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Uterine Cancer
Evaluation and Selection of Quality Indicators for the Management of Endometrial Cancer
  1. Laure Chenoz, MD*,
  2. Juliette Phelippeau, MD†,
  3. Emmanuel Barranger, MD, PhD‡,
  4. Nicolas Bourdel, MD§,
  5. Jean Luc Brun, MD, PhD∥,
  6. Elisabeth Chereau, MD,
  7. Pierre Collinet, MD, PhD#,
  8. Charles Coutant, MD**,
  9. Emile Darai, MD, PhD††,
  10. Xavier Deffieux, MD, PhD‡‡,
  11. Tristan Gautier, MD§§,
  12. François Golfier, MD, PhD∥∥,
  13. Cyrille Huchon, MD, PhD¶¶,
  14. Lobna Ouldamer, MD##,
  15. Roman Rouzier, MD, PhD*** and
  16. Martin Koskas, MD, PhD†††
  1. *Service de Gynécologie Obstétrique;
  2. †Sce Gynécologie Hôpital Bichat Claude Bernard, Paris;
  3. ‡Sce Gynécologie Centre Antoine Lacassagne, Nice;
  4. §Sce Gynécologie, CHU Estaing, Clermont-Ferrand;
  5. ∥Pôle d'Obstétrique Gynécologie Reproduction, Hôpital Pellegrin, Centre Aliénor d'Aquitaine, CHU Bordeaux, Bordeaux;
  6. Sce de Chirurgie Oncologique 2, Institut Paoli Calmettes, Marseille;
  7. #Clinique de Chirurgie Gynécologique Hôpital Jeanne de Flandre, CHRU de Lille, Université Lille Nord de France, Lille;
  8. **Sce Gynécologie, Hôpital Le Bocage CHU Dijon, Dijon;
  9. ††Sce Gynécologie, Hôpital Tenon Paris, Paris;
  10. ‡‡Sce Gynécologie, CHU Antoine Béclére, Clamart;
  11. §§Sce Gynécologie CHU Limoges, Limoges;
  12. ∥∥Sce Gynécologie, CH Lyon Sud, Lyon;
  13. ¶¶Sce Gynécologie, CH Poissy, Poissy;
  14. ##Sce Gynécologie, CHRU Bretonneau, Tours;
  15. ***Sce Gynécologie Institut Curie; and
  16. †††Sce Gynécologie Hôpital Bichat Claude Bernard, Paris, France.
  1. Address correspondence and reprint requests to Laure Chenoz, MD, Service de Gynécologie Obstétrique, Hôpital Bichat-Paris 7, 46 Rue Henri-Huchard, 75018, Paris, France. E-mail: lchenoz@yahoo.fr.

Abstract

Objective The aim of this study was to evaluate 36 quality indicators (QIs) for monitoring the quality of care of uterine cancer to be implemented in the EFFECT (effectiveness of endometrial cancer treatment) project.

Methods The 36 QIs were evaluated in the first 10 patients diagnosed with endometrial cancer and managed in 14 French hospitals in 2011. To assess the status of each QI, a questionnaire detailing the 36 QIs was sent to each hospital, and the information was cross-checked with information from the multidisciplinary staff meeting, surgical reports, and pathological reports. The QIs were evaluated in terms of measurability and improvability. The remaining QIs were evaluated with a multiple correspondence analysis to highlight the interrelationships between qualitative variables describing a population.

Results Thirteen of the 14 institutions responded to the survey for a total of 130 patients. Twenty-five of the 36 QIs affected less than 80% of the patients. Thirteen QIs were found not to be improvable because they reached more than 95% of the theoretical target. Finally, 5 QIs concerning more than 80% of the patients were found to be improvable. The multiple correspondence analysis finally identified 3 dimensions—outcome, safety, and perioperative management—that included the 5 QIs.

Conclusions In the present study, 5 of the 36 QIs suggested by the EFFECT project seem to be sufficient to report on the quality of endometrial cancer management. Further studies are needed to correlate the information provided by those 5 questions and the relevant outcomes reflecting quality of care in endometrial cancer.

  • Endometrial cancer
  • Quality indicators
  • Multiple correspondence analysis
  • Outcome
  • Safety
  • Perioperative management

https://doi.org/10.1097/IGC.0000000000000980

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    Footnotes

    • The authors declare no conflicts of interest.

    • Supplemental digital content is available for this article. Direct URL citation appears in the printed text and is provided in the HTML and PDF versions of this article on the journal’s Web site (www.ijgc.net).