Organization of gynaecological cancer care最新文献

{"title":"1135 Why gynae-oncology? Determining the preferences of Irish trainees in becoming a gynae-oncologist","authors":"K. Mulligan, S. Murphy, C. Thompson","doi":"10.1136/ijgc-2021-esgo.330","DOIUrl":"https://doi.org/10.1136/ijgc-2021-esgo.330","url":null,"abstract":"","PeriodicalId":253349,"journal":{"name":"Organization of gynaecological cancer care","volume":"55 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123570413","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"505 Lymph node status as a predictor of venous thromboembolic risk postoperatively in gynae-oncology","authors":"E. Ibrahim, L. Norris, F. Abusaadeh, S. O’toole","doi":"10.1136/ijgc-2021-esgo.306","DOIUrl":"https://doi.org/10.1136/ijgc-2021-esgo.306","url":null,"abstract":"","PeriodicalId":253349,"journal":{"name":"Organization of gynaecological cancer care","volume":"35 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114679675","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"816 Implications of the COVID-19 pandemic: results of a German survey on patient care and clinical trials in gynecological oncology (MONITOR-17 Survey)","authors":"S. Nasser, D. Zocholl, S. Boz, M. Keller, D. Dimitrova, R. Armbrust, Ju Blohmer, C. Fotopoulou, A. Dubois, MG Inci, J. Sehouli","doi":"10.1136/ijgc-2021-esgo.319","DOIUrl":"https://doi.org/10.1136/ijgc-2021-esgo.319","url":null,"abstract":"Introduction/Background*This survey describes the German-wide impact of the COVID-19 pandemic on provision of clinical care and recruitment in clinical trials of patients with gynecologic malignancies from a physician’s perspective.MethodologyWe performed an online anonymous multicentric prospective survey across clinicians in Germany. The multiple-choice questionnaire was administered at 4-6 weekly intervals from April 2020 to October 2020 for a total of four series.Result(s)*483 questionnaires were completed. The majority of participants were gynecological oncologists (83.3%) in certified gynecologic cancer centers (61%) and breast cancer (BC) centers (80.4%). The majority stated a 50% reduction in surgical interventions for gyne-oncological cases. Cases that were prioritized for surgery across all tumors were those with early stage disease, at primary situation and with a good ECOG status. For BC, patients following neoadjuvant chemotherapy treatment and those with high-risk or locally-advanced BC were prioritized. The majority (73%) continued to conduct clinical trials throughout the pandemic. In cases were trials were discontinued, this decision was made by sponsors, and hospital officers. Other reasons for discontinuation included lack of patient-participation (due to fear of attending appointments). Almost 100% of the responders refuted any increased tendency to treat with a neoadjuvant approach (cytotoxic, hormonal, radiation) patients that would qualify for surgery under normal circumstances . This comes in direct contrast to the increased attitude to treat with neoadjuvant anticancer therapy of advanced cancers in other European countries.Only 18% of the clinicians reported feeling adequately informed about established safety pathways for COVID-19 positive patients with gynecological cancers. More than 43% of the clinicians felt that the COVID-19 pandemic will continue to impact on clinical care for up to 2 years.Conclusion*Targeted emergency algorithms for patients with gynecological cancers need to be developed to protect and preserve care and treatment options for our patients in future pandemics.","PeriodicalId":253349,"journal":{"name":"Organization of gynaecological cancer care","volume":"33 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127000287","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"633 Health care associated infection in gynecologic oncology: clinical and economic impact. Large retrospective single-institution study","authors":"G. Corrado, A. Biscione, L. Franza, L. Quagliozzi, F. Mascilini, R. Franco, E. Tamburrini, T. Spanu, G. Scambia, A. Fagotti","doi":"10.1136/ijgc-2021-esgo.310","DOIUrl":"https://doi.org/10.1136/ijgc-2021-esgo.310","url":null,"abstract":"","PeriodicalId":253349,"journal":{"name":"Organization of gynaecological cancer care","volume":"35 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132387882","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"510 An overview of complications in major gynaecological oncology surgery at a tertiary centre","authors":"S. Mabbutt, A. Ismail, S. Chattopadhyay, Q. Davies","doi":"10.1136/ijgc-2021-esgo.307","DOIUrl":"https://doi.org/10.1136/ijgc-2021-esgo.307","url":null,"abstract":"","PeriodicalId":253349,"journal":{"name":"Organization of gynaecological cancer care","volume":"70 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116277448","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"993 Intent of treatment in major gynae-oncology surgery – a quality improvement project in a tertiary teaching hospital","authors":"H. Asif, T. Nomani","doi":"10.1136/ijgc-2021-esgo.324","DOIUrl":"https://doi.org/10.1136/ijgc-2021-esgo.324","url":null,"abstract":"","PeriodicalId":253349,"journal":{"name":"Organization of gynaecological cancer care","volume":"51 1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124913375","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"673 An audit and feedback intervention to monitor quality of care of ovarian cancer according to ESGO guidelines in the Piemonte cancer network","authors":"A. Ferrero, E. Pagano, M. Mistrangelo, L. Fuso, VH Martins, G. Valabrega, ME Laudani, F. Marocco, D. Surico, E. Piovano, M. Barbero, M. Camanni, EM Delpiano, A. Puppo, A. Daniele, L. Zavallone, V. Aguggia, R. Fiorentino, G. Ciccone, P. Zola","doi":"10.1136/ijgc-2021-esgo.312","DOIUrl":"https://doi.org/10.1136/ijgc-2021-esgo.312","url":null,"abstract":"","PeriodicalId":253349,"journal":{"name":"Organization of gynaecological cancer care","volume":"54 11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125754340","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"695 ACS NSQIP – personalised risk prediction tool for postoperative complications in gynaeoncology surgery?","authors":"L. Sevinyan, S. Jones, J. Horne, R. Bharathan, A. Tailor, S. Butler-Manuel, P. Williams, Thumuluru Kavitha Madhuri","doi":"10.1136/ijgc-2021-esgo.315","DOIUrl":"https://doi.org/10.1136/ijgc-2021-esgo.315","url":null,"abstract":"","PeriodicalId":253349,"journal":{"name":"Organization of gynaecological cancer care","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130598178","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"456 Machine Learning outperforms logistic regression in predicting accuracy of CCU admission for high grade serous advanced ovarian cancer patients","authors":"A. Laios, RV De Oliveira, D. Lucas, Y. Tan, G. Saalmink, A. Zubayraeva, A. Thangavelu, R. Hutson, T. Broadhead, D. Nugent, G. Theophilou, K. V. Gomes de Lima, D. Dejong","doi":"10.1136/ijgc-2021-esgo.304","DOIUrl":"https://doi.org/10.1136/ijgc-2021-esgo.304","url":null,"abstract":"","PeriodicalId":253349,"journal":{"name":"Organization of gynaecological cancer care","volume":"407 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123384242","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"684 How to breaking bad news: an international survey among physicians and medical students in 1146 participants","authors":"J. Sehouli, A. Pirmorady, S. Boz, K. Hasan, K. Pietzner, E. Petru, V. Heinzelmann-Schwarz, E. Roser, D. Dimitrova, E. Herzog","doi":"10.1136/ijgc-2021-esgo.313","DOIUrl":"https://doi.org/10.1136/ijgc-2021-esgo.313","url":null,"abstract":"equity of care for ovarian cancer patients residing in Piedmont. This A&F is part of the activities of the EASY-NET network program (https://easy-net.info/). Methodology All consecutive patients treated for newly diagnosed EOC were included by 34 centres from May 2016 to September 2020. Clinical data were entered in a dedicated web database and data quality was centrally monitored. During the audit, 14 feedback meetings were organized with the participating centres to discuss data quality and preliminary results. The treating hospitals were classified according to the mean yearly volume of surgical activity ( 35; 34-18; <18 patients). Adherence to previously selected structure, process and outcome indicators were analysed by volume of activity of the centre and semester of enrolment. Adherence was classified as: high (>75%), medium (75-60%) and low (<60%). Overall survival (OS) was analysed with a multivariable Cox model including prognostic factors, hospital volume of activity and level of adherence to process indicators. Result(s)* The present analysis includes 905 patients with EOC diagnosed until December 2019 (23.4% early stages, 76.6% advanced). Out of 12 analysed indicators, 4 showed a high level of adherence (e.g., Completeness of diagnosis and staging: 83%), 3 a medium level (e.g., Adherence to surgical guidelines: 65.5%) and 5 a low level (e.g., Timing and number of cycles for NACT: 57.1%). In general, there was a lower adherence to guidelines by centres with a low volume of activity. For most of the indicators there was an improvement over time. Adherence to guidelines was associated to better OS after adjustment for prognostic factors. Conclusion* The A&F intervention was useful to support the identification of reference centres, to promote centralization, to reduce variability among regional hospitals and to increase the appropriateness of treatment. Adherence to guideline recommendations was associated to a better outcome. The EASY-NET project was funded by Ministry of Health and participating Regions (NET-2016-02364191).","PeriodicalId":253349,"journal":{"name":"Organization of gynaecological cancer care","volume":"53 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126728217","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}