Advanced

Ovarian cancer surgery - A population-based registry study

Leandersson, Pia LU ; Granåsen, Gabriel and Borgfeldt, Christer LU (2017) In Anticancer Research 37(4). p.1837-1845
Abstract

Background/Aim: To evaluate ovarian cancer surgery in tertiary centers (TC) and regional hospitals (RH). Patients and Methods: Data from the GynOp registry on patients undergoing surgery for ovarian cancer or borderline tumor from 2013 to 2015 were analyzed. Results: Four TC and 21 RH reported 1, 108 cases of surgery with curative intent, 770 cases (69.5%) in TC and 338 cases (30.5%) in RH. Out of 458 patients with International Federation of Gynecology and Obstetrics (FIGO) stage IIIC-IV disease 396 (86.5%) had surgery in TC. We found differences in selection for primary debulking surgery (PDS) (45% to 93%, p<0.001) and PDS achieving no residual tumor (36% to 70%, p<0.001) between the four TC. Major complications, re-admissions... (More)

Background/Aim: To evaluate ovarian cancer surgery in tertiary centers (TC) and regional hospitals (RH). Patients and Methods: Data from the GynOp registry on patients undergoing surgery for ovarian cancer or borderline tumor from 2013 to 2015 were analyzed. Results: Four TC and 21 RH reported 1, 108 cases of surgery with curative intent, 770 cases (69.5%) in TC and 338 cases (30.5%) in RH. Out of 458 patients with International Federation of Gynecology and Obstetrics (FIGO) stage IIIC-IV disease 396 (86.5%) had surgery in TC. We found differences in selection for primary debulking surgery (PDS) (45% to 93%, p<0.001) and PDS achieving no residual tumor (36% to 70%, p<0.001) between the four TC. Major complications, re-admissions and re-operation rates did not differ between TC and RH. Conclusion: Tertiary centers perform more extensive surgery compared to regional hospitals without increased frequency of major complications. Tertiary centers display significant differences among patient selection for PDS, as well as achieving no residual tumor.

(Less)
Please use this url to cite or link to this publication:
author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Cancer, Complication, Ovarian, Population, Registry, Surgery
in
Anticancer Research
volume
37
issue
4
pages
9 pages
publisher
International Institute of Cancer Research
external identifiers
  • scopus:85017408317
  • wos:000402167700037
ISSN
0250-7005
DOI
10.21873/anticanres.11519
language
English
LU publication?
yes
id
dae939eb-8822-41ad-975a-e9ee332882b2
date added to LUP
2017-05-23 10:19:40
date last changed
2017-09-18 11:36:49
@article{dae939eb-8822-41ad-975a-e9ee332882b2,
  abstract     = {<p>Background/Aim: To evaluate ovarian cancer surgery in tertiary centers (TC) and regional hospitals (RH). Patients and Methods: Data from the GynOp registry on patients undergoing surgery for ovarian cancer or borderline tumor from 2013 to 2015 were analyzed. Results: Four TC and 21 RH reported 1, 108 cases of surgery with curative intent, 770 cases (69.5%) in TC and 338 cases (30.5%) in RH. Out of 458 patients with International Federation of Gynecology and Obstetrics (FIGO) stage IIIC-IV disease 396 (86.5%) had surgery in TC. We found differences in selection for primary debulking surgery (PDS) (45% to 93%, p&lt;0.001) and PDS achieving no residual tumor (36% to 70%, p&lt;0.001) between the four TC. Major complications, re-admissions and re-operation rates did not differ between TC and RH. Conclusion: Tertiary centers perform more extensive surgery compared to regional hospitals without increased frequency of major complications. Tertiary centers display significant differences among patient selection for PDS, as well as achieving no residual tumor.</p>},
  author       = {Leandersson, Pia and Granåsen, Gabriel and Borgfeldt, Christer},
  issn         = {0250-7005},
  keyword      = {Cancer,Complication,Ovarian,Population,Registry,Surgery},
  language     = {eng},
  month        = {04},
  number       = {4},
  pages        = {1837--1845},
  publisher    = {International Institute of Cancer Research},
  series       = {Anticancer Research},
  title        = {Ovarian cancer surgery - A population-based registry study},
  url          = {http://dx.doi.org/10.21873/anticanres.11519},
  volume       = {37},
  year         = {2017},
}