id	author	title	date	pages	extension	mime	words	sentences	flesch	summary	cache	txt
cord-278332-fbksw3om	Schlick, Cary Jo R.	Adequate Lymphadenectomy as a Quality Measure in Esophageal Cancer: Is there an Association with Treatment Approach?	2020-06-09		.txt	text/plain	3945	216	40	As such, analyses of the impact of quality measure adherence on overall survival in esophageal cancer have relied on the NCCN definition of at least 15 lymph nodes for adequate lymphadenectomy, regardless of the use of neoadjuvant therapy. Thus, the objectives of this study were to (1) explore trends in adequate lymphadenectomy rates over time; (2) evaluate unadjusted lymphadenectomy yield in esophageal cancer based on treatment characteristics; and (3) identify independent factors associated with adequate lymphadenectomy. Considering this finding in light of the fact that many patients do not achieve adequate lymphadenectomy, we argue that the oncologic community should accept a generalized lymphadenectomy threshold regardless of the therapeutic approach, and instead focus on modifiable With regard to surgical approach, we found an increased number of examined lymph nodes with laparoscopic and robotic surgery in comparison with the open approach. However, a focus on surgical approach and esophagectomy volume, which are modifiable factors associated with adequate lymphadenectomy, may promote continuous quality improvement in esophageal cancer care.	./cache/cord-278332-fbksw3om.txt	./txt/cord-278332-fbksw3om.txt