دورية أكاديمية
SUCCOR quality: validation of ESGO quality indicators for surgical treatment of cervical cancer.
| العنوان: | SUCCOR quality: validation of ESGO quality indicators for surgical treatment of cervical cancer. |
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| المؤلفون: | Boria, Felix, Chiva, Luis, Chacon, Enrique, Zanagnolo, Vanna, Fagotti, Anna, Kucukmetin, Ali, Mom, Constantijne, Chakalova, Galina, Shamistan, Aliyev, Malzoni, Mario, Narducci, Fabrice, Arencibia, Octavio, Raspagliesi, Francesco, Toptas, Tayfun, Cibula, David, Kaidarova, Dilyara, Meydanli, Mehmet Mutlu, Tavares, Mariana, Golub, Dmytro, Perrone, Anna Myriam, Poka, Robert, Zusterzeel, Petra L M, Aluloski, Igor, Goffin, Frédéric, Haidopoulos, Dimitrios, Haller, Herman, Jach, Robert, Yezhova, Iryna, Bernardino, Margarida, Bharathan, Rasiah, Maenpaa, Minna M, Sukhin, Vladyslav, Feron, Jean-Guillaume, Fruscio, Robert, Kukk, Kersti, Ponce, Jordi, Demirkiran, Fuat, Vorgias, George, Povolotskaya, Natalia, Coronado Martín, Pluvio J, Marina, Tiermes, Zapardiel, Ignacio, Bizzarri, Nicolò, Gorostidi, Mikel, Gutierrez, Monica, Manzour, Nabil, Berasaluce, Arantxa, Martin-Calvo, Nerea, SUCCOR study Group |
| المصدر: | International Journal of Gynecological Cancer, 32 (10), 1236 - 1243 (2022-10-03) |
| بيانات النشر: | BMJ Publishing Group |
| سنة النشر: | 2022 |
| المجموعة: | University of Liège: ORBi (Open Repository and Bibliography) |
| مصطلحات موضوعية: | cervical cancer, gynecologic surgical procedures, hysterectomy, Humans, Female, Quality Indicators, Health Care, Retrospective Studies, Neoplasm Staging, Neoplasm Recurrence, Local/surgery, Uterine Cervical Neoplasms/pathology, Local, Uterine Cervical Neoplasms, Oncology, Obstetrics and Gynecology, Human health sciences, Sciences de la santé humaine, Oncologie |
| الوصف: | peer reviewed ; [en] 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: ... |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| تدمد: | 1048-891X 1525-1438 |
| العلاقة: | urn:issn:1048-891X; urn:issn:1525-1438; https://orbi.uliege.be/handle/2268/309144Test; info:hdl:2268/309144; https://orbi.uliege.be/bitstream/2268/309144/1/2022-IJGC-Succor%20Quality.pdfTest; scopus-id:2-s2.0-85141660997; info:pmid:36583728 |
| DOI: | 10.1136/ijgc-2022-003790 |
| الإتاحة: | https://doi.org/10.1136/ijgc-2022-003790Test https://orbi.uliege.be/handle/2268/309144Test https://orbi.uliege.be/bitstream/2268/309144/1/2022-IJGC-Succor%20Quality.pdfTest |
| حقوق: | open access ; http://purl.org/coar/access_right/c_abf2Test ; info:eu-repo/semantics/openAccess |
| رقم الانضمام: | edsbas.39D28089 |
| قاعدة البيانات: | BASE |
| تدمد: | 1048891X 15251438 |
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| DOI: | 10.1136/ijgc-2022-003790 |