1. Variation in gynecological oncology follow-up practice: attributable to cancer centers or to patient characteristics? A Piedmont Regional Oncology Network Study.
- Author
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Fuso L, Evangelista A, Pagano E, Piovano E, Perotto S, Mazzola S, Bertoldo E, La Porta MR, Rosmino C, Furbatto G, Abate S, Di Costanzo G, Trossarelli G, Baù MG, Carnino F, Gambaro G, Piantanida P, Alabiso O, Galletto L, Zavallone L, Rossi A, Barbero M, Tessa M, Katsaros D, Danese S, Brignolo P, Gorzegno G, Grillo R, Apolone G, and Ciccone G
- Subjects
- Aged, Cancer Care Facilities standards, Diagnostic Techniques, Obstetrical and Gynecological economics, Diagnostic Techniques, Obstetrical and Gynecological standards, Endometrial Neoplasms, Female, Genital Neoplasms, Female economics, Genital Neoplasms, Female epidemiology, Genital Neoplasms, Female pathology, Health Care Costs, Humans, Italy epidemiology, Medical Records, Middle Aged, Multivariate Analysis, Neoplasm Staging, Ovarian Neoplasms prevention & control, Practice Patterns, Physicians' economics, Practice Patterns, Physicians' standards, Prescriptions economics, Prescriptions standards, Randomized Controlled Trials as Topic, Retrospective Studies, Uterine Cervical Neoplasms prevention & control, Cancer Care Facilities statistics & numerical data, Diagnostic Techniques, Obstetrical and Gynecological statistics & numerical data, Early Detection of Cancer economics, Genital Neoplasms, Female prevention & control, Neoplasm Recurrence, Local prevention & control, Practice Patterns, Physicians' statistics & numerical data, Prescriptions statistics & numerical data
- Abstract
Aims and Background: Although guidelines recommend minimalist follow-up, there is wide variability in gynecological oncology practice. The aims of this study were to describe between-center differences in the follow-up of endometrial, ovarian, and uterine cervical cancer; to identify the determinants of test prescription; to estimate the related costs; and to assess the weight of center habits and patient characteristics as sources of unexplained variability., Methods and Study Design: The medical records of patients treated between August 2004 and July 2005 for gynecological malignancies and followed up for the detection of recurrent disease were retrospectively collected from 29 centers of the Piedmont Oncology Network. Multivariate multilevel analyses were performed to study the determinants of test prescription and costs., Results: Analyses were performed on 351 patients (median follow-up: 578 days). The unexplained variability in computed tomography prescriptions (26%), ultrasound prescriptions (17%), and total cost of follow-up (15%) can be attributed to center habits, independenty of the clinical characteristics of the patients., Conclusions: Much of the unexplained variability in the follow-up for gynecological malignancies is attributable to different habits of centers belonging to a cancer network. These results prompted us to design a multicenter randomized controlled trial to compare minimalist versus intensive follow-up programs in endometrial cancer.
- Published
- 2011
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