British Gynaecological Cancer Society recommendations for evidence based, population data derived quality performance indicators for ovarian cancer
Sundar, Sudha Nordin, Andy Morrison, Jo Wood, Nick Ghaem-Maghami, Sadaf Nieto, Jo Phillips, Andrew Butler, John Burton, Kevin Gornall, Rob
Sundar, Sudha
Nordin, Andy
Morrison, Jo
Wood, Nick
Ghaem-Maghami, Sadaf
Nieto, Jo
Phillips, Andrew
Butler, John
Burton, Kevin
Gornall, Rob
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Affiliation
Sandwell and West Birmingham NHS Trust; East Kent Hospitals University Foundation NHS Trust; National Cancer Registration & Analysis Service (NCRAS); Musgrove Park Hospital; et al.
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Publication date
2023-01-04
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Abstract
Ovarian cancer survival in the UK lags behind comparable countries. Results from the ongoing National Ovarian Cancer Audit feasibility pilot (OCAFP) show that approximately 1 in 4 women with advanced ovarian cancer (Stage 2, 3, 4 and unstaged cancer) do not receive any anticancer treatment and only 51% in England receive international standard of care treatment, i.e., the combination of surgery and chemotherapy. The audit has also demonstrated wide variation in the percentage of women receiving anticancer treatment for advanced ovarian cancer, be it surgery or chemotherapy across the 19 geographical regions for organisation of cancer delivery (Cancer Alliances). Receipt of treatment also correlates with survival: 5 year Cancer survival varies from 28.6% to 49.6% across England. Here, we take a systems wide approach encompassing both diagnostic pathways and cancer treatment, derived from the whole cohort of women with ovarian cancer to set out recommendations and quality performance indicators (QPI). A multidisciplinary panel established by the British Gynaecological Cancer Society carefully identified QPI against criteria: metrics selected were those easily evaluable nationally using routinely available data and where there was a clear evidence base to support interventions. These QPI will be valuable to other taxpayer funded systems with national data collection mechanisms and are to our knowledge the only population level data derived standards in ovarian cancer. We also identify interventions for Best practice and Research recommendations.
Citation
Sundar S, Nordin A, Morrison J, Wood N, Ghaem-Maghami S, Nieto J, Phillips A, Butler J, Burton K, Gornall R, Dobbs S, Glasspool R, Peevor R, Ledermann J, McNeish I, Ratnavelu N, Duncan T, Frost J, Lim K, Michael A, Brockbank E, Gajjar K, Taylor A, Bowen R, Andreou A, Ganesan R, Nicum S, Edmondson R, Clayton R, Balega J, Rolland P, Maxwell H, Fotopoulou C. British Gynaecological Cancer Society Recommendations for Evidence Based, Population Data Derived Quality Performance Indicators for Ovarian Cancer. Cancers (Basel). 2023 Jan 4;15(2):337. doi: 10.3390/cancers15020337
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Article