Item # Length Source of Standard Year Implemented Version Implemented Year Retired Version Retired
668 1 CoC 2010 12

NAACCR XML: Tumor.rxHospSurgApp2010

Description
This item is used to describe the method of surgical approach used for patients undergoing surgery of the primary site at the reporting facility. If the patient has multiple surgeries to the primary site, this item describes the approach used for the most invasive, definitive surgery
Rationale
This item is used to monitor patterns and trends in the adoption and use of minimally-invasive surgical techniques.

If central registries wish to study the treatment given at particular facilities, the facility-level treatment fields must be used. Facility-specific fields allow studies of detailed referral patterns and treatment by type of healthcare setting. Knowing the extent of treatment given at a particular facility also helps resolve consolidation issues.
Codes
0No surgical procedure of primary site at this facility. Diagnosed at autopsy.
1Robotic assisted.
2Robotic converted to open.
3Endoscopic or laparoscopic.
4Endoscopic or laparoscopic converted to open.
5Open. Approach not specified.
9Unknown whether surgery was performed; Patient record does not state whether a surgical procedure of the primary site was performed and no information is available. Death certificate only.