SUCCOR quality: validation of ESGO quality indicators for surgical treatment of cervical cancer

被引：5

作者：

Boria, Felix ^{[1
]}

Chiva, Luis ^{[1
]}

Chacon, Enrique ^{[2
]}

Zanagnolo, Vanna ^{[3
]}

Fagotti, Anna ^{[4
,5
]}

Kucukmetin, Ali ^{[6
]}

Mom, Constantijne ^{[7
]}

Chakalova, Galina ^{[8
]}

Shamistan, Aliyev ^{[9
]}

Malzoni, Mario ^{[10
]}

Narducci, Fabrice ^{[11
]}

Arencibia, Octavio ^{[12
]}

Raspagliesi, Francesco ^{[13
]}

Toptas, Tayfun ^{[14
]}

Cibula, David ^{[15
]}

Kaidarova, Dilyara ^{[16
]}

Meydanli, Mehmet Mutlu ^{[17
]}

Tavares, Mariana ^{[18
]}

Golub, Dmytro ^{[19
]}

Perrone, Anna Myriam ^{[20
]}

Poka, Robert ^{[21
]}

Zusterzeel, Petra L. M. ^{[22
]}

Aluloski, Igor ^{[23
]}

Goffin, Frederic ^{[24
]}

Haidopoulos, Dimitrios ^{[25
]}

Haller, Herman ^{[26
]}

Jach, Robert ^{[27
]}

Yezhova, Iryna ^{[28
]}

Bernardino, Margarida ^{[29
]}

Bharathan, Rasiah ^{[30
]}

Maenpaa, Minna M. ^{[31
]}

Sukhin, Vladyslav ^{[32
,33
]}

Feron, Jean-Guillaume ^{[34
]}

Fruscio, Robert ^{[35
,36
]}

Kukk, Kersti ^{[37
]}

Ponce, Jordi ^{[38
]}

Demirkiran, Fuat ^{[39
]}

Vorgias, George ^{[40
]}

Povolotskaya, Natalia ^{[41
]}

Coronado Martin, Pluvio J. ^{[42
]}

Marina, Tiermes ^{[43
]}

Zapardiel, Ignacio ^{[44
]}

Bizzarri, Nicolo ^{[45
]}

Gorostidi, Mikel ^{[46
]}

Gutierrez, Monica ^{[1
]}

Manzour, Nabil ^{[2
]}

Berasaluce, Arantxa ^{[47
]}

机构：

[1] Clin Univ Navarra, Dept Obstet & Gynecol, Madrid, Spain

[2] Univ Navarra, Dept Gynecol Oncol, Navarra, Spain

[3] Ist Europeo Oncol, Milan, Italy

[4] Fdn Policlin Univ Agostino Gemelli IRCCS, Agostino Gemelli IRCCS, Rome, Italy

[5] Univ Cattolica Sacro Cuore, Milan, Lombardia, Italy

[6] Queen Elizabeth Hosp, Gateshead, Gateshead, England

[7] Amsterdam Univ Med Ctr, Amsterdam, Noord Holland, Netherlands

[8] Univ Oncol Hosp, Sofia, Bulgaria

[9] Natl Ctr Oncol, Baku, Azerbaijan

[10] Ctr Adv Endoscop Gynecol Surg, Endoscop Malzoni, Avellino, Italy

[11] Ctr Oscar Lambret, Dept Gynecol, Lille, France

[12] Univ Maternal Hosp Canary Isl, Dept Gynecol, Las Palmas Gran Canaria, Las Palmas, Spain

[13] Fdn IRCCS Ist Nazl Tumori, Dept Surg, Milan, Italy

[14] Saglik Bilimleri Univ Antalya Res & Training Hosp, Dept Gynecol Oncol, Antalya, Turkey

[15] Univ Prague, Dept Obstet & Gynecol, Prague, Czech Republic

[16] Kazahskij Naucno Issledovatelskij Inst Onkol & Ra, Dept Oncogynecol, Alma Ata, Kazakhstan

[17] Zekai Tahir Burak Womens Hlth Educ & Res Hosp, Dept Gynecol Oncol, Ankara, Turkey

[18] IPO PORTO, Porto, Portugal

[19] LISOD Israeli Ontol Hosp, Dept Surg, Kyiv Region, Ukraine

[20] IRCCS Azienda Osped Univ Bologna Policlin S Orsol, Div Gynecol Oncol, Bologna, Italy

[21] Univ Debrecen, Fac Med, Unit Gynecol Oncol, Dept Obstet & Gynecol,Inst Obstet & Gynecol, Debrecen, Hungary

[22] Radboudumc, Dept Gynecol Oncol, Nijmegen, Netherlands

[23] Ss Cyril & Methodius Univ Skopje, Fac Med, Univ Clin Gynecol & Obstet, Dept Gynecol Oncol, Skopjeskopje, North Macedonia

[24] Univ Liege, Dept Obstet & Gynecol, Liege, Belgium

[25] Natl & Kapodistrian Univ Athens, Alexandra Hosp, Dept Obstet & Gynecol 1, Div Gynecol Oncol, Athens, Greece

[26] Clin Hosp Ctr Rijeka, Rijeka, Croatia

[27] Jagiellonian Univ, Dept Gynecol & Oncol, Krakow, Poland

[28] Lviv Oncol Ctr, Lvov, Ukraine

[29] Inst Portugues Oncol Lisboa, Dept Gynecol, Lisbon, Portugal

[30] Univ Hosp Leicester NHS Trust, Leicester, Leics, England

[31] Tampere Univ Hosp, Dept Obstet & Gynecol, Tampere, Finland

[32] Kharkov Natl Univ, Dept Oncol Radiol & Radiat Med, Harkiv, Ukraine

[33] NAMS Ukraine, Dept Oncogynecol, Grigoriev Inst Med Radiol, Harkiv, Ukraine

[34] Inst Curie, Paris, Ile De France, France

[35] Univ Milano Bicocca, Dept Med & Surg, Milan, Italy

[36] Hosp San Gerardo, Clin Obstet & Gynecol, Monza, Italy

[37] North Estonia Med Ctr, Tallinn, Estonia

[38] Bellvitge Univ Hosp, Lhospitalet De Llobregat, Catalunya, Spain

[39] Istanbul Univ, Cerrrahpasa Med Fac, Istanbul, Turkey

[40] Metaxa Canc Hosp Piraeus, Piraeus, Attika, Greece

[41] Portsmouth NHS Trust, Dept Gynaecol Oncol, Queen Alexandra Hosp, Portsmouth, Hants, England

[42] Univ Complutense Madrid, Hosp Clin San Carlos IdISSC, Dept Obstet & Gynecol, Madrid, Spain

[43] La Fe Univ & Polytech Hosp, Dept Gynecol Oncol, Valencia, Spain

[44] La Paz Univ Hosp, Dept Gynecol Oncol, Madrid, Spain

[45] Policlin Agostino Gemelli IRCCS, Dipartimento Salute Donna & Bambino & Salute Pubb, UOC Ginecol Oncol, Rome, Italy

[46] Hosp Univ Donostia, San Sebastian, Spain

[47] Clin Univ Navarra, Dept Prevent Med & Publ Hlth, Navarra, Spain

来源：

INTERNATIONAL JOURNAL OF GYNECOLOGICAL CANCER | 2022年 / 32卷 / 10期

关键词：

cervical cancer; gynecologic surgical procedures; hysterectomy; OVARIAN-CANCER; RADICAL HYSTERECTOMY; EUROPEAN-SOCIETY; GUIDELINES; ADHERENCE; IMPACT; SURVIVAL; OUTCOMES; SURGERY;

D O I：

10.1136/ijgc-2022-003790

中图分类号：

R73 [肿瘤学];

学科分类号：

100214 ;

摘要：

Objective To evaluate whether compliance with European Society of Gynaecological Oncology (ESGO) surgery quality indicators impacts disease-free survival in patients undergoing radical hysterectomy for cervical cancer. Methods In this retrospective cohort study, 15 ESGO quality indicators were assessed in the SUCCOR database (patients who underwent radical hysterectomy for International Federation of Gynecology and Obstetrics (FIGO) stage 2009 IB1, FIGO 2018 IB1, and IB2 cervical cancer between January 2013 and December 2014), and the final score ranged between 0 and 16 points. Centers with more than 13 points were classified as high-quality indicator compliance centers. We constructed a weighted cohort using inverse probability weighting to adjust for the variables. We compared disease-free survival and overall survival using Cox proportional hazards regression analysis in the weighted cohort. Results A total of 838 patients were included in the study. The mean number of quality indicators compliance in this cohort was 13.6 (SD 1.45). A total of 479 (57.2%) patients were operated on at high compliance centers and 359 (42.8%) patients at low compliance centers. High compliance centers performed more open surgeries (58.4% vs 36.7%, p<0.01). Women who were operated on at centers with high compliance with quality indicators had a significantly lower risk of relapse (HR=0.39; 95% CI 0.25 to 0.61; p<0.001). The association was reduced, but remained significant, after further adjustment for conization, surgical approach, and use of manipulator surgery (HR=0.48; 95% CI 0.30 to 0.75; p=0.001) and adjustment for adjuvant therapy (HR=0.47; 95% CI 0.30 to 0.74; p=0.001). Risk of death from disease was significantly lower in women operated on at centers with high adherence to quality indicators (HR=0.43; 95% CI 0.19 to 0.97; p=0.041). However, the association was not significant after adjustment for conization, surgical approach, use of manipulator surgery, and adjuvant therapy. Conclusions Patients with early cervical cancer who underwent radical hysterectomy in centers with high compliance with ESGO quality indicators had a lower risk of recurrence and death.

引用

页码：1236 / 1243

页数：8

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