European Society of Gynaecological Oncology quality indicators for the surgical treatment of endometrial carcinoma
(2021) In International journal of gynecological cancer : official journal of the International Gynecological Cancer Society 31(12). p.1508-1529- Abstract
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... (More)
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.
(Less)
- author
- organization
- publishing date
- 2021-12
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- endometrial neoplasms, surgical oncology
- in
- International journal of gynecological cancer : official journal of the International Gynecological Cancer Society
- volume
- 31
- issue
- 12
- pages
- 22 pages
- publisher
- BMJ Publishing Group
- external identifiers
-
- scopus:85122546461
- pmid:34795020
- ISSN
- 1048-891X
- DOI
- 10.1136/ijgc-2021-003178
- language
- English
- LU publication?
- yes
- id
- 8c5e5594-4dc1-4e68-b126-7a1b70ab3673
- date added to LUP
- 2022-03-11 15:03:44
- date last changed
- 2024-06-15 09:26:27
@article{8c5e5594-4dc1-4e68-b126-7a1b70ab3673,
abstract = {{<p>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.</p>}},
author = {{Concin, Nicole and Planchamp, François and Abu-Rustum, Nadeem R. and Ataseven, Beyhan and Cibula, David and Fagotti, Anna and Fotopoulou, Christina and Knapp, Pawel and Marth, Christian and Morice, Philippe and Querleu, Denis and Sehouli, Jalid and Stepanyan, Artem and Taskiran, Cagatay and Vergote, Ignace and Wimberger, Pauline and Zapardiel, Ignacio and Persson, Jan}},
issn = {{1048-891X}},
keywords = {{endometrial neoplasms; surgical oncology}},
language = {{eng}},
number = {{12}},
pages = {{1508--1529}},
publisher = {{BMJ Publishing Group}},
series = {{International journal of gynecological cancer : official journal of the International Gynecological Cancer Society}},
title = {{European Society of Gynaecological Oncology quality indicators for the surgical treatment of endometrial carcinoma}},
url = {{http://dx.doi.org/10.1136/ijgc-2021-003178}},
doi = {{10.1136/ijgc-2021-003178}},
volume = {{31}},
year = {{2021}},
}