National Accreditation Program for Rectal Cancer information
National Accreditation Program for Rectal Cancer
The National Accreditation Program for Rectal Cancer (NAPRC) was formed to address the differences between patient outcomes in the United States as compared to Europe.[1][2] According to the American College of Surgeons, outcomes for rectal cancer patients in Europe have for years been significantly better than for those in the U.S. Characterized by the use of multidisciplinary teams to make treatment decisions, the NAPRC standards aim to decrease the average circumferential resection margins, decrease the overall colostomy rate, and increase quality of life as reported by recovering patients.[3][4][5][6]
Two statistics illustrate the difference in treatment. A decade ago, the colostomy rate in Europe ranged from 25 percent to 35 percent, while today’s colostomy rate in the U.S. is about 50 percent, meaning that many more patients in the U.S. have colostomies as compared to Europeans. Rectal cancer cases in the U.S. have an average circumferential resection margins (CRMs) rate of 17 percent, significantly higher than the 3 percent to 11 percent range for European countries.[7]
^Wexner, Steven D.; Berho, Mariana E. (2017). "The Rationale for and Reality of the New National Accreditation Program for Rectal Cancer". Diseases of the Colon and Rectum. 60 (6): 595–602. doi:10.1097/DCR.0000000000000840. ISSN 1530-0358. PMID 28481853. S2CID 25720496.
^Orangio, Guy R. (2018). "A National Accreditation Program for Rectal Cancer: A Long and Winding Road". Diseases of the Colon & Rectum. 61 (2): 145–146. doi:10.1097/DCR.0000000000001011. ISSN 0012-3706. PMID 29337764. S2CID 13573153.
^"Improving rectal cancer outcomes through advocacy, education, and research: The OSTRiCh Consortium and the new NAPRC | The Bulletin". The Bulletin. 2016-11-01. Retrieved 2018-01-03.
^Wexner, Steven D; Berho, Mariana E (2017). "The Rationale for and Reality of the New National Accreditation Program for Rectal Cancer". Diseases of the Colon & Rectum. 60 (6): 595–602. doi:10.1097/DCR.0000000000000840. PMID 28481853. S2CID 25720496.
^"New National Accreditation Program for Rectal Cancer 2017". Cleveland Clinic Center for Continuing Education. Cleveland Clinic Foundation Center for Continuing Education and Cleveland Clinic Simulation and Advanced Skills Center.
^"New accreditation program sets framework for rectal cancer care in the US". EurekaAert!. AMERICAN COLLEGE OF SURGEONS.
^"New rectal cancer accreditation program chases Europe's success". American College of Surgeons. Retrieved 2018-01-03.
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