Natalie G Coburn

..Cholangiocarcinoma (CCA) is associated with poor survival and therapeutic nihilism. To date, there has not been an examination of the surgical management of CCA at a population level...

..We hypothesize that the majority of surgeons performing gastric cancer surgery in North America are unaware of the recommended standards...

..To examine practice patterns and rates of computed tomography (CT), magnetic resonance imaging (MRI), and abdominal ultrasound (AUS) during staging, treatment and surveillance for cancer patients...

..To describe the processes of care for gastric cancer in Ontario and identify areas in which care and possibly survival can be improved...

..Currently, surgery is the only possible cure. Nodal status is an important prognostic indicator for gastric cancer, and despite results of randomized controlled trials, debate continues over the importance of aggressive lymphadenectomy...

..This study was conducted to determine trends in utilization of CT and MRI in cancer patients in Ontario over a period of 9 years...

..Reduction of disparities in breast cancer presentation and treatment may be possible by increasing enrollment of uninsured, program-eligible women in a state-supported screening and treatment program...

..Our objective was to examine the impact of adjuvant treatment on overall survival (OS) in the general population...

..This study examined the adoption of adjuvant treatment following the trial results and the factors associated with its use...

..The 1997 American Joint Commission on Cancer/Union Internationale Contre le Cancer guidelines were revised, requiring examination of > or =15 LN for staging...

..However, the number of LNs assessed in each GC case varies, and in many cases the number examined per gastric specimen is less than current recommendations...

..The geographic variation in the application of this procedure in patients with colon cancer suggests that local organizational structures and processes of care may play an important role in patient treatment and, therefore, prognosis...

..Many clinicians perform post-operative follow-up for these patients, although there is no consensus on the regimen, frequency of visits, mode of testing, or the rationale of a follow-up program...

..We aimed to identify and synthesize findings on the performance of SLN biopsies in gastric cancer...

..There is ongoing debate on how variations in surgical technique affect outcomes in pancreatic cancer. This population-based study examines current surgical practice and outcomes for cancer of the pancreatic head...

..This new T category shows a clinically and statistically significant linear relationship for both incidence of lymph node metastases and hazard ratio of death...

..One of the most powerful predictors of outcomes in gastric cancer surgery is an R0 resection. However, the extent of the required surgical resection and the additional benefit of multivisceral resection (MVR) are controversial...

..In this review, we aimed to identify and synthesize findings on the use of peritoneal cytology in predicting peritoneal recurrence and overall survival in curative gastric cancer patients...

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..Because disease management is highly collaborative, we surveyed pathologists to assess their knowledge of LN assessment and margins for processing gastric cancer specimens...

..To understand factors affecting optimal assessment we surveyed pathologists to identify external barriers...

..A survey of pathologists in Ontario was performed to outline the processing techniques and practices for assessing gastric cancer specimens...

..3 vs. 22.6 deaths per 100,000) and 41 % comparing the period from 1990 to 2008, which may exceed the goal of 50 % mortality reduction by 2015 established by the American Cancer Society...

..Single institutional studies report an aggressive surgical approach improves survival. This analysis was performed to examine the components of surgical resection and resultant survival...

..We aimed to identify and synthesize findings on the value of DL for patients with gastric cancer, in this era of improved preoperative imaging...

..Our multidisciplinary team adopted a stringent CRC follow-up (FU) guideline in 2000. The purpose of this study was to assess adherence and barriers to FU for CRC...

..This decision analysis examines the cost-effectiveness of colonic stenting as a bridge to surgery vs. surgery alone in the management of emergent, malignant left colonic obstruction...

..CONCLUSIONS: High mammography rates in Rhode Island are associated with smaller and earlier-stage breast cancers. This largely accounts for the decreased mortality from breast cancer and the increased rate of BCS...