Evaluating the applicability of ESGO quality indicators in the surgical management of endometrial cancer: Insights from a Francogyn cohort

IF 1.5 4区医学 Q3 OBSTETRICS & GYNECOLOGY

Journal of gynecology obstetrics and human reproduction Pub Date : 2026-01-01 Epub Date: 2025-11-04 DOI:10.1016/j.jogoh.2025.103066

Jerome Lorenzini , Flavie Arbion , Cyril Touboul , Yohann Dabi , Yohan Kerbage , Helene Costaz , Vincent Lavoué , Pierre-François Dupré , Cyrille Huchon , Alexandre Bricou , Geoffroy Canlorbe , Emilie Raimond , Pauline Chauvet , Raffaele Fauvet , Martin Koskas , Gilles Body , Lobna Ouldamer , FRANCOGYN Research Group

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引用次数: 0

Abstract

Background

Endometrial cancer (EC) is a significant health concern in France, necessitating high-quality surgical care to improve patient outcomes. The European Society of Gynaecological Oncology (ESGO) established quality indicators (QIs) to standardize and improve management.

Objective

This study evaluates the applicability of ESGO QIs in a real-world setting across 13 centers in France.

Methods

This retrospective multicenter cohort study included 2789 patients surgically treated for EC from 2001 to 2020. Demographic data, surgical techniques, adherence to ESGO QIs and trends over time were analyzed. Key indicators analyzed included multidisciplinary team discussions, pre-operative imaging adequacy, surgical techniques employed, and molecular classifications.

Results

All patients were discussed in multidisciplinary meetings. Adequate preoperative imaging was achieved in 80.63 % of cases. Minimally invasive surgery was performed in 66.12 % of early-stage patients, showing a significant year-on-year increase from 12 % in 2001 to 85 % in 2020. Among obese patients, 60.78 % underwent laparoscopic procedures, with a conversion rate to open surgery of 3.57 %. Molecular classification results highlighted 35 % of patients as low risk and 32 % as high risk.

Conclusion

Our findings indicate that adherence to actual ESGO QIs has substantially improved the quality of surgical management for endometrial cancer in France, despite some areas requiring further enhancement. A coordinated political approach is essential to address existing barriers and ensure consistent implementation of these quality standards across all centers, ultimately aiming to elevate patient care and outcomes in the French healthcare system.

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评估ESGO质量指标在子宫内膜癌手术治疗中的适用性：来自Francogyn队列的见解。

背景：子宫内膜癌（EC）在法国是一个重要的健康问题，需要高质量的手术护理来改善患者的预后。欧洲妇科肿瘤学会（ESGO）建立了质量指标（QIs）来规范和改进管理。目的：本研究评估了ESGO QIs在法国13个中心的现实环境中的适用性。方法：这项回顾性多中心队列研究纳入了2001年至2020年接受手术治疗的2789例EC患者。分析了人口统计数据、手术技术、ESGO QIs依从性和随时间的趋势。分析的关键指标包括多学科团队讨论、术前影像充分性、采用的手术技术和分子分类。结果：所有患者均在多学科会议上进行了讨论。80.63%的病例术前有充分的影像学检查。早期患者进行微创手术的比例为66.12%，从2001年的12%增长到2020年的85%。在肥胖患者中，60.78%的患者接受了腹腔镜手术，转换率为3.57%。分子分类结果显示35%的患者为低风险，32%为高风险。结论：我们的研究结果表明，尽管一些领域需要进一步加强，但在法国，坚持实际的ESGO QIs已经大大提高了子宫内膜癌手术治疗的质量。协调一致的政治方法对于解决现有障碍和确保所有中心一致实施这些质量标准至关重要，最终旨在提高法国医疗保健系统的患者护理和结果。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of gynecology obstetrics and human reproduction Medicine-Obstetrics and Gynecology

CiteScore

3.70

自引率

5.30%

发文量

210

审稿时长

31 days

期刊介绍： Formerly known as Journal de Gynécologie Obstétrique et Biologie de la Reproduction, Journal of Gynecology Obstetrics and Human Reproduction is the official Academic publication of the French College of Obstetricians and Gynecologists (Collège National des Gynécologues et Obstétriciens Français / CNGOF). J Gynecol Obstet Hum Reprod publishes monthly, in English, research papers and techniques in the fields of Gynecology, Obstetrics, Neonatology and Human Reproduction: (guest) editorials, original articles, reviews, updates, technical notes, case reports, letters to the editor and guidelines. Original works include clinical or laboratory investigations and clinical or equipment reports. Reviews include narrative reviews, systematic reviews and meta-analyses.