Grant Number:	1R01CA172253-01 Interpret this number
Primary Investigator:	Osarogiagbon, Raymond
Organization:	University Of Memphis
Project Title:	Dissemination and Implementation of a Corrective Intervention to Improve Mediasti
Fiscal Year:	2013

DESCRIPTION (provided by applicant): About 60,000 individuals undergo surgery for lung cancer in the US annually. For these patients, whether, or not, cancer has spread to their lymph nodes is the main determinant of their prognosis and guides post- operative treatment decision-making. Unfortunately, most lung cancer operations done in the US do not provide a sufficient sample of lymph nodes to make an accurate determination of pathologic lymph node stage. Therefore, a larger number of patients die of lung cancer than would have been predicted by their post- operative stage. Examination of the quality of lung cancer surgical resections in the greater Memphis Metropolitan Area reveals close approximation to the US national quality-of-care gap. Deploying a specially designed lymph node specimen collection kit for use in lung cancer resections significantly improves the quality of pathologic lymph node staging and increases the detection of patients with lymph node metastasis. We now want to test the implementation of the routine use of this unique specimen collection kit in the tri-state area of Eastern Arkansas, Northern Mississippi and Western Tennessee, which has the combination of challenging socio-economic demographics and some of the highest lung cancer mortality rates in the US. Based on our prior work, we hypothesize that successful implementation of this surgical lymph node specimen collection kit will improve the quality of pathologic staging of lung cancer and increase the detection of lymph node metastasis in a diverse mix of patients operated on by a diverse mix of surgeons in a diverse mix of institutions. Our objective is to study the implementation process of routine use of this kit in a demographically diverse, high lung cancer incidence region of the US, in order to maximize its impact in future dissemination. We propose to achieve this by performing the following Specific Aims: 1.) Recruit at least 90% of eligible hospitals (those within our defined catchment area with >5 lung resection operations annually) and surgeons to participate in an implementation study of the lymph node specimen collection kit for lung cancer resections; 2.) Evaluate the effectiveness of the kit in surgery performed in a diverse mix of institutions, using a staggered implementation, multiple baseline study design; 3.) Study the implementation process using the Reach, Effectiveness, Adoption, Implementation and Maintenance (RE-AIM) framework. Our study will demonstrate the practical possibility of significantly improving the quality and outcomes of surgical lung cancer care across heterogeneity of practice settings. General improvement in pathologic staging will set the stage for future translational work on development of independently prognostic gene and protein expression profiles by optimizing the use of the Tumor, Node, and Metastasis (TNM) staging system, which is currently our best risk stratification system. The ultimate goal of this project i to provide the clinical infrastructure to support future studies of such prognostic molecular signatures that will supplement, and eventually supersede the current TNM staging system.




Prevalence of Epidermal Growth Factor Receptor and Programmed Death Ligand 1 Testing in a Population-Based Lung Cancer Surgical Resection Cohort from 2018 to 2022.
Authors: Smeltzer M.P. , Akinbobola O.A. , Ray M.A. , Fehnel C. , Saulsberry A. , Dortch K.R. , Pimenta K. , Matthews A.T. , Osarogiagbon R.U. .
Source: Cancer Epidemiology, Biomarkers & Prevention : A Publication Of The American Association For Cancer Research, Cosponsored By The American Society Of Preventive Oncology, 2024-08-01 00:00:00.0; 33(8), p. 1098-1106.
PMID: 38884583
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The International Association for the Study of Lung Cancer Staging Project for Lung Cancer: Proposals for the Revision of the N Descriptors in the Forthcoming Ninth Edition of the TNM Classification for Lung Cancer.
Authors: Huang J. , Osarogiagbon R.U. , Giroux D.J. , Nishimura K.K. , Bille A. , Cardillo G. , Detterbeck F. , Kernstine K. , Kim H.K. , Lievens Y. , et al. .
Source: Journal Of Thoracic Oncology : Official Publication Of The International Association For The Study Of Lung Cancer, 2024 May; 19(5), p. 766-785.
EPub date: 2023-10-20 00:00:00.0.
PMID: 37866624
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The International Association for the Study of Lung Cancer Lung Cancer Staging Project: Proposals for the Revisions of the T-Descriptors in the Forthcoming Ninth Edition of the TNM Classification for Lung Cancer.
Authors: Van Schil P.E. , Asamura H. , Nishimura K.K. , Rami-Porta R. , Kim Y.T. , Bertoglio P. , Cangir A.K. , Donington J. , Fang W. , Giroux D.J. , et al. .
Source: Journal Of Thoracic Oncology : Official Publication Of The International Association For The Study Of Lung Cancer, 2024 May; 19(5), p. 749-765.
EPub date: 2023-12-07 00:00:00.0.
PMID: 38070600
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Two Interventions on Pathologic Nodal Staging in a Population-Based Lung Cancer Resection Cohort.
Authors: Osarogiagbon R.U. , Ray M.A. , Fehnel C. , Akinbobola O. , Saulsberry A. , Dortch K. , Faris N.R. , Matthews A.T. , Smeltzer M.P. , Spencer D. , et al. .
Source: The Annals Of Thoracic Surgery, 2024 Mar; 117(3), p. 576-584.
EPub date: 2023-09-05 00:00:00.0.
PMID: 37678613
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Program-Based Lung Cancer Care: A Prospective Observational Tumor Registry Linkage Study.
Authors: Liao W. , Ray M. , Fehnel C. , Goss J. , Shepherd C.J. , Patel A. , Qureshi T. , Caro F. , Roma J. , Derrick A. , et al. .
Source: Jto Clinical And Research Reports, 2024 Feb; 5(2), p. 100629.
EPub date: 2023-12-26 00:00:00.0.
PMID: 38322712
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Surgeon Quality and Patient Survival After Resection for Non-Small-Cell Lung Cancer.
Authors: Ray M.A. , Akinbobola O. , Fehnel C. , Saulsberry A. , Dortch K. , Wolf B. , Valaulikar G. , Patel H.D. , Ng T. , Robbins T. , et al. .
Source: Journal Of Clinical Oncology : Official Journal Of The American Society Of Clinical Oncology, 2023-07-10 00:00:00.0; 41(20), p. 3616-3628.
EPub date: 2023-06-02 00:00:00.0.
PMID: 37267506
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Institution-Level Evolution of Lung Cancer Resection Quality With Implementation of a Lymph Node Specimen Collection Kit.
Authors: Akinbobola O. , Ray M.A. , Fehnel C. , Saulsberry A. , Dortch K. , Smeltzer M. , Faris N.R. , Osarogiagbon R.U. .
Source: Journal Of Thoracic Oncology : Official Publication Of The International Association For The Study Of Lung Cancer, 2023 Jul; 18(7), p. 858-868.
EPub date: 2023-03-15 00:00:00.0.
PMID: 36931504
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The International Association for the Study of Lung Cancer Lung Cancer Staging Project: Overview of Challenges and Opportunities in Revising the Nodal Classification of Lung Cancer.
Authors: Osarogiagbon R.U. , Van Schil P. , Giroux D.J. , Lim E. , Putora P.M. , Lievens Y. , Cardillo G. , Kim H.K. , Rocco G. , Bille A. , et al. .
Source: Journal Of Thoracic Oncology : Official Publication Of The International Association For The Study Of Lung Cancer, 2023 Apr; 18(4), p. 410-418.
EPub date: 2022-12-24 00:00:00.0.
PMID: 36572339
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Acquiring tissue for advanced lung cancer diagnosis and comprehensive biomarker testing: A National Lung Cancer Roundtable best-practice guide.
Authors: Fox A.H. , Nishino M. , Osarogiagbon R.U. , Rivera M.P. , Rosenthal L.S. , Smith R.A. , Farjah F. , Sholl L.M. , Silvestri G.A. , Johnson B.E. .
Source: Ca: A Cancer Journal For Clinicians, 2023-03-01 00:00:00.0; , .
EPub date: 2023-03-01 00:00:00.0.
PMID: 36859638
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The Pathologic Nodal Staging Quality Gap: Challenge as Opportunity in Disguise.
Authors: Osarogiagbon R.U. .
Source: Journal Of Thoracic Oncology : Official Publication Of The International Association For The Study Of Lung Cancer, 2022 Nov; 17(11), p. 1247-1249.
PMID: 37014164
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Rates of Guideline-Concordant Surgery and Adjuvant Chemotherapy Among Patients With Early-Stage Lung Cancer in the US ALCHEMIST Study (Alliance A151216).
Authors: Kehl K.L. , Zahrieh D. , Yang P. , Hillman S.L. , Tan A.D. , Sands J.M. , Oxnard G.R. , Gillaspie E.A. , Wigle D. , Malik S. , et al. .
Source: Jama Oncology, 2022-05-01 00:00:00.0; 8(5), p. 717-728.
PMID: 35297944
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Trends in Accuracy and Comprehensiveness of Pathology Reports for Resected NSCLC in a High Mortality Area of the United States.
Authors: Smeltzer M.P. , Lee Y.S. , Faris M Div N.R. , Fehnel C. , Akinbobola O. , Meadows-Taylor M. , Spencer D. , Sales E. , Okun S. , Giampapa C. , et al. .
Source: Journal Of Thoracic Oncology : Official Publication Of The International Association For The Study Of Lung Cancer, 2021 10; 16(10), p. 1663-1671.
EPub date: 2021-07-16 00:00:00.0.
PMID: 34280563
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Survival Impact of an Enhanced Multidisciplinary Thoracic Oncology Conference in a Regional Community Health Care System.
Authors: Ray M.A. , Faris N.R. , Fehnel C. , Derrick A. , Smeltzer M.P. , Meadows-Taylor M.B. , Ariganjoye F. , Pacheco A. , Optican R. , Tonkin K. , et al. .
Source: Jto Clinical And Research Reports, 2021 Aug; 2(8), p. 100203.
EPub date: 2021-07-03 00:00:00.0.
PMID: 34590046
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The International Association for the Study of Lung Cancer Molecular Database Project: Objectives, Challenges, and Opportunities.
Authors: Osarogiagbon R.U. , Rami-Porta R. , Tsao M.S. , Montuenga L.M. , Nishimura K.K. , Giroux D.J. , Travis W. , Asamura H. , Rusch V. , Carbone D.P. , et al. .
Source: Journal Of Thoracic Oncology : Official Publication Of The International Association For The Study Of Lung Cancer, 2021 Jun; 16(6), p. 897-901.
EPub date: 2021-03-23 00:00:00.0.
PMID: 33771657
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Comparative Effectiveness of a Lymph Node Collection Kit Versus Heightened Awareness on Lung Cancer Surgery Quality and Outcomes.
Authors: Ray M.A. , Fehnel C. , Akinbobola O. , Faris N.R. , Taylor M. , Pacheco A. , Smeltzer M.P. , Osarogiagbon R.U. .
Source: Journal Of Thoracic Oncology : Official Publication Of The International Association For The Study Of Lung Cancer, 2021 May; 16(5), p. 774-783.
EPub date: 2021-02-12 00:00:00.0.
PMID: 33588112
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The future in the instant: The lung adenocarcinoma classification as a predictor of future adverse events.
Authors: Osarogiagbon R.U. .
Source: Lung Cancer (amsterdam, Netherlands), 2021 05; 155, p. 191-192.
EPub date: 2021-03-16 00:00:00.0.
PMID: 33757658
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Institutional-Level Differences in Quality and Outcomes of Lung Cancer Resections in the United States.
Authors: Osarogiagbon R.U. , Sineshaw H.M. , Lin C.C. , Jemal A. .
Source: Chest, 2021 Apr; 159(4), p. 1630-1641.
EPub date: 2020-11-14 00:00:00.0.
PMID: 33197400
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Outcomes After Use of a Lymph Node Collection Kit for Lung Cancer Surgery: A Pragmatic, Population-Based, Multi-Institutional, Staggered Implementation Study.
Authors: Osarogiagbon R.U. , Smeltzer M.P. , Faris N.R. , Ray M.A. , Fehnel C. , Ojeabulu P. , Akinbobola O. , Meadows-Taylor M. , McHugh L.M. , Halal A.M. , et al. .
Source: Journal Of Thoracic Oncology : Official Publication Of The International Association For The Study Of Lung Cancer, 2021 Apr; 16(4), p. 630-642.
EPub date: 2021-02-16 00:00:00.0.
PMID: 33607311
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Impact of a Lymph Node Specimen Collection Kit on the Distribution and Survival Implications of the Proposed Revised Lung Cancer Residual Disease Classification: A Propensity-Matched Analysis.
Authors: Smeltzer M.P. , Faris N.R. , Fehnel C. , Akinbobola O. , Saulsberry A. , Meadows-Taylor M. , Pacheco A. , Ray M. , Osarogiagbon R.U. .
Source: Jto Clinical And Research Reports, 2021 Apr; 2(4), p. 100161.
EPub date: 2021-03-09 00:00:00.0.
PMID: 34590011
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Volume-Based Care Regionalization: Pitfalls and Challenges.
Authors: Osarogiagbon R.U. .
Source: Journal Of Clinical Oncology : Official Journal Of The American Society Of Clinical Oncology, 2020-10-20 00:00:00.0; 38(30), p. 3465-3467.
EPub date: 2020-09-08 00:00:00.0.
PMID: 32897831
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Survival After Mediastinal Node Dissection, Systematic Sampling, or Neither for Early Stage NSCLC.
Authors: Ray M.A. , Smeltzer M.P. , Faris N.R. , Osarogiagbon R.U. .
Source: Journal Of Thoracic Oncology : Official Publication Of The International Association For The Study Of Lung Cancer, 2020 Oct; 15(10), p. 1670-1681.
EPub date: 2020-06-20 00:00:00.0.
PMID: 32574595
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Rurality, Stage-Stratified Use of Treatment Modalities, and Survival of Non-small Cell Lung Cancer.
Authors: Ray M.A. , Faris N.R. , Derrick A. , Smeltzer M.P. , Osarogiagbon R.U. .
Source: Chest, 2020 Aug; 158(2), p. 787-796.
EPub date: 2020-05-06 00:00:00.0.
PMID: 32387525
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Beyond Margin Status: Population-Based Validation of the Proposed International Association for the Study of Lung Cancer Residual Tumor Classification Recategorization.
Authors: Osarogiagbon R.U. , Faris N.R. , Stevens W. , Fehnel C. , Houston-Harris C. , Ojeabulu P. , Akinbobola O.A. , Lee Y.S. , Ray M.A. , Smeltzer M.P. .
Source: Journal Of Thoracic Oncology : Official Publication Of The International Association For The Study Of Lung Cancer, 2020 Mar; 15(3), p. 371-382.
EPub date: 2019-11-26 00:00:00.0.
PMID: 31783180
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County-Level Variations in Receipt of Surgery for Early-Stage Non-small Cell Lung Cancer in the United States.
Authors: Sineshaw H.M. , Sahar L. , Osarogiagbon R.U. , Flanders W.D. , Yabroff K.R. , Jemal A. .
Source: Chest, 2020 Jan; 157(1), p. 212-222.
EPub date: 2019-12-05 00:00:00.0.
PMID: 31813533
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Early-Stage NSCLC: Advances in Thoracic Oncology 2018.
Authors: Osarogiagbon R.U. , Veronesi G. , Fang W. , Ekman S. , Suda K. , Aerts J.G. , Donington J. .
Source: Journal Of Thoracic Oncology : Official Publication Of The International Association For The Study Of Lung Cancer, 2019 Jun; 14(6), p. 968-978.
EPub date: 2019-03-07 00:00:00.0.
PMID: 30851441
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Invasive mediastinal staging for resected non-small cell lung cancer in a population-based cohort.
Authors: Osarogiagbon R.U. , Lee Y.S. , Faris N.R. , Ray M.A. , Ojeabulu P.O. , Smeltzer M.P. .
Source: The Journal Of Thoracic And Cardiovascular Surgery, 2019-05-02 00:00:00.0; , .
EPub date: 2019-05-02 00:00:00.0.
PMID: 31147169
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Survival Before and After Direct Surgical Quality Feedback in a Population-Based Lung Cancer Cohort.
Authors: Smeltzer M.P. , Faris N.R. , Ray M.A. , Fehnel C. , Houston-Harris C. , Ojeabulu P. , Akinbobola O. , Lee Y.S. , Meadows M. , Signore R.S. , et al. .
Source: The Annals Of Thoracic Surgery, 2019 May; 107(5), p. 1487-1493.
EPub date: 2018-12-27 00:00:00.0.
PMID: 30594579
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Effectiveness of Implemented Interventions on Pathologic Nodal Staging of Non-Small Cell Lung Cancer.
Authors: Ray M.A. , Faris N.R. , Smeltzer M.P. , Fehnel C. , Houston-Harris C. , Levy P. , Wiggins L. , Sachdev V. , Robbins T. , Spencer D. , et al. .
Source: The Annals Of Thoracic Surgery, 2018-03-10 00:00:00.0; , .
EPub date: 2018-03-10 00:00:00.0.
PMID: 29534956
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Risk-Adjusted Margin Positivity Rate as a Surgical Quality Metric for Non-Small Cell Lung Cancer.
Authors: Lin C.C. , Smeltzer M.P. , Jemal A. , Osarogiagbon R.U. .
Source: The Annals Of Thoracic Surgery, 2017 Oct; 104(4), p. 1161-1170.
EPub date: 2017-07-12 00:00:00.0.
PMID: 28709665
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Survival impact of postoperative therapy modalities according to margin status in non-small cell lung cancer patients in the United States.
Authors: Smeltzer M.P. , Lin C.C. , Kong F.S. , Jemal A. , Osarogiagbon R.U. .
Source: The Journal Of Thoracic And Cardiovascular Surgery, 2017-04-04 00:00:00.0; , .
EPub date: 2017-04-04 00:00:00.0.
PMID: 28483267
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Prognostic Value Of National Comprehensive Cancer Network Lung Cancer Resection Quality Criteria
Authors: Osarogiagbon R.U. , Ray M.A. , Faris N.R. , Smeltzer M.P. , Fehnel C. , Houston-Harris C. , Signore R.S. , McHugh L.M. , Levy P. , Wiggins L. , et al. .
Source: The Annals Of Thoracic Surgery, 2017-03-30 00:00:00.0; , .
PMID: 28366464
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Evolution in the Surgical Care of Patients With Non-Small Cell Lung Cancer in the Mid-South Quality of Surgical Resection Cohort.
Authors: Faris N.R. , Smeltzer M.P. , Lu F. , Fehnel C.L. , Chakraborty N. , Houston-Harris C.L. , Robbins E.T. , Signore R.S. , McHugh L.M. , Wolf B.A. , et al. .
Source: Seminars In Thoracic And Cardiovascular Surgery, 2017 Spring; 29(1), p. 91-101.
EPub date: 2016-10-14 00:00:00.0.
PMID: 28684006
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Comparison Of Prevalence And Types Of Mutations In Lung Cancers Among Black And White Populations
Authors: Campbell J.D. , Lathan C. , Sholl L. , Ducar M. , Vega M. , Sunkavalli A. , Lin L. , Hanna M. , Schubert L. , Thorner A. , et al. .
Source: Jama Oncology, 2017-01-19 00:00:00.0; , .
PMID: 28114446
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Strategic approach to minimally invasive mediastinal nodal staging-a brave new world?
Authors: Osarogiagbon R.U. .
Source: The Lancet. Respiratory Medicine, 2016 12; 4(12), p. 926-927.
EPub date: 2016-10-20 00:00:00.0.
PMID: 27773664
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Comment on the Proposals for the Revision of the N Descriptors in the Forthcoming Eighth Edition of the TNM Classification for Lung Cancer.
Authors: Osarogiagbon R.U. , Smeltzer M.P. , Faris N. , Rami-Porta R. , Goldstraw P. , Asamura H. .
Source: Journal Of Thoracic Oncology : Official Publication Of The International Association For The Study Of Lung Cancer, 2016 10; 11(10), p. 1612-4.
PMID: 27663398
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Management of screening-detected stage I lung cancer.
Authors: Osarogiagbon R.U. .
Source: Journal Of Thoracic Disease, 2016 Oct; 8(10), p. E1416-E1419.
PMID: 27867645
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Improving Post-resection Risk Stratification In Non-small Cell Lung Cancer: 'wit, Whither Wander You?'
Authors: Osarogiagbon R.U. .
Source: Journal Of Thoracic Disease, 2016 Sep; 8(9), p. 2315-2318.
PMID: 27746964
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Survival Implications of Variation in the Thoroughness of Pathologic Lymph Node Examination in American College of Surgeons Oncology Group Z0030 (Alliance).
Authors: Osarogiagbon R.U. , Decker P.A. , Ballman K. , Wigle D. , Allen M.S. , Darling G.E. .
Source: The Annals Of Thoracic Surgery, 2016 Aug; 102(2), p. 363-9.
PMID: 27262908
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Missed Intrapulmonary Lymph Node Metastasis and Survival After Resection of Non-Small Cell Lung Cancer.
Authors: Smeltzer M.P. , Faris N. , Yu X. , Ramirez R.A. , Ramirez L.E. , Wang C.G. , Adair C. , Berry A. , Osarogiagbon R.U. .
Source: The Annals Of Thoracic Surgery, 2016 Aug; 102(2), p. 448-53.
PMID: 27266421
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Prevalence, Prognostic Implications, and Survival Modulators of Incompletely Resected Non-Small Cell Lung Cancer in the U.S. National Cancer Data Base.
Authors: Osarogiagbon R.U. , Lin C.C. , Smeltzer M.P. , Jemal A. .
Source: Journal Of Thoracic Oncology : Official Publication Of The International Association For The Study Of Lung Cancer, 2016 Jan; 11(1), p. e5-16.
PMID: 26762752
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Enhancing the Evidence for Behavioral Counseling: A Perspective From the Society of Behavioral Medicine.
Authors: Alcántara C. , Klesges L.M. , Resnicow K. , Stone A. , Davidson K.W. .
Source: American Journal Of Preventive Medicine, 2015 Sep; 49(3 Suppl 2), p. S184-93.
PMID: 26296553
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Reply: To PMID 25530090.
Authors: Osarogiagbon R.U. .
Source: The Annals Of Thoracic Surgery, 2015 Aug; 100(2), p. 768-9.
PMID: 26234869
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Editorial preface to this special issue "Improving the quality and outcomes of lung cancer care: an interdisciplinary approach".
Authors: Osarogiagbon R.U. .
Source: Translational Lung Cancer Research, 2015 Aug; 4(4), p. 322-6.
PMID: 26380173
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Measuring improvement in populations: implementing and evaluating successful change in lung cancer care.
Authors: Yu X. , Klesges L.M. , Smeltzer M.P. , Osarogiagbon R.U. .
Source: Translational Lung Cancer Research, 2015 Aug; 4(4), p. 373-84.
PMID: 26380178
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Improving lung cancer outcomes by improving the quality of surgical care.
Authors: Osarogiagbon R.U. , D'Amico T.A. .
Source: Translational Lung Cancer Research, 2015 Aug; 4(4), p. 424-31.
PMID: 26380183
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Improving the pathologic evaluation of lung cancer resection specimens.
Authors: Osarogiagbon R.U. , Hilsenbeck H.L. , Sales E.W. , Berry A. , Jarrett R.W. , Giampapa C.S. , Finch-Cruz C.N. , Spencer D. .
Source: Translational Lung Cancer Research, 2015 Aug; 4(4), p. 432-7.
PMID: 26380184
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Innovations in public health education: promoting professional development and a culture of health.
Authors: Levy M. , Gentry D. , Klesges L.M. .
Source: American Journal Of Public Health, 2015 Mar; 105 Suppl 1, p. S44-5.
PMID: 25706016
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Audit of lymphadenectomy in lung cancer resections using a specimen collection kit and checklist.
Authors: Osarogiagbon R.U. , Sareen S. , Eke R. , Yu X. , McHugh L.M. , Kernstine K.H. , Putnam J.B. , Robbins E.T. .
Source: The Annals Of Thoracic Surgery, 2015 Feb; 99(2), p. 421-7.
PMID: 25530090
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The impact of a novel lung gross dissection protocol on intrapulmonary lymph node retrieval from lung cancer resection specimens.
Authors: Osarogiagbon R.U. , Eke R. , Sareen S. , Leary C. , Coleman L. , Faris N. , Yu X. , Spencer D. .
Source: Annals Of Diagnostic Pathology, 2014 Aug; 18(4), p. 220-6.
PMID: 24866232
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Size and histologic characteristics of lymph node material retrieved from tissue discarded after routine pathologic examination of lung cancer resection specimens.
Authors: Osarogiagbon R.U. , Ramirez R.A. , Wang C.G. , Miller L.E. , McHugh L. , Adair C.A. , Smeltzer M.P. , Yu X. , Berry A. .
Source: Annals Of Diagnostic Pathology, 2014 Jun; 18(3), p. 136-9.
PMID: 24636044
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