Background: Epithelial ovarian cancer (EOC) is the most lethal gynecological cancer. Several hospitals throughout the region provide primary treatment for these patients and it is well know that treatment quality is correlated to the hospital that delivers. The aim of this study was to investigate the management and treatment of EOC in a Region of the North Italy (Emilia-Romagna, Italy). Methods. A multidisciplinary group made up of 11 physicians and 3 biostatisticians was formed in 2009 to perform clinical audits in order to identify quality indicators and to develop Region-wide workup in accordance with the principles of evidence-based medicine (EBM). The rationale was that, by setting up an oncogynecology network so as to achieve the best clinical practice, critical points would decrease or even be eliminated. Analysis of cases was based on the review of the medical records. Results: 614 EOC patients treated between 2007 and 2008 were identified. We found only 2 high-volume hospitals (≥ 21 patients/year), 3 medium-volume hospitals (11-20 operated patients/year), and 7 low-volume hospitals (≤ 10 operated patients /year). Only 222 patients (76.3%) had a histological diagnosis, FIGO surgical staging was reported only in 206 patients (70.9%) but not all standard surgical procedures were always performed, residual disease were not reported in all patients. No standard number of neoadjuvant chemotherapy cycles was observed. Conclusions: The differences in terms of treatments provided led the multidisciplinary group to identify reference centers, to promote centralization, to ensure uniform and adequate treatment to patients treated in regional centers and to promote a new audit involving all regional hospitals to a complete review of the all the EOC patients. © 2013 Mandato et al.; licensee BioMed Central Ltd.

Clinical governance network for clinical audit to improve quality in epithelial ovarian cancer management / Mandato, Vincenzo Dario; Abrate, Martino; De Iaco, Pierandrea; Pirillo, Debora; Ciarlini, Gino; Leoni, Maurizio; Comerci, Giuseppe; Ventura, Alessandro; Lenzi, Bruno; Amadori, Andrea; Rosati, Federica; Martinello, Ruby; DE PALMA, Rossana; Ventura, Chiara; Belotti, Laura Maria Beatrice; Formisano, Debora; LA SALA, Giovanni Battista. - In: JOURNAL OF OVARIAN RESEARCH. - ISSN 1757-2215. - 6:1(2013), pp. 19-26. [10.1186/1757-2215-6-19]

Clinical governance network for clinical audit to improve quality in epithelial ovarian cancer management

PIRILLO, Debora;DE PALMA, ROSSANA;LA SALA, Giovanni Battista
2013

Abstract

Background: Epithelial ovarian cancer (EOC) is the most lethal gynecological cancer. Several hospitals throughout the region provide primary treatment for these patients and it is well know that treatment quality is correlated to the hospital that delivers. The aim of this study was to investigate the management and treatment of EOC in a Region of the North Italy (Emilia-Romagna, Italy). Methods. A multidisciplinary group made up of 11 physicians and 3 biostatisticians was formed in 2009 to perform clinical audits in order to identify quality indicators and to develop Region-wide workup in accordance with the principles of evidence-based medicine (EBM). The rationale was that, by setting up an oncogynecology network so as to achieve the best clinical practice, critical points would decrease or even be eliminated. Analysis of cases was based on the review of the medical records. Results: 614 EOC patients treated between 2007 and 2008 were identified. We found only 2 high-volume hospitals (≥ 21 patients/year), 3 medium-volume hospitals (11-20 operated patients/year), and 7 low-volume hospitals (≤ 10 operated patients /year). Only 222 patients (76.3%) had a histological diagnosis, FIGO surgical staging was reported only in 206 patients (70.9%) but not all standard surgical procedures were always performed, residual disease were not reported in all patients. No standard number of neoadjuvant chemotherapy cycles was observed. Conclusions: The differences in terms of treatments provided led the multidisciplinary group to identify reference centers, to promote centralization, to ensure uniform and adequate treatment to patients treated in regional centers and to promote a new audit involving all regional hospitals to a complete review of the all the EOC patients. © 2013 Mandato et al.; licensee BioMed Central Ltd.
6
1
19
26
Clinical governance network for clinical audit to improve quality in epithelial ovarian cancer management / Mandato, Vincenzo Dario; Abrate, Martino; De Iaco, Pierandrea; Pirillo, Debora; Ciarlini, Gino; Leoni, Maurizio; Comerci, Giuseppe; Ventura, Alessandro; Lenzi, Bruno; Amadori, Andrea; Rosati, Federica; Martinello, Ruby; DE PALMA, Rossana; Ventura, Chiara; Belotti, Laura Maria Beatrice; Formisano, Debora; LA SALA, Giovanni Battista. - In: JOURNAL OF OVARIAN RESEARCH. - ISSN 1757-2215. - 6:1(2013), pp. 19-26. [10.1186/1757-2215-6-19]
Mandato, Vincenzo Dario; Abrate, Martino; De Iaco, Pierandrea; Pirillo, Debora; Ciarlini, Gino; Leoni, Maurizio; Comerci, Giuseppe; Ventura, Alessandro; Lenzi, Bruno; Amadori, Andrea; Rosati, Federica; Martinello, Ruby; DE PALMA, Rossana; Ventura, Chiara; Belotti, Laura Maria Beatrice; Formisano, Debora; LA SALA, Giovanni Battista
File in questo prodotto:
File Dimensione Formato  
Mandato VD 2013 J Ovarian Res.pdf

accesso aperto

Tipologia: Versione dell'editore (versione pubblicata)
Dimensione 1.03 MB
Formato Adobe PDF
1.03 MB Adobe PDF Visualizza/Apri
Pubblicazioni consigliate

Caricamento pubblicazioni consigliate

Licenza Creative Commons
I metadati presenti in IRIS UNIMORE sono rilasciati con licenza Creative Commons CC0 1.0 Universal, mentre i file delle pubblicazioni sono rilasciati con licenza Attribuzione 4.0 Internazionale (CC BY 4.0), salvo diversa indicazione.
In caso di violazione di copyright, contattare Supporto Iris

Utilizza questo identificativo per citare o creare un link a questo documento: http://hdl.handle.net/11380/1117953
Citazioni
  • ???jsp.display-item.citation.pmc??? 4
  • Scopus 8
  • ???jsp.display-item.citation.isi??? 9
social impact