To the Editor: In their study examining the association of hospital nodal evaluation rates and survival after colectomy for cancer, Dr Wong and colleagues1 concluded that examination of increasing numbers of lymph nodes is not associated with survival at the hospital level and that evaluation of 12 or more lymph nodes is not a useful quality measure.
Bilimoria KY, Stewart AK, Edge SB, Ko CY. Lymph Node Examination Rate, Survival Rate, and Quality of Care in Colon Cancer. JAMA. 2008;299(8):896-898. doi:10.1001/jama.299.8.896-a