Table 2.
Checklist compliance rates by item
| PREOPERATIVE | Compliance Rate |
|---|---|
|
| |
| Formal pathology review | 100.0% |
| Complete colonic evaluation | 100.0% |
| Tumor location documentation | 93.7% |
| Documentation of sexual function and continence | 0.0% |
| Tumor staging (ERUS or MRI) | 96.3% |
| Metastatic staging evaluation | 100.0% |
| Preoperative CEA Measurement | 93.8% |
| Documentation of neoadjuvant therapy consideration | 100.0% |
| Any post-neoadjuvant restaging performed | 69.3% |
| By physical exam only | 31.4% |
| By repeat imaging | 37.1% |
| Documentation of multi-disciplinary discussion of therapy (Tumor Board) | 16.8% |
| Preoperative stoma siting | 94.3% |
|
| |
| INTRA-OPERATIVE | |
|
|
|
| Exploration for extra-pelvic disease documented | 89.4% |
| Total mesorectal excision performed | 98.8% |
| Distal resection gross margin documented | 92.5% |
| En bloc resection of involved organs | 100.0% |
| Documentation of pelvic nerve integrity | 8.7% |
| Documentation of resection status | 88.8% |
| Rationale for intestinal continuity | 91.9% |
| Documentation of anastomotic type (handsewn vs stapled) | 100.0% |
| Rationale for anastomotic approach (pouch vs end-to-side) | 80.0% |
| Documentation of anastomotic location | 92.3% |
| Documentation of leak test | 52.9% |
| Documentation of diversion consideration | 96.0% |
|
| |
| POSTOPERATIVE | |
|
|
|
| Stoma care teaching provided | 100.0% |
| Postoperative medical oncology referral for Stage II or III cancers | 100.0% |
| Documentation of radial and distal margin status | 57.5% |