CancerInstituteReport_2023

Cancer Institute Quality Measure Performance Rates

100%

90%

80%

70%

60%

50%

40%

30%

20%

10%

0%

ACT BCSRT C12RLN G15RLN GCTRT

LCT

MAC MadjRx RCRM RECRTCT

ACT

BCSRT

C12RLN

G15RLN

GCTRT

LCT

MAC

MadjRx

RCRM RECRTCT

83% 61% 97% 74% 61% 73% 91% 84% 92% 82%

2022 CoC Academic Medical Centers Data

83% 65% 95% 71% 64% 74% 91% 86% 92% 85%

2022 CoC All NCDB Data

100% 60% 98% 86% 50% 67% 94% 90% 92% 100%

2022 UTMC CI Data

American College of Surgeons Commission on Cancer Quality of Care Measures The Commission on Cancer develops quality measures and requires all CoC-accredited programs to treat cancer patients according to these nationally accepted standards. The medical center has been CoC accredited since 1980. The performance of an individual program can be measured against the data from all other CoC-accredited programs (1,500 cancer centers in the U.S.) through the National Cancer Database.

ACT Adjuvant chemotherapy is recommended or administered within four months (120 days) of diagnosis for patients under the age of 80 with AJCC Stage III (lymph node positive) colon cancer BCSRT Radiation therapy is administered within one year (365 days) of diagnosis for women under age 70 receiving breast- conserving surgery for breast cancer

C12RLN At least 12 regional lymph nodes are removed and pathologically examined for resected colon cancer G15RLN At least 15 regional lymph nodes are removed and pathologically examined for resected gastric cancer

GCTRT Neoadjuvant chemotherapy and/or chemoradiation is administered within 120 days preoperatively for patients with AJCC cT2+ or cN1+, cM0 for gastric carcinoma; or (cT2 and poor differentiation) or cT3+ or cN1+, cM0 for esophageal or gastroesophageal junction carcinoma; age 18-79 LCT Systemic chemotherapy is administered within four months to day of surgery to six months postoperatively, or it is Fall 2014 recommended for surgically resected cases with pathologic, lymph node-positive (pN1) and (pN2) NSCLC MAC Combination chemotherapy or chemoimmunotherapy (if HER2 positive), is recommended or administered within four months (120 days) of diagnosis for women under 70 with AJCC T1cN0M0, or stage IB - III hormone receptor negative breast cancer MadjRX Melanoma adjuvant systemic therapy was administered within six months of surgery or recommended for eligible patients with Stage IIIB-D resected melanoma RCRM Circumferential margin is greater than 1 mm from the tumor to the inked, non-serosalized resection margin for rectal resections RECRTCT Preoperative chemo and radiation are administered for clinical AJCC T3N0, T4N0, or Stage III; or postoperative chemo and radiation are administered within 180 days of diagnosis for clinical AJCC T1-2N0 with pathologic AJCC T3N0, T4N0, or Stage III; or treatment is recommended; for patients under the age of 80 receiving resection for rectal cancer

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