RT Journal Article
SR Electronic
T1 Impact of a Province-wide Endometrial Cancer Guideline on Daily Practice
JF Anticancer Research
JO Anticancer Res
FD International Institute of Anticancer Research
SP 937
OP 948
DO 10.21873/anticanres.14847
VO 41
IS 2
A1 VINCENZO DARIO MANDATO
A1 FEDERICA TORRICELLI
A1 VALENTINA MASTROFILIPPO
A1 DEBORA PIRILLO
A1 GIANLUCA ANNUNZIATA
A1 GINO CIARLINI
A1 GIOVANNI D’IPPOLITO
A1 ERMINIA DI BARTOLOMEO
A1 LORENZO AGUZZOLI
YR 2021
UL http://ar.iiarjournals.org/content/41/2/937.abstract
AB Background/Aim: Most women are managed by a general gynaecologist rather than being centralized in an oncogynaecology unit, resulting in different clinical management. In 2006, a hub & spoke model was introduced in the Provincial Healthcare System of Reggio Emilia, and shared guidelines were written. We aimed to verify the adherence to guidelines and the consequent improvements in quality care. Patients and Methods: All patients who underwent a hysterectomy for endometrial cancer in the Reggio Emilia Province hospitals from 2000 to 2016 were included in the study. Clinical and pathological data were carefully recorded for each patient included. Results: This study included 132 and 277 patients in the periods before and after the implementation of the guideline, respectively. In the post-guideline period, the use of hysteroscopy, magnetic resonance, laparoscopy and adjuvant treatment significantly increased. Conclusion: Common shared guidelines and a clinical audit can help in improving centralization, resulting in an increased quality of care.