European Society of Gynaecological Oncology quality indicators for surgical treatment of cervical cancer.


Journal

International journal of gynecological cancer : official journal of the International Gynecological Cancer Society
ISSN: 1525-1438
Titre abrégé: Int J Gynecol Cancer
Pays: England
ID NLM: 9111626

Informations de publication

Date de publication:
01 2020
Historique:
received: 30 08 2019
revised: 17 10 2019
accepted: 22 10 2019
entrez: 5 1 2020
pubmed: 5 1 2020
medline: 30 4 2020
Statut: ppublish

Résumé

Optimizing and ensuring the quality of surgical care is essential to improve the management and outcome of patients with cervical cancer.To develop a list of quality indicators for surgical treatment of cervical cancer that can be used to audit and improve clinical practice. Quality indicators were developed using a four-step evaluation process that included a systematic literature search to identify potential quality indicators, in-person meetings of an ad hoc group of international experts, an internal validation process, and external review by a large panel of European clinicians and patient representatives. Fifteen structural, process, and outcome indicators were selected. Using a structured format, each quality indicator has a description specifying what the indicator is measuring. Measurability specifications are also detailed to define how the indicator will be measured in practice. Each indicator has a target which gives practitioners and health administrators a quantitative basis for improving care and organizational processes. Implementation of institutional quality assurance programs can improve quality of care, even in high-volume centers. This set of quality indicators from the European Society of Gynaecological Cancer may be a major instrument to improve the quality of surgical treatment of cervical cancer.

Sections du résumé

BACKGROUND
Optimizing and ensuring the quality of surgical care is essential to improve the management and outcome of patients with cervical cancer.To develop a list of quality indicators for surgical treatment of cervical cancer that can be used to audit and improve clinical practice.
METHODS
Quality indicators were developed using a four-step evaluation process that included a systematic literature search to identify potential quality indicators, in-person meetings of an ad hoc group of international experts, an internal validation process, and external review by a large panel of European clinicians and patient representatives.
RESULTS
Fifteen structural, process, and outcome indicators were selected. Using a structured format, each quality indicator has a description specifying what the indicator is measuring. Measurability specifications are also detailed to define how the indicator will be measured in practice. Each indicator has a target which gives practitioners and health administrators a quantitative basis for improving care and organizational processes.
DISCUSSION
Implementation of institutional quality assurance programs can improve quality of care, even in high-volume centers. This set of quality indicators from the European Society of Gynaecological Cancer may be a major instrument to improve the quality of surgical treatment of cervical cancer.

Identifiants

pubmed: 31900285
pii: ijgc-2019-000878
doi: 10.1136/ijgc-2019-000878
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

3-14

Commentaires et corrections

Type : CommentIn

Informations de copyright

© IGCS and ESGO 2020. Re-use permitted under CC BY-NC. No commercial re-use. Published by BMJ.

Déclaration de conflit d'intérêts

Competing interests: DC has reported advisory roles for AstraZeneca, Roche, and Sotio; FR has reported activities for Roche, AstraZeneca, and Tesaro; IV has reported advisory boards for Advaxis, Inc, Eisai Inc, MSD Belgium, Roche NV, Genmab, F Hoffmann-La Roche Ltd, PharmaMar, Millenium Pharmaceuticals, Clovis Oncology Inc, AstraZeneca NV, Tesaro, Oncoinvent AS, Immunogen Inc, Sotio, contracted research (via KU Leuven) with Oncoinvent AS, Genmab, research grants from Amgen, Roche, Stichting tegen Kanker, accommodations and/or travel expenses from Takeda Oncology, PharmaMar, Genmab, Roche, AstraZeneca and Tesaro; DF, CF, CK, FL, PM, RN, FP, JP, DQ, AR, KT, CT, PW, and AGZE have reported no conflicts of interest.

Auteurs

David Cibula (D)

Gynecologic Oncology Center First Faculty of Medicine, Charles University and General University Hospital, Prague, Czech Republic d_cibula@yahoo.com.

François Planchamp (F)

Clinical Research Unit, Institut Bergonie, Bordeaux, France.

Daniela Fischerova (D)

Gynecologic Oncology Center First Faculty of Medicine, Charles University and General University Hospital, Prague, Czech Republic.

Christina Fotopoulou (C)

Department of Gynaecologic Oncology, Imperial College London Faculty of Medicine, London, UK.

Christhardt Kohler (C)

Asklepios Hambourg Altona and Department of Gynecology, University of Cologne, Koln, Germany.

Fabio Landoni (F)

Gynaecology, Universita degli Studi di Milano-Bicocca, Monza, Italy.

Patrice Mathevet (P)

Centre Hospitalier Universitaire Vaudois Departement de gynecologie-obstetrique et genetique medicale, Lausanne, Switzerland.

Raj Naik (R)

Northern Gynaecological Oncology Centre, Queen Elizabeth Hospital, Gateshead, UK.

Jordi Ponce (J)

University Hospital of Bellvitge (IDIBELL), LHospitalet de Llobregat, Spain.

Francesco Raspagliesi (F)

Gynecologic Oncology, Isituto Tumori Milano, Milan, Italy.

Alexandros Rodolakis (A)

1st Department of Obstetrics and Gynecology, National and Kapodistrian University of Athens, Athinon, Greece.

Karl Tamussino (K)

Medical University of Graz, Graz, Austria.

Cagatay Taskiran (C)

Department of Obstetrics and Gynecology; Division of Gynecologic Oncology, Gazi University, Ankara, Turkey.

Ignace Vergote (I)

Department of Oncology, Laboratory of Tumor Immunology and Immunotherapy, ImmunOvar Research Group, Katholieke Universiteit Leuven, Leuven, Belgium.

Pauline Wimberger (P)

Department of Gynecology and Obstetrics, Technische Universitat Dresden Medizinische Fakultat Carl Gustav Carus, Dresden, Germany.

Ane Gerda Zahl Eriksson (AG)

Department of Gynecologic Oncology, Universitetet i Oslo, Oslo, Norway.

Denis Querleu (D)

Clinical Research Unit, Institut Bergonie, Bordeaux, France.

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Classifications MeSH