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24; 95% CI 1.22-1.27, p 0.001) (1-, 3-, and 5-year overall survival rates (R0 77%, 37%, and 25% vs R1 62%, 19%, and 10%). A positive margin predicts a poorer survival than R0 resections regardless of stage and receipt of adjuvant therapy. Several modifiable factors significantly predict the likelihood of R0 resection including neoadjuvant treatment and treatment at Academic/Research Programs. Knowledge about these factors can help guide patient management by offering neoadjuvant treatment modalities at Academic as well as Community