Do supervised colorectal trainees differ from consultants in terms of quality of TME surgery?

Colorectal Disease

Volumn 8, Issue 9, 2006, Pages 790-794

  Maslekar, S ^a   Sharma, A ^a   Macdonald, A ^b   Gunn, J ^a   Monson, J R T ^a   Hartley, J E ^a  

^a UNIVERSITY OF HULL   (United Kingdom)

^b CASTLE HILL HOSPITAL   (United Kingdom)

Author keywords

Colorectal trainees; Mesorectum; Quality of surgery; Total mesorectal excision

Indexed keywords

AGED; ARTICLE; CANCER CLASSIFICATION; CANCER GRADING; CANCER RECURRENCE; CLINICAL SUPERVISION; CONSULTATION; CONTROLLED STUDY; FEMALE; HEALTH CARE QUALITY; HUMAN; INTERMETHOD COMPARISON; MAJOR CLINICAL STUDY; MALE; OUTCOME ASSESSMENT; PATHOLOGIST; PRIORITY JOURNAL; RECTUM ABDOMINOPERINEAL RESECTION; RECTUM CARCINOMA; STATISTICAL ANALYSIS; SURGICAL TRAINING; TREATMENT OUTCOME;

AGED; CLINICAL COMPETENCE; DIGESTIVE SYSTEM SURGICAL PROCEDURES; FEMALE; GREAT BRITAIN; HUMANS; INTERNSHIP AND RESIDENCY; MALE; NEOPLASM RECURRENCE, LOCAL; QUALITY OF HEALTH CARE; RECTAL NEOPLASMS; RECTUM; RETROSPECTIVE STUDIES; TREATMENT OUTCOME;

EID: 33749630060     PISSN: 14628910     EISSN: 14631318     Source Type: Journal    
DOI: 10.1111/j.1463-1318.2006.01127.x     Document Type: Article

References (13)

1. MacFarlane JK, Ryall RD, Heald RJ. Mesorectal excision for rectal cancer. Lancet 1993; 341: 457-60.
2. Heald RJ, Ryall RD. Recurrence and survival after total mesorectal excision for rectal cancer. Lancet 1986; 1: 1479-82.
3. McArdle CS, Hole DJ. Influence of volume and specialization on survival following surgery for colorectal cancer. Br J Surg 2004; 91: 610-7.
4. Porter GA, Soskolne CL, Yakimets WW, Newman SC. Surgeon-related factors and outcome in rectal cancer. Ann Surg 1998; 227: 157-67.
5. Martling A, Cedermark B, Johansson H, Rutqvist LE, Holm T. The surgeon as a prognostic factor after the introduction of total mesorectal excision in the treatment of rectal cancer. Br J Surg 2002; 89: 1008-13.
6. Singh KK, Aitken RJ. Outcome in patients with colorectal cancer managed by surgical trainees. Br J Surg 1999; 86: 1332-7.
7. Nagtegaal ID, van de Velde CJ, van der Worp E, Kapiteijn E, Quirke P, van Krieken JH. Macroscopic evaluation of rectal cancer resection specimen: Clinical significance of the pathologist in quality control. J Clin Oncol 2002; 20: 1729-34.
8. Quirke P, Dixon MF. The prediction of local recurrence in rectal adenocarcinoma by histopathological examination. Int J Colorectal Dis 1988; 3: 127-31.
9. Quirke P, Scott N. The pathologist's role in the assessment of local recurrence in rectal carcinoma. Surg Clin North Am 1992; 1: 1-17.
10. Cox D. Regression models and life tables (with discussion). J R Stat Soc 1972; 34: 187-220.
11. Maslekar S, MacDonald A, Gunn J, Monson JRT, Hartley JE. Prognostic significance of mesorectal grades after curative resection for rectal cancer. Colorectal Dis 2005; 7: 6 (Abstract).
12. Quirke P, Durdey P, Dixon MF, Williams NS. Local recurrence of rectal adenocarcinoma due to inadequate surgical resection. Histopathological study of lateral tumour spread and surgical excision. Lancet 1986; 2: 996-9.
13. Crofts TJ, Griffiths JM, Sharma S, Wygrala J, Aitken RJ. Surgical training: An objective assessment of recent changes for a single health board. BMJ 1997; 314: 891-5.