NCIOM Issue Brief: Metrics to Drive Improvements in Health October 2017

North Carolina Institute of Medicine
North Carolina medical journal · 2017 · vol. 78(6) , pp. 419–423 · doi:10.18043/ncm.78.6.419 · PMID:29203611 · W4236493245
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This case report describes a 59-year-old patient with clear cell adenocarcinoma arising from endometriosis of the urinary bladder, highlighting its distinction from urothelial carcinoma and reviewing its histogenesis.

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This issue brief from the North Carolina Institute of Medicine outlines a framework for using health metrics to drive systemic improvements in patient care and population health outcomes. The authors discuss the importance of data collection, equity lenses, and collaborative systems change to address disparities in access and quality across various medical domains, with a significant focus on oral health initiatives. While the text highlights general strategies for measuring geographic access and integrating services within primary care models, it does not present original clinical research or specific therapeutic interventions. The paper does not explicitly discuss endometriosis or adenomyosis; it was included in the corpus via a keyword match in the upstream search index.

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Abstract

Clear cell adenocarcinoma arising out of endometriosis of the urinary bladder is a rare entity. The published literature has a dearth of information about this entity and its histogenesis. In the present case review we present a 59-year-old patient who was treated with robotic anterior pelvic exenteration and ileal conduit. The initial biopsy of bladder tumour purported a high-grade urothelial carcinoma, however the final specimen revealed a clear cell adenocarcinoma arising in endometriosis without any urothelial cancer. Early case reports refer to these lesions as mesonephric or mesonephroid adenocarcinomas but the current WHO nomenclature classifies them under non-urothelial epithelial neoplasms as clear cell adenocarcinomas. Here, we review the literature and discuss their origins.
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P-ISSN 0029-2559 E-ISSN 2379-4313 Vol. 78, Issue 6, 2017November 01, 2017 EDT NCIOM Issue Brief: Metrics to Drive Improvements in Health October 2017 NCIOM Issue Brief: Metrics to Drive Improvements in Health October 2017 Articles in Vol. 78, Issue 6, 2017 Vol. 78, Issue 6, 2017 - Responding to a Community's Concern: A Comparison of Breast Cancer Characteristics and Initial Treatment in Three Selected North Carolina CountiesAnissa I. VinesWilliam R. CarpenterRonald C. ChenMichele W. CherryDebra G. LongKeith D. AmosPaul A. Godley - Increased Mortality and Health Risk Behaviors of Midlife White North Carolinians: A Marked Contrast to NonwhitesChristopher J. MansfieldKatherine JonesSatomi Imai - More than Just a Pretty SmilePeter J. Morris - Perspectives on Innovations in Oral Health CareR. Gary Rozier - Community Dental Health Coordinators: Cultural “Connectors” for Oral HealthJane Grover - A Commentary on Pediatric Oral Health in North CarolinaKern E. EasonKelly L. CloseMark W. CaseyMarian F. Earls - Highlights of North Carolina Oral Health Section's 2015-2016 Kindergarten Assessment DataKevin J. Buchholtz - Why an Equity Lens is Essential for Achieving Oral Health for All: Exploring Collaboration as a Path to Systems ChangeEun Young OhM. Zulayka Santiago - A New Way to Measure Geographic Access to Dentists in North CarolinaMarko Vujicic - Silver Diamine Fluoride: Changing the Caries Management Paradigm and Potential Societal ImpactJohn Timothy WrightAlex White - The Journey to Improving Access to Dental Services for Individuals in Assisted Living Facilities Across North CarolinaJennifer K. Romaszewski - Integrating Oral Health Care Services Within MedicareMark E. Moss - Integrating Oral Health and Primary Care in the Changing Health Care LandscapeKathryn A. AtchisonJane A. Weintraub - Connecting Oral and Physical Health via the Health Information ExchangeChristie Burris - The Critical Role Youth Play in Addressing Oral Health InequitiesCaroline Le - Running the Numbers: Oral Health Trends from the North Carolina Behavioral Risk Factor Surveillance System, 2012–2016Eleanor E. Howell - Philanthropy Profile: Working Together for Oral Health in the CarolinasKatie EyesStacy E. Warren - NCIOM Issue Brief: Metrics to Drive Improvements in Health October 2017North Carolina Institute of Medicine - The Danger of Carbon Monoxide Poisoning Associated with Hookah Use: An Emergency Physician's PerspectiveJudith Borger Medicine, North Carolina Institute of. 2017. “NCIOM Issue Brief: Metrics to Drive Improvements in Health October 2017.” North Carolina Medical Journal 78 (6): 419–23. https://doi.org/10.18043/ncm.78.6.419.

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Condition tags

endometriosis

MeSH descriptors

Delivery of Health Care Delivery of Health Care Delivery of Health Care Delivery of Health Care Medicaid Quality of Health Care Quality of Health Care Academies and Institutes Health Services Accessibility Humans North Carolina Poverty Quality Improvement Quality of Health Care United States

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