Surgical management of patients with advanced ovarian cancer: Results of a French National Survey.

Détails

ID Serval
serval:BIB_05D56CBDAD8A
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Surgical management of patients with advanced ovarian cancer: Results of a French National Survey.
Périodique
Journal of gynecology obstetrics and human reproduction
Auteur⸱e⸱s
Gauci P.A., Deluche E., Azais H., Zaccarini F., Guani B., Balaya V., Kerbage Y., Jochum F., Sanson C., Guyon F., Akladios C., Bendifallah S., Dabi Y.
ISSN
2468-7847 (Electronic)
ISSN-L
2468-7847
Statut éditorial
Publié
Date de publication
11/2022
Peer-reviewed
Oui
Volume
51
Numéro
9
Pages
102463
Langue
anglais
Notes
Publication types: Journal Article
Publication Status: ppublish
Résumé
Desire to homogenize advanced stage ovarian cancer management has led to a debate on the need to centralize cares. The aim was to assess current practices to compare them with centralization motivation and to overview possible perspectives of evolution.
An anonymous questionnaire of 57 questions has been submitted from August 2021 to October 2021 to members of French gynecological oncological surgical societies. Questions encompassed all aspects of ovarian cancer surgical management, including institutions, technics, indications, and outcomes.
Of the 40 responses, 77.5% managed less than 20 cases by themselves, but 67.5% practiced in institution managing more than 30 cases annually. Since the LION trial results' publication, 95% of practitioners have evolved their lymphadenectomy indications. More than 10% of surgery needed digestive resection for 90% of practitioners. Digestive resections rate was significantly higher for practitioners managing more than 20 cases (p<0.01), but it was not for institutions managing more than 30 cases annually (p=0,07). Surgeons performing more than 20 ovarian cancers annually reported less severe complications (p=0.04) compared to low-volume surgeons independently of institution volume. For more than a quarter of the practitioners, less than half of the patients can benefit from the enhanced recovery after surgery program despite benefits of such care.
Our survey provides an overview of French practices in ovarian cancer management. This survey seems to confirm that minimum volume thresholds could lead to better outcomes. It also underlines that individual performances are as valuable as center volume.
Mots-clé
Humans, Female, Carcinoma, Ovarian Epithelial/surgery, Ovarian Neoplasms/surgery, Lymph Node Excision, Gynecologic Surgical Procedures, Medical Oncology, Advanced ovarian cancer, Chemotherapy, Primary surgery, Surgical management, Surgical oncology, Volume activity
Pubmed
Web of science
Création de la notice
05/09/2022 9:39
Dernière modification de la notice
25/02/2023 7:46
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