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Practice patterns, time trends and quality of care of uterine cancer in Belgium: An analysis of the EFFECT database.
Vanbraband, Joren; Van Damme, Nancy; Silversmit, Geert; De Geyndt, Anke; Bouche, Gauthier; Jacomen, Gerd; de Jonge, Eric; Goffin, Frédéric; Denys, Hannelore; Amant, Frédéric.
Afiliação
  • Vanbraband J; Unit of Gynecologic Oncology, Department of Oncology, KU Leuven, Campus Gasthuisberg, ON4 Herestraat 49, Box 1045, 3000 Leuven, Belgium. Electronic address: joren.vanbraband@kuleuven.be.
  • Van Damme N; Belgian Cancer Registry, Koningsstraat 215, Box 7, 1210 Brussels, Belgium. Electronic address: Nancy.VanDamme@kankerregister.org.
  • Silversmit G; Belgian Cancer Registry, Koningsstraat 215, Box 7, 1210 Brussels, Belgium. Electronic address: geert.silversmit@kankerregister.org.
  • De Geyndt A; Belgian Cancer Registry, Koningsstraat 215, Box 7, 1210 Brussels, Belgium. Electronic address: Anke.DeGeyndt@kankerregister.org.
  • Bouche G; The Anticancer Fund, Brusselsesteenweg 11, 1860 Meise, Belgium. Electronic address: Gauthier.Bouche@anticancerfund.org.
  • Jacomen G; Laboratory of Pathological Anatomy, AZ Sint-Maarten, Liersesteenweg 435, 2800 Mechelen, Belgium. Electronic address: Gerd.Jacomen@emmaus.be.
  • de Jonge E; Department of Obstetrics and Gynecology, Ziekenhuis Oost-Limburg, Campus Sint-Jan, Synaps Park 1, 3600 Genk, Belgium. Electronic address: Eric.DeJonge@zol.be.
  • Goffin F; Department of Obstetrics and Gynecology, CHU de Liège et Hôpital de La Citadelle, Boulevard du 12e de Ligne 1, 4000 Liège, Belgium. Electronic address: fgoffin@chu.ulg.ac.be.
  • Denys H; Department of Medical Oncology, University Hospital Ghent, Corneel Heymanslaan 10, 9000 Ghent, Belgium. Electronic address: Hannelore.Denys@UGent.be.
  • Amant F; Unit of Gynecologic Oncology, Department of Oncology, KU Leuven, Campus Gasthuisberg, ON4 Herestraat 49, Box 1045, 3000 Leuven, Belgium; Department of Surgery, Netherlands Cancer Institute, Plesmanlaan 121, 1066CX Amsterdam, The Netherlands; Department of Gynecologic Oncology, UZ Leuven, Campus Gast
Gynecol Oncol ; 180: 70-78, 2024 Jan.
Article em En | MEDLINE | ID: mdl-38086166
OBJECTIVES: To investigate the practice patterns and quality of care for uterine cancer on a national level in Belgium, including trends in practice over the period 2012-2016. METHODS: Quality indicators were measured using the EFFectiveness of Endometrial Cancer Treatment (EFFECT) database. Multivariable logistic mixed regression was used to test for associations between the quality indicators and year of diagnosis, adjusted for potential confounders and intra-cluster correlations. RESULTS: The EFFECT database includes 4178 patients diagnosed with uterine cancer in the period 2012-2016. Minimally invasive surgery (laparoscopic or robotic-assisted) was applied in 61.6% of patients who had surgery for clinical stage I endometrial carcinoma (EC), increasing from 52.9% in 2012 to 66.4% in 2016. At least pelvic lymph node staging was performed in 69.0% of patients with clinical stage I, high-grade EC; and in 63.9% of patients with clinical stage I-II serous carcinoma, clear cell carcinoma or carcinosarcoma. The latter increased from 48.8% in 2012 to 77.2% in 2016. Adjuvant radiotherapy (external beam and/or brachytherapy) was offered to 33.5% of patients who had surgery without lymph node staging for pathological stage I EC at high-intermediate or high risk of recurrence. Adjuvant chemotherapy was administered to 64.4% of patients with pathological stage III-IVA EC. CONCLUSIONS: Study results indicate an overall good quality of care for patients with uterine cancer in Belgium. Treatment areas with potential room for improvement include the use of minimally invasive surgery, comprehensive surgical staging and adjuvant therapy, which confirms the remaining controversies in uterine cancer treatment and the need for further research.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Limite: Female / Humans País/Região como assunto: Europa Idioma: En Ano de publicação: 2024 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Limite: Female / Humans País/Região como assunto: Europa Idioma: En Ano de publicação: 2024 Tipo de documento: Article