklist and the Final Pathology Report after Curative Lung Cancer Resection

Back to course

Pdf Summary

The study analyzed the concordance between lymph node (LN) examination data reported by surgeons using a checklist and the corresponding pathology reports following lung cancer resections. The data was sourced from the Mid-South Quality of Surgical Resection (MSQSR) database, covering surgeries performed from 2009 to 2022 for non-small cell lung cancer (NSCLC) patients. The use of a lymph node collection kit, which includes pre-labeled specimen cups and a checklist for surgical teams to record sampled stations or reasons for non-sampling, was central to this initiative.<br /><br />Findings indicated high concordance levels between the checklist reports and pathology reports, with kappa statistics ranging from 0.72 to 0.90, all statistically significant (p<0.0001). This high level of agreement suggests that the use of the LN kit facilitates standardized and consistent documentation and collection practices, which are critical for effective nodal staging and improved patient outcomes.<br /><br />Around 44% of all resections involved the LN kit, with 59% on right-sided and 61% on left-sided surgeries. The study identified reasons for not sampling certain LN stations, such as no node identified, other unspecified reasons, or the examination was not possible. Additionally, sampling sometimes occurred during mediastinoscopy, an alternate procedure.<br /><br />The background context notes that prior studies revealed discrepancies between surgeons and pathology reports in the absence of standardized tools. The LN collection kit is thus presented as an effective intervention for improving the quality of LN examination and, by extension, enhancing patient survival rates.<br /><br />Overall, the results underscore the importance of standardized procedures in surgical oncology, helping to bridge discrepancies between surgical and pathological assessments and supporting enhanced clinical outcomes for NSCLC resection patients.

Asset Subtitle

Sora Ely

Meta Tag

Speaker Sora Ely

Topic Early-Stage Non-small Cell Lung Cancer

Keywords

lymph node examination

lung cancer resection

concordance

MSQSR database

non-small cell lung cancer

lymph node collection kit

standardized documentation

nodal staging

patient outcomes

surgical oncology