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Peer-Reviewed Publication
J Am Coll Surg2026May 19, 2026Journal Article

Evaluation of the National Accreditation Program for Rectal Cancer and Association with Oncologic Outcomes After Proctectomy.

Adan Z Becerra1, Ingrid M Lizarraga2,3, Ronald J Weigel2,3, Samantha Hendren4, Steven D Wexner5, Totadri Dhimal6, Bailey K Hilty Chu6, Christopher T Aquina7,8, Fergal J Fleming6
1Arine Inc., San Francisco, CA.
2Department of Surgery, University of Iowa Carver College of Medicine, Iowa City, IA.
3American College of Surgeons Cancer Research Program, Chicago, IL.
4Department of Surgery at Indiana University, Indianapolis, IN.
5Department of Colon and Rectal Surgery, Surgical Oncology, MedStar Health, Washington, DC.
6Surgical Health Outcomes Research Enterprise (SHORE), Department of Surgery, University of Rochester Medical Center, Rochester, NY.
7Department of Colon & Rectum Surgery, AdventHealth, Orlando, FL.
8Surgical Health Outcomes Consortium (SHOC), Advent Health Digestive Institute, Orlando, FL.

Abstract

BACKGROUND: Circumferential resection margin (CRM) positivity is a validated predictor of local recurrence and survival in rectal cancer and reflects multidisciplinary care quality. The National Accreditation Program for Rectal Cancer (NAPRC), launched in 2017, standardizes rectal cancer care, but national oncologic outcome data remain limited. STUDY DESIGN: We performed a retrospective National…

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