Page 2 - Ovarian Cancer Surgery - Quality Indicators

TABLE OF CONTENTS

1 Introduction........................................................................................................................................ 3
2 Acknowledgements............................................................................................................................. 3
3 Method................................................................................................................................................ 4

3.1 Nomination of multidisciplinary international development group ............................................................................ 5

3.2 Identification of potential QIs ..................................................................................................................................... 5

3.3 Identification of scientific evidence ............................................................................................................................ 5

3.4 Evaluation of the potential QIs ................................................................................................................................... 6
3.5 Synthesis of scientific evidence .................................................................................................................................. 6

3.6 External evaluation of the retained QIs - International review ................................................................................... 6

3.7 Integration of international reviewers and finalization of the QIs............................................................................... 7
4 Management of conflicts of interest ................................................................................................... 8
5 QIs for advanced ovarian cancer surgery.......................................................................................... 9

5.1 QI 1 - Rate of complete surgical resection.................................................................................................................. 9

5.2 QI 2 - Number of cytoreductive surgeries performed per center and per surgeon per year....................................... 14

5.3 QI 3 - Surgery performed by a gynecologic oncologist or a trained surgeon specifically dedicated to gynaecological

cancers management............................................................................................................................................................ 20

5.4 QI 4 - Center participating in clinical trials in gynecologic oncology ...................................................................... 25

5.5 QI 5 - Treatment planned and reviewed at a multidisciplinary team meeting........................................................... 26

5.6 QI 6 - Required preoperative workup ....................................................................................................................... 27

5.7 QI 7 - Pre-, intra-, and post-operative management .................................................................................................. 28

5.8 QI 8 - Minimum required elements in operative reports........................................................................................... 29
5.9 QI 9 - Minimum required elements in pathology reports.......................................................................................... 30

5.10 QI 10 - Existence of a structured prospective reporting of postoperative complications .......................................... 32
6 Acronyms and abbreviations ........................................................................................................... 34
7 References......................................................................................................................................... 35
8 Appendices ....................................................................................................................................... 51

8.1 Appendix 1 - People involved in the production of the QIs...................................................................................... 51

8.2 Appendix 2 - List of evidence-based medicine websites consulted .......................................................................... 55

8.3 Appendix 3 - Key to evidence statements................................................................................................................. 56

 OVARIAN CANCER SURGERY - QUALITY INDICATORS 
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