Department of Surgical Oncology, Institut Cancérologie de L'Ouest, Nantes, Saint Herblain, France.
Department of Surgical Oncology, Institut Cancérologie de L'Ouest, Nantes, Saint Herblain, France.
Eur J Surg Oncol. 2021 Feb;47(2):360-366. doi: 10.1016/j.ejso.2020.08.003. Epub 2020 Aug 11.
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.
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.
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.
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.
2016 年，欧洲妇科肿瘤学会（ESGO）发布了定义高级卵巢癌手术管理质量的指标。本研究的目的是根据 ESGO 质量指标清单，评估获得妇科癌症授权的区域中心对卵巢癌患者管理的质量。
这是一项多中心回顾性观察队列研究，于 2016 年 1 月 1 日至 6 月 30 日进行。选择了以下质量指标 1“完全手术切除率”、4“参与妇科肿瘤临床试验的中心”、5“在多学科团队会议上计划和审查治疗方案”、6“需要术前检查”、8“手术报告中必需的最低要素”和 9“病理报告中必需的最低要素”。
在 16 个中心评估了 91 名患者。25%的病例术前检查不完整，24%的病例未在多学科团队会议上计划治疗方案。40%的手术报告中包含腹膜侵犯评估评分，72%的报告中报告了手术切除质量。初次手术大多在周边医院（48%）进行，间隔手术在私立中心（37%）进行，关闭手术在区域癌症中心（43%）进行。没有一个机构符合所评估的 6 个质量指标。一个区域癌症中心符合五项指标，两个私立中心没有符合任何一项。
尽管 ESGO 质量指标提供了客观、经过验证和可评估的支持，中心可以利用这些支持来提高护理质量，但我们观察到评估中心之间的实践存在差异。
