Incidence of minimally invasive colorectal cancer surgery at national comprehensive XXXX network centers.

@entity5 @entity1 @entity694
BACKGROUND: Laparoscopic colectomy has been shown to have equivalent oncologic outcomes to open colectomy for the management of @entity694 , but its adoption nationally has been slow. This study investigates the prevalence and factors associated with laparoscopic colorectal resection at National @entity5 Network (NCCN) centers. METHODS: Data on @entity1 undergoing surgery for @entity694 at NCCN centers from 2005 to 2010 were obtained from chart review of medical records for the NCCN Outcomes Project and included information on socioeconomic status, insurance coverage, comorbidity, and physician-reported Eastern Cooperative Oncology Group (ECOG) performance status. Associations between receipt of minimally invasive surgery and @entity1 and clinical variables were analyzed with univariate and multivariable logistic regression. All statistical tests were two-sided. RESULTS: A total of 4032 @entity1 , diagnosed between September 2005 and December 2010, underwent elective colon or rectal resection for @entity5 at NCCN centers. Median age of @entity694 @entity1 was 62.6 years, and 49% were @entity1 . The percent of @entity694 @entity1 treated with minimally invasive surgery (MIS) increased from 35% in 2006 to 51% in 2010 across all centers but varied statistically significantly between centers. On multivariable analysis, factors associated with minimally invasive surgery for @entity694 @entity1 who had surgery at an NCCN institution were older age (P = .02), male sex (P = .006), fewer comorbidities (P  <= .001), lower final T-stage (P < .001), median household income greater than or equal to  80000 (P < .001), ECOG performance status = 0 (P = .02), and NCCN institution (P  <= .001). CONCLUSIONS: The use of MIS increased at NCCN centers. However, there was statistically significant variation in adoption of MIS technique among centers.
