Surgery · 2026
The impact of National Accreditation Program for Rectal Cancer accreditation on patient volume and geographical scope in a community hospital.
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Klein Elizabeth N, Schroeder-Hageman Theresa M, Rossiter Kalyn M, Barrat Cory D
Аннотация
BACKGROUND: The National Accreditation Program for Rectal Cancer, developed by the American College of Surgeons Commission on Cancer, was established to standardize and improve the quality of rectal cancer care. While prior research has focused primarily on clinical outcomes, limited evidence exists on how National Accreditation Program for Rectal Cancer accreditation affects patient volume and geographical reach in a community hospital setting. This project evaluates the impact of National Accreditation Program for Rectal Cancer accreditation on rectal cancer patient volume and the geographic distribution of patients seeking care.
STUDY DESIGN: Retrospective observational study conducted from July 2016 through December 2024 at a single community-based hospital. Monthly and annual rectal cancer patient volumes and patient zip codes were collected and analyzed to determine changes over time.
RESULTS: The average monthly rectal cancer patient volume increased from 1.0 patient per month preaccreditation to 4.58 patients per month postaccreditation. However, the segmented Poisson regression did not yield a statistically significant change across all periods. The geographic catchment area expanded from 22 zip codes to 79 zip codes after accreditation. Average patient distance traveled increased by 6 miles, but the change did not reach statistical significance.
CONCLUSION: National Accreditation Program for Rectal Cancer accreditation was associated with an increase in patient volume and a broader geographic scope of patients seeking care at a community hospital; however, this change cannot be disentangled from the hiring of 2 fellowship-trained colorectal surgeons. Accreditation may serve as a signal to patients and referring providers of high-quality, disease-specific care, potentially enhancing the institution's competitive standing and patient draw in the health care marketplace.
STUDY DESIGN: Retrospective observational study conducted from July 2016 through December 2024 at a single community-based hospital. Monthly and annual rectal cancer patient volumes and patient zip codes were collected and analyzed to determine changes over time.
RESULTS: The average monthly rectal cancer patient volume increased from 1.0 patient per month preaccreditation to 4.58 patients per month postaccreditation. However, the segmented Poisson regression did not yield a statistically significant change across all periods. The geographic catchment area expanded from 22 zip codes to 79 zip codes after accreditation. Average patient distance traveled increased by 6 miles, but the change did not reach statistical significance.
CONCLUSION: National Accreditation Program for Rectal Cancer accreditation was associated with an increase in patient volume and a broader geographic scope of patients seeking care at a community hospital; however, this change cannot be disentangled from the hiring of 2 fellowship-trained colorectal surgeons. Accreditation may serve as a signal to patients and referring providers of high-quality, disease-specific care, potentially enhancing the institution's competitive standing and patient draw in the health care marketplace.