Quality indicators for the management of epithelial ovarian cancer : - Short Report

37 p.ill.,KEY MESSAGES 1 -- SHORT REPORT 3 -- 1. BACKGROUND 6 -- 1.1. QUALITY IMPROVEMENT INITIATIVES IN ONCOLOGY 6 -- 1.2. EPIDEMIOLOGY OF OVARIAN CANCER 6 -- 1.3. SCOPE 6 -- 1.4. AIM OF THE STUDY 7 -- 2. DATA AND METHODS 7 -- 2.1. IDENTIFICATION AND SELECTION OF QUALITY INDICATORS 7 -- 2.2. DATA SELECTION AND LINKAGE OF DATABASES 7 -- 2.3. DEFINITION OF SURGERY BASED ON PATHOLOGY REPORTS 8 -- 2.4. CASE-MIX ADJUSTMENT 8 -- 2.5. STATISTICAL ANALYSES 8 -- 2.6. ASSIGNMENT OF PATIENTS TO A CENTRE 9 -- 2.7. VALIDATION STUDY AND SUBSEQUENT DATA CHECKS 9 -- 3. QUALITY OF CARE FOR PATIENTS WITH EPITHELIAL OVARIAN CANCER 10 -- 3.1. BASELINE DEMOGRAPHICS AND TUMOUR CHARACTERISTICS 10 -- 3.2. MAIN THERAPEUTIC PROCEDURES 11 -- 3.3. RESULTS FOR 15 QUALITY INDICATORS 12 -- 3.3.1. Diagnosis and staging 14 -- 3.3.2. Treatment 16 -- 3.3.3. Safety of care – 30-day complicated recovery and mortality after surgery 18 -- 3.3.4. Survival after the diagnosis of epithelial ovarian cancer 19 -- 3.4. ASSOCIATION BETWEEN HOSPITAL VOLUME AND OUTCOMES 21 -- 3.4.1. Dispersion of care 21 -- 3.4.2. Hospital main treatment volume 22 -- 3.4.3. Hospital surgical volume 23 -- 3.4.4. Discussion 24 -- 4. STRENGTHS AND LIMITATIONS 25 -- 5. CONCLUSIONS AND PERSPECTIVES FOR THE FUTURE 27 -- RECOMMENDATIONS 30 -- REFERENCES 3