Comparative advantage |
QIRC |
QIRC strategy was more effective compared with other continuing medical education initiatives | 83 | 69 | 77 | 0.41 |
QIRC workshop was useful in presenting the principles and evidence for TME | 89 | 83 | 87 | > 0.99 |
Opinion leader was useful in being the local ambassador for the study, providing feedback regarding the QIRC trial, and providing assistance in completing operative questionnaires. | 41 | 50 | 45 | 0.72 |
Operative demonstration was effective in demonstrating TME techniques† | 72 | 90 | 79 | 0.38 |
Postoperative questionnaire was effective in prompting surgeons to revisit key steps in the intraoperative process of TME surgery | 77 | 55 | 68 | 0.41 |
Audit and feedback was effective in encouraging surgeons to self-examine surgical decision-making or to request an operative demonstration‡ | 56 | 56 | 56 | > 0.99 |
TME |
Great advantage with TME over traditional techniques of rectal cancer surgery for |
Aggressiveness of the oncologic resection | 78 | 80 | 79 | > 0.99 |
Rates of sphincter preservation | 65 | 64 | 64 | > 0.99 |
Rates of local recurrence | 82 | 90 | 85 | > 0.99 |
Rates of distant recurrence | 13 | 50 | 28 | 0.08 |
No improvement in TME surgery techniques compared with pre-trial surgery techniques | 18 | 62 | 37 | 0.023 |
Compatibility with values |
QIRC |
The various aspects of the QIRC Trial were delivered in a supportive manner | 94 | 85 | 90 | 0.56 |
Participation in an operative demonstration was a positive experience† | 89 | 90 | 89 | > 0.99 |
TME |
TME is more compatible than traditional techniques in achieving cure | 89 | 92 | 90 | > 0.99 |
TME is more compatible than traditional techniques in preserving patient quality of life | 67 | 92 | 77 | 0.19 |
Complexity |
QIRC |
My office staff found involvement in the QIRC trial not at all burdensome | 72 | 85 | 77 | 0.67 |
I found my personal involvement in the QIRC trial not at all burdensome | 94 | 85 | 90 | 0.56 |
The overall process of arranging and carrying out the demonstration went smoothly† | 88 | 90 | 89 | > 0.99 |
TME |
TME rectal cancer surgery technique is more technically difficult than traditional techniques of rectal cancer surgery | 22 | 23 | 23 | > 0.99 |