Multimodal CME for surgeons and pathologists improves colon cancer staging.
BACKGROUND
Optimal treatment of localized colorectal cancer (CRC) depends on accurate retrieval and assessment of lymph nodes (LN) in the resected specimen.


METHODS
Formal CE, informal opinion leadership and reinforcing strategies aimed at pathologists and surgeons to improve LN assessment were implemented.


RESULTS
In the pre-intervention period a median of 8 lymph nodes were assessed in making a designation of Stage II CRC (n = 115). Thirty months later (post-intervention period) the median number of LN reported in Stage II CRC increased to 18 (n = 41), p < 0.001.


CONCLUSIONS
A durable improvement in staging was realized through a multipronged change initiative aimed at both surgeons and pathologists.
Smith
Andrew J
AJ
Toronto Sunnybrook Regional Cancer Centre, University of Toronto, Toronto, Ontario, Canada. andy.smith@tsrcc.on.ca
Law
Calvin H L
CH
Khalifa
Mahmoud A
MA
Hsieh
Eugene T K
ET
Hanna
Sherif S
SS
Wright
Frances C
FC
Poldre
Peeter  A
P
D000368:Aged; D015179:Colorectal Neoplasms / Q000175:diagnosis* / Q000473:pathology* / Q000601:surgery; D013505:Digestive System Surgical Procedures / Q000193:education*; D004502:Education, Medical, Continuing / Q000379:methods*; D005260:Female; D006801:Humans; D008198:Lymph Nodes / Q000473:pathology / Q000601:surgery; D008207:Lymphatic Metastasis; D008297:Male; D009367:Neoplasm Staging / Q000379:methods; D010818:Practice Patterns, Physicians'; D016730:Program Development / Q000379:methods