Page 4 - Ovarian Cancer Surgery - Quality Indicators-Summary
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QI 1 - RATE OF COMPLETE SURGICAL RESECTION
TYPE Outcome indicator.
DESCRIPTION
Complete abdominal surgical resection is defined by the absence of remaining
SPECIFICATIONS macroscopic lesions after careful exploration of the abdomen. Whenever feasible,
TARGET(S) localized thoracic disease is resected. Surgery can be decided upfront, or planned
after neoadjuvant chemotherapy. However, the quality assurance program must
SCORING RULE take into account that patients who can be operated upfront with a reasonable
complication rate benefit most from primary debulking surgery.
Numerator: (i) number of cytoreductive surgeries as defi ned above performed per
center per year. (ii) number of cytoreductive surgeries as defi ned above performed
per surgeon per year. Secondary and tertiary procedures are accepted.
Denominator: not applicable.
((i) Complete resection rate:
● Optimal target: ≥ 65%.
● Minimum required target: ≥ 50%.
(ii) Proportion of primary debulking surgeries: ≥ 50%
(i) 5 if the optimal target is met, 3 if the minimum required target is met
(ii) 3 if the target is met.
4 • ADVANCED (STAGE III-IV) OVARIAN CANCER SURGERY - QUALITY INDICATORS •
