1. Guideline adherence in ovarian cancer for surgical staging in the Netherlands
- Author
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Tewarie, N.M.S.B., Ham, M. van, Wouters, M., Kruitwagen, R., Driel, W. van, Dutch Gynecological Oncology Colla, Surgery, MUMC+: MA Obstetrie Gynaecologie (3), MUMC+: Vrouw Moeder en Kind Centrum (3), Obstetrie & Gynaecologie, MUMC+: MA Arts Assistenten Obstetrie Gynaecologie (6), and RS: GROW - R2 - Basic and Translational Cancer Biology
- Subjects
Surgical Oncology ,SDG 3 - Good Health and Well-being ,Oncology ,Obstetrics and Gynecology ,Women's cancers Radboud Institute for Health Sciences [Radboudumc 17] ,Ovarian Cancer - Abstract
ObjectivePrevious studies have shown low adherence to surgical staging guidelines in patients with clinical early-stage ovarian carcinoma. The aim of this study was to identify guideline adherence for surgical staging and to show the distribution of each surgical item within the study population. In addition, we examined whether regional variation in the Netherlands exists for complete surgical staging.MethodsPatients with ovarian cancer and surgical staging registered in the Dutch Gynecological Oncology Audit between January 1, 2015 and December 31, 2019 in the Netherlands were included. Complete surgical staging was defined according to the Dutch evidence-based guideline. Surgical items were ranked and illustrated. Variation in complete surgical staging for eight regional cancer networks was shown in funnel plots. Manual validation of registered data was performed in three gynecological oncology centers.Results604 patients underwent surgical staging, 365 (60%) underwent an incomplete staging procedure, 295 (81%) were registered with early-stage disease (International Federation of Gynecology and Obstetrics I–IIA) and, of these patients, 115 (39%) received adjuvant chemotherapy. Patients with incomplete surgical staging were operated more often with minimal invasive techniques (laparoscopy or robot) compared with patients in the complete staging group (pConclusionGuideline adherence for staging was lower than expected and validation of data gave additional insights into the reasons that were contributing to incomplete surgical staging. Moreover, this analysis showed that regional variation for surgical staging exists, which forms a starting point to improve and harmonize staging procedures for these patients nationwide.
- Published
- 2022