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Completeness of pathology reporting

CBE ID
0224
1.4 Project
Cancer Endorsement Maintenance
Endorsement Status
Endorsement Removed
1.1 New or Maintenance
Maintenance
Previous Endorsement Cycle
Fall 2012
Is Under Review
No
1.3 Measure Description

Percentage of patients with audited colorectal cancer resection pathology complete reports

    • 1.14 Numerator

      Number of colorectal cancer resection pathology reports containing selected mandatory elements from the College of American Pathologists (“CAP”) Cancer Checklist for Colorectal Resections, January 2005 revision.

      All of the following data elements must be present in a pathology report to be counted as positive in the numerator. The elements to be collected are as follows:
      1.Specimen type/procedure
      2.Tumor site
      3.Tumor size
      4.Histologic tumor type
      5.Histologic grade
      6.# nodes examined
      7.# nodes involved
      8.Proximal margin status
      9.Distal margin status
      10.Circumferential/radial margin status
      11.Lymphatic (small vessel) invasion
      12.Venous (large vessel) invasion
      13.Staging information (pT)

    • 1.15 Denominator

      All audited colorectal cancer resection pathology reports.

    • Exclusions

      Interpretive Notes:
      1 Explicit statement of pN was not required for completeness.
      2 Explicit statement of margin involvement for each of the three margins was required for completeness.

      Exclusions
      Squamous cell cancer (to exclude anal surgeries)

    • Most Recent Endorsement Activity
      Measure Retired and Endorsement Removed Cancer Endorsement Maintenance Project
      Initial Endorsement
      Last Updated
      Removal Date
    • Steward
      American College of Surgeons