October 2014

Welcome to Fall! There has been much behind-the-scenes work happening within the Consortium since the last news update in July. Thanks to all who have volunteered to join the Education, Database, or Standards committees that will partner with the American College of Surgeons and the Commission on Cancer to develop the Rectal Cancer Centers of Excellence program. There will be a meeting of the OSTRiCh Council at the upcoming ACS Clinical Congress in San Francisco and the next steps in the development of the program will be outlined. Look for committee assignments shortly thereafter and then the work will begin.

On a different front, OSTRiCh is currently partnering with our counterparts in the UK to establish a transanal TME registry here in the U.S. The effort is being led by Dr. John Monson, Vice-Chair of Surgery at the University of Rochester and Vice President of OSTRiCh. We are also nearing the end of the development phase for the OSTRiCh Rectal Cancer Registry. This web-based application will allow OSTRiCh members to enter their rectal cancer cases into a database that will serve as a powerful research tool for the group. The registry will allow us to get a better understanding of the current status of rectal cancer care in the U.S., track improvements in outcomes as the Centers of Excellence program is instituted, and help guide us in the development of future policy related to the management of rectal cancer patients.

Since the last news update in June, OSTRiCh has added 21 new members. The group has now grown to over 100 physically and geographically diverse institutions, all united in their desire to improve the care of U.S. rectal cancer patients (the complete listing can be found under the “Our Members” tab on the “About Us” page). Please welcome the following institutions and their representatives to the Consortium:

Coastal Carolina Hospital (S.C.) Carlos Montenegro, MD
Gulf Coast Veterans Health Care System Neal Ellis, MD
Boca Raton Regional Hospital / FAU School of Medicine Andrew Ross, MD
Center for Digestive and Liver Disease Sergio Larach, MD
Boca Raton Regional Hospital Avraham Belizon, MD
Valley Health, Winchester Medical Center Erich Bruhn, MD
Kaiser Permanenta Los Angeles Medical Center Elisabeth McLemore, MD
Peninsula Medical Clinic Bruce Allen, MD
University of Cincinnati Brad Davis , MD
Shady Grove Adventist Hospital Vivek Patil, MD
Methodist Dallas Medical Center Anand Lodha, MD
Presbyterian Hospital Dallas J. Marcus Downs, MD
Meridian Health Thomas Lake, MD
Carilion Clinic Farrell Adkins, MD
Mount Sinai Beth Israel Joseph Martz, MD
Roswell Park Cancer Institute Steven Nurkin, MD
Northern Inyo Hospital (Bishop, CA) Robbin Cromer-Tylet, MD
Mercy Medical Center (DesMoines, IA) Shankar Raman, MD
Baystate Medical Center Mark Kiely, MD
ValleyCare Health System (Canfield, OH) Michael Temple, MD

July 2014

In early June, the OSTRiCh proposal to establish a U.S. Rectal Cancer Centers of Excellence Program was presented to the American College of Surgeons’ leadership by Dr. Steven Wexner. The proposal was unanimously approved and Drs. Remzi and Wexner communicated the good news to Consortium members via email on June 11th. Dr. Wexner wrote:

“…it is with immense pleasure that I inform you that at the recent meetings of the Division of Research and Optimal Patient Care and subsequently of the Board of Regents of the American College of Surgeons (ACS), the OSTRiCh initiative was endorsed. Further communication will soon be coming as we move forward with Dr. David Hoyt, Executive Director of the ACS, Dr. David Winchester, Medical Director of the Commission on Cancer, Dr. Daniel McKellar, Chair of the COC, and Drs. Linda Ferris and Daniel Takanishi, Chair and Vice Chair of the accreditation committee of the COC. Dr. Hoyt and the others are very committed to seeing the success of this project …I thank each of you in advance for your anticipated continued support of OSTRiCh as we move forward. With your help we will soon realize the accreditation process for centers of excellence. With your assistance we will soon be able to offer our patients in North America the same advantages as have been repeatedly proven in Europe with the adoption of centers of excellence in rectal cancer surgery.”

On July 2nd, this news was also conveyed to our colleagues in Europe and Australia during the Tripartite Colorectal Meeting in Birmingham, UK. The presentation, titled “Improving U.S. Rectal Cancer Care: the OSTRiCh Initiative”, was given by Dr. David Dietz with Dr. John Monson present as a moderator in the “International Breaking Trials” session.

Since the last news update in May, OSTRiCh has added 8 new members. The group has now grown to 83 physically and geographically diverse institutions, all united in their desire to improve the care of U.S. rectal cancer patients (the complete listing can be found under the “Our Members” tab on the “About Us” page). Please welcome the following institutions and their representatives to the Consortium:

Mayo Clinic Scottsdale Tonia Young-Fadok, MD
Enloe Medical Center (Chico California) Joseph Matthews, MD
Weill Cornell Medical College Goving Nandakumar, MD
University of South Florida Jorge Marcet, MD
Union Hospital (Elkton, MD) Henry Schoonyoung , MD
Cape Cod Healthcare Peter Hopewood, MD
Indiana University Fajardo Alyssa , MD
Naval Medical Center Portsmouth William Ward, MD

May 2014

OSTRiCh held a General Assembly Meeting on Monday May 19th during the ASCRS meeting being held at the Westin Hollywood Diplomat Resort in Hollywood, FL. The meeting was attended by over 50 individuals representing nearly the entire institutional membership of the Consortium.

A copy of the slide presentation given during the General Assembly meeting has been posted in the Resource Library.

As discussed at the meeting, Dr. Wexner will be taking our proposal for a U.S. Rectal Cancer Centers of Excellence Program before the American College of Surgeons Board of Regents in early June. We hope this will be the culmination of the past 3 years of work done by the Consortium to raise awareness of the existing disparities in U.S. rectal cancer care and to establish the need for this program.

Since the last news update in April, OSTRiCh has added 30 new members. The group has now grown to 75 physically and geographically diverse institutions, all united in their desire to improve the care of U.S. rectal cancer patients (the complete listing can be found under the “Our Members” tab on the “About Us” page). Please welcome the following institutions and their representatives to the Consortium:

St. Clair Hospital Scott Holekamp, MD
University of Texas Southwestern Medical Center Farshid  Araghizadeh, MD
University of Oklahoma Steven Carter, MD
Lankenau Medical Center John Marks, MD
Lovelace Medical Center (Albuquerque, New Mexico) Glenroy Heywood, MD
Medstar Greater Baltimore Medical Center Joseph DiRocco, MD
Roper Hospital Jorge Lagares-Garcia, MD
Colorectal Surgery Associates (Kansas City) Lina O'Brien, MD
University of Wisconsin Gregory Kennedy, MD
George Washington University Vincent Obias, MD
Swedish Medical Center/Providence Heath and Services Amir Bastawrous, MD
Southcoast Health (Massachussetts) Victor Pricolo, MD
Stanford University School of Medicine Cindy Kin, MD
Montefiore medical center - Albert Einstein College of Medicine Alexis Grucela, MD
Mount Sinai Hospital/Manhattan Surgical Associates Daniel Popowich, MD
University of Southern California Keck School of Medicine Kyle Cologne, MD
Carle Foundation Hospital Michelle Olson, MD
Emory University Virginia Shaffer, MD
University of Arkansas Medical Center Jonathan Laryea, MD
University of Nebraska Medical Center Sean Langenfeld, MD
University of Illinois College of Medicine at Peoria Steven Tsoraides, MD
California Pacific Medical Center Philip Chung, MD
University of Kentucky Jitesh Patel, MD
Virginia Hospital Center Othon Wiltz, MD
Penn State/Milton Hershey Medical Center David Stewart, MD
Walter Koltun, MD
Moffitt Cancer Center David Shibata, MD
Medstar Washington Hospital Center Gavin Sigle, MD
Ohio State University William Cirocco, MD
Surgery Group of Los Angeles Yosef Nasseri, MD
Vanderbilt University Molly Cone, MD

April 2014

OSTRiCh will hold a General Assembly Meeting for all registered members of the Consortium on Monday May 19th during the upcoming ASCRS meeting being held at the Westin Hollywood Diplomat Resort in Hollywood, FL. Details can be found under the Events tab on this webpage.

Since the last news update in February, OSTRiCh has added fifteen new members. The group has now grown to forty-four physically and geographically diverse institutions, all united in their desire to improve the care of U.S. rectal cancer patients (the complete listing can be found under the “Our Members” tab on the “About Us” page). Please welcome the following institutions and their representatives to the Consortium:

St. Francis Hospital (Memphis, TN) (Joshua Katz, MD)
Fairview Southdale Hospital (Edina, MN) (Marc Osborne, MD)
Hima Hospital Caguas (Caguas, Puerto Rico) (Victor Malave, MD)
Norwalk Hospital (Norwalk, CT) (James McClane, MD)
University of Maryland (Baltimore, MD) (Howard Berg, MD)
Parkview Health System (Ft. Wayne, IN) (Paul Conarty, MD)
Spectrum Health/Ferguson Clinic (Ryan Figg, MD)
Bayfront Medical Center (St. Petersburg, FL) (Domingo Galliano, MD)
Duke University Medical Center (Linda Farkas, MD)
Florida Hospital (Matthew Albert, MD)
John Muir Medical Center (Sam Oommen, MD)
University of Nevada School of Medicine (Ovunc Bardakcioglu, MD)
Massachusetts General Hospital (Patricia Sylla, MD)
Kaiser Permanente (Houston, TX) (Justin Kim, MD)
University of Virginia Medical Center (Charles Friel, MD)

February 2014

Membership in the consortium continues to grow as OSTRiCh added seven new members over the past few weeks. A grand total of 30 institutions are now engaged in this important effort (the complete listing can be found under the “Our Members” tab on the “About Us” page). Please welcome the following institutions and their representatives to the Consortium:

Oregon Health and Sciences University (Daniel Herzig, MD)
Mayo Clinic Florida (Ron Landmann, MD)
University Hospitals Case Medical Center (Conor Delaney, MD, PhD)
Dartmouth-Hitchcock Medical Center (Stefan Holubar, MD)
Monmouth Medical Center (Michael Arvanitis, MD)
ProMedica Health System (Kerri Simo, MD)
Central Michigan University College of Medicine (Anthony Senagore, MD)

January 2014

Spurred by recent publications and growing national attention, OSTRiCh gained four new members earlier this month. Please welcome the following institutions and their representatives to the Consortium:

Geisinger Medical Center (Robert Khoo, MD)
Summa Health System (Fred Slezak, MD)
Jersey Shore University Medical Center (Glenn Parker, MD)
Inova Fairfax Medical Center (John Moynihan, MD)

December 2013

The OSTRiCh Consortium recently published two manuscripts summarizing the evidence for centers of excellence in rectal cancer and outlining our proposal for design of a U.S. program. These manuscripts can be found in the December 2013 issue of the Jounal of Gastrointestinal Surgery and in the February 2014 issue of Diseases of the Colon and Rectum. Links to these publications can be found in the Resources page of this website. (DWD 12/29/13)

November 2013

The latest meeting of the OSTRiCh Consortium took place during the American College of Surgeons Clinical Congress in Washington, D.C. on Sunday October 6th. This was a small group “working dinner” of the OSTRiCh leadership that aimed to formulate our strategic plan for the upcoming year. The primary topic of discussion was continuing to promote the idea of a U.S. rectal cancer centers of excellence project to the American College of Surgeons. Preliminary discussions with ACS leadership have been held and a more formal presentation of the OSTRiCh proposal to ACS Commission on Cancer leadership is scheduled for January 2014. Attendees at the October 6, 2013 meeting were Drs. Feza Remzi, John Monson, Steve Wexner, Dave Dietz, George Chang, Tom Read, Julio Garcia-Aguilar, Rick Greene, Jim Fleshman, and Frank Opelka. Previous meetings of the OSTRiCh Consortium were: August 2011 (Cleveland, OH: hosted by Cleveland Clinic), December 2011 (Weston, FL: hosted by CC), April 2012 (Chicago, IL; during ACS Clinical Congress), September 2012 (Chicago, IL: hosted by the American College of Surgeons), and March 2013 (Weston, FL; hosted by CC). During the Clinical Congress, the OSTRiCh Consortium also updated the ASCRS Rectal Cancer Coordinating Committee on progress made towards a rectal cancer centers of excellence program over the past year. Topics discussed included a joint effort with the College of American Pathologists (CAP) to develop guidelines and standardized reporting for evaluation of TME specimens, an effort led by OSTRiCh member Dr. Mariana Berho from Cleveland Clinic Florida. (DWD 11/3/13)

May 2013

The OSTRiCh group had the privilege of presenting its vision for a U.S. rectal cancer centers of excellence program during Digestive Diseases Week in Orlando, FL May 18-21. The presentation was titled “Multidisciplinary Management of Rectal Cancer: the OSTRICH” and was given by Dave Dietz on behalf of the consortium as part of the SSAT Maintenance of Certification Course: Evidence Based Treatment of Colorectal Diseases held on Saturday May 18. Thanks to Dr. Fleshman and Dr. Monson for obtaining this opportunity for OSTRiCh. One of the requirements of presenting in the SSAT MOC course is production of a manuscript to be published in the Journal of GI Surgery. Keep an eye on the table of contents towards the end of the year. (DWD 5/22/13)

October 2012

Thanks to all of the members of the Consortium for participating in the survey regarding practice patterns at each of our institutions. The end result was an abstract accepted as a poster presentation during the ACS Clinical Congress held September 30 to October 4 in Chicago, IL. The title of the poster was “Multidisciplinary Team Approach to Rectal Cancer Patients at 16 U.S. Centers: Fact or Fiction? A Report from the Consortium to Optimize Surgical Treatment of Rectal Cancer (OSTRiCh)” (Authors: Dietz D, Monson J, Fleshman J, Rothenberger D, Remzi F, Wexner S on behalf of the OSTRiCh Consortium). (DWD 10/10/12)

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