European Society of Gynaecological Oncology quality indicators for the surgical treatment of endometrial carcinoma

被引:23
|
作者
Concin, Nicole [1 ,2 ]
Planchamp, Francois [3 ]
Abu-Rustum, Nadeem R. [4 ]
Ataseven, Beyhan [2 ,5 ]
Cibula, David [6 ]
Fagotti, Anna [7 ]
Fotopoulou, Christina [8 ]
Knapp, Pawel [9 ]
Marth, Christian [10 ]
Morice, Philippe [11 ]
Querleu, Denis [7 ,12 ]
Sehouli, Jalid [13 ,14 ,15 ,16 ]
Stepanyan, Artem [17 ]
Taskiran, Cagatay [18 ,19 ]
Vergote, Ignace [20 ]
Wimberger, Pauline [21 ,22 ,23 ,24 ,25 ,26 ]
Zapardiel, Ignacio [27 ]
Persson, Jan [28 ,29 ]
机构
[1] Innsbruck Med Univ, Dept Gynecol & Obstet, Innsbruck, Austria
[2] Evangel Kliniken Essen Mitte, Dept Gynecol & Gynecol Oncol, Essen, Germany
[3] Inst Bergonie, Clin Res Unit, Bordeaux, France
[4] Mem Sloann Kettering Canc Ctr, Dept Obstet & Gynecol, New York, NY USA
[5] Univ Hosp Munich LMU, Dept Obstet & Gynaecol, Munich, Germany
[6] Charles Univ Prague, Gen Univ Hosp Prague, Fac Med 1, Dept Obstet & Gynecol, Prague, Czech Republic
[7] Fdn Policlin Univ Agostino Gemelli IRCCS, Div Gynecol Oncol, Rome, Italy
[8] Imperial Coll London, Dept Gynaecol Oncol, Fac Med, London, England
[9] Med Univ Bialystok, Univ Oncol Ctr Bialystok, Dept Gynaecol & Gynaecol Oncol, Bialystok, Poland
[10] Innsbruck Med Univ, Dept Obstet & Gynecol, Innsbruck, Austria
[11] Inst Gustave Roussy, Dept Surg, Villejuif, France
[12] Univ Hosp Strasbourg, Dept Obstet & Gynecol Oncol, Strasbourg, France
[13] Charite Univ Med Berlin, Dept Gynecol, Ctr Oncol Surg, Campus Virchow Klinikum, Berlin, Germany
[14] Free Univ Berlin, Berlin, Germany
[15] Humboldt Univ, Berlin, Germany
[16] Berlin Inst Hlth, Berlin, Germany
[17] Nairi Med Ctr, Dept Gynecol Oncol, Yerevan, Armenia
[18] Koc Univ, Dept Obstet & Gynecol, Sch Med, Ankara, Turkey
[19] VKV Amer Hosp, Dept Gynecol Oncol, Istanbul, Turkey
[20] Katholieke Univ Leuven, Leuven Canc Inst, Dept Gynecol & Obstet, Gynecol Oncol, Leuven, Belgium
[21] Tech Univ Dresden, Dept Gynecol & Obstet, Dresden, Germany
[22] Natl Ctr Tumor Dis NCT UCC, Dresden, Germany
[23] German Canc Res Ctr, Heidelberg, Germany
[24] Tech Univ Dresden, Fac Med, Dresden, Germany
[25] Tech Univ Dresden, Univ Hosp Carl Gustav Carus, Dresden, Germany
[26] Helmholtz Zentrum Dresden Rossendorf HZDR, Dresden, Germany
[27] La Paz Univ Hosp IdiPAZ, Gynecol Oncol Unit, Madrid, Spain
[28] Skane Univ Hosp, Dept Obstet & Gynecol, Lund, Sweden
[29] Lund Univ, Fac Med, Clin Sci, Lund, Sweden
关键词
endometrial neoplasms; surgical oncology; LONG-TERM SURVIVAL; SYNOPTIC OPERATIVE REPORT; LYMPH-NODE BIOPSY; MINIMALLY-INVASIVE SURGERY; HOSPITAL PROCEDURE VOLUME; DEEP MYOMETRIAL INVASION; CELL LUNG-CANCER; WEIGHTED MAGNETIC-RESONANCE; ASSISTED LAPAROSCOPIC HYSTERECTOMY; INTRAOPERATIVE FROZEN-SECTION;
D O I
10.1136/ijgc-2021-003178
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Background Quality of surgical care as a crucial component of a comprehensive multi-disciplinary management improves outcomes in patients with endometrial carcinoma, notably helping to avoid suboptimal surgical treatment. Quality indicators (QIs) enable healthcare professionals to measure their clinical management with regard to ideal standards of care. Objective In order to complete its set of QIs for the surgical management of gynecological cancers, the European Society of Gynaecological Oncology (ESGO) initiated the development of QIs for the surgical treatment of endometrial carcinoma. Methods QIs were based on scientific evidence and/or expert consensus. The development process included a systematic literature search for the identification of potential QIs and documentation of the scientific evidence, two consensus meetings of a group of international experts, an internal validation process, and external review by a large international panel of clinicians and patient representatives. QIs were defined using a structured format comprising metrics specifications, and targets. A scoring system was then developed to ensure applicability and feasibility of a future ESGO accreditation process based on these QIs for endometrial carcinoma surgery and support any institutional or governmental quality assurance programs. Results Twenty-nine structural, process and outcome indicators were defined. QIs 1-5 are general indicators related to center case load, training, experience of the surgeon, structured multi-disciplinarity of the team and active participation in clinical research. QIs 6 and 7 are related to the adequate pre-operative investigations. QIs 8-22 are related to peri-operative standards of care. QI 23 is related to molecular markers for endometrial carcinoma diagnosis and as determinants for treatment decisions. QI 24 addresses the compliance of management of patients after primary surgical treatment with the standards of care. QIs 25-29 highlight the need for a systematic assessment of surgical morbidity and oncologic outcome as well as standardized and comprehensive documentation of surgical and pathological elements. Each QI was associated with a score. An assessment form including a scoring system was built as basis for ESGO accreditation of centers for endometrial cancer surgery.
引用
收藏
页码:1508 / 1529
页数:22
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