Journal
EJSO
Volume 47, Issue 2, Pages 360-366Publisher
ELSEVIER SCI LTD
DOI: 10.1016/j.ejso.2020.08.003
Keywords
Ovarian cancer; Quality assurance; Quality of treatment
Funding
- French National Institute of Oncology (National Program for Hospital Clinical Research 2017, INCA)
- Regional Intervention Fund
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The study aimed to evaluate the quality of ovarian cancer patient management in regional centers authorized for gynecological cancer, finding insufficient compliance with quality indicators and heterogeneous practices among the evaluated centers.
Objectives: In 2016, the European Society of Gynecology Oncology (ESGO) published indicators defining the quality of surgical management of advanced ovarian cancer. The objective of the study was to assess the quality of ovarian cancer patient management in regional centers authorized for gynecological cancer, based on the ESGO list of quality indicators. Methods: A multicenter retrospective observational cohort study was conducted from January 1 to June 30, 2016. The following quality indicators 1 rate of complete surgical resection, 4 center participating in clinical trials in gynecologic oncology, 5 treatment planned and reviewed at a multidisciplinary team meeting, 6 required preoperative workup, 8 minimum required elements in operative reports and 9 minimum required elements in pathology reports were selected. Results: 91 patients were evaluated in 16 centers. The required preoperative workup was incomplete in 25% of cases. Treatment was not planned at a multidisciplinary team meeting for 24%. An evaluation score of peritoneal involvement was included in 40% of the operative reports and the quality of surgical resection was reported in 72%. Primary surgery was most often performed in a peripheral hospital (48%), interval surgery in a private center (37%), and closure surgery in a regional cancer center (43%). No institution respected the six quality indicators evaluated. One regional cancer center respected five items and two private centers did not respect any. Conclusion: Whilst the ESGO quality indicators provide objective, validated and evaluable support which centers can use to improve quality of care, we observed heterogeneous practices amongst the centers evaluated. (C) 2020 Published by Elsevier Ltd.
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