We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Invited Critique |

A Randomized Controlled Trial to Improve Lymph Node Assessment in Stage II Colon Cancer—Invited Critique

Clifford Y. Ko, MD, MS, MSHS; Sushma Jain, MBBS, MPH
Arch Surg. 2008;143(11):1055-1056. doi:10.1001/archsurg.143.11.1055.
Text Size: A A A
Published online


In this article, Wright et al report their findings addressing a quality of care improvement initiative in Ontario and share important discoveries that are appropriate to the current environment of health care quality evaluation. The authors are to be congratulated for their efforts in bringing this work forward. There are several things to appreciate in this study.

First, it is a collaborative effort of clinical health services researchers and the community (Ontario). This community-based participatory research effort, where researchers partner with a community to provide improved quality of care,1 is one that we hope will be performed with increasing frequency. The simple concept is to demonstrably improve care in an identified community, but importantly, working with the community such that the improvement has traction and is sustained. For many of the partnerships that have been established in this regard, a simple but powerful vision is for researchers to improve the level of quality of care beginning in their own backyard, not just in their own institution (although that may be included) but in the communities in proximity to their institution. It is a relatively new and important wave of research in surgery. It is an achievable and meaningful way to perform research, and one that Wright et al have nicely undertaken.

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

First Page Preview

View Large
First page PDF preview





Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

0 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.

Articles Related By Topic
Related Collections
PubMed Articles