Key result
Acute care colon resections linked to ~4-fold higher positive margins than specialists due to perforated tumors.
Why the study?
Improved screening has decreased but not eliminated the need for emergent colon cancer surgery, many of which are performed by acute care surgery surgeons rather than specialists.
Does colon cancer resection by acute care surgeons compared to specialists result in equivalent outcomes in patients with colon cancer?
Population
36 ACS patients and 269 SO/CRS patients undergoing colon cancer resections
Comparison
ACS service vs surgical oncology and colorectal services (SO/CRS)
Design
Retrospective review
Follow-up
1-year
Authors
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ACS surgeons deliver comparable oncologic resection quality in emergent colon cancer despite advanced presentations; supports broader ACS integration but leaves open margin optimization in perforated tumors.
Observational (n=305)
Does colon cancer resection by acute care surgeons compared to specialists result in equivalent outcomes in patients with colon cancer?
Absolute Event Rate: 8% vs 2%
p-value: p=<.05
Acute care surgeons provide equivalent quality of care and mortality outcomes for colon cancer resections compared to specialists, despite handling more emergent and advanced cases.
Cairns et al. (2022) conducted an observational in Colon cancer (n=305). Acute care surgery (ACS) service vs. Surgical oncology and colorectal services (SO/CRS) was evaluated on Positive margins (p=<.05). Colon cancer resections by acute care surgeons had higher positive margin rates than specialists (8% vs 2%, P<0.05) due to perforated tumors, with no significant difference in 1-year mortality.
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