Objectives To evaluate if the implementation of an institutional OCS protocol, aligned to NCCN guidelines, resulted in a high score index according to ESGO quality indicators (QI) in a Latin American public referral center.
Methods All consecutive surgical OC cases after a dedicated multidisciplinary team and protocol were instituted in 2015 up to 2018 were included. QI 1 to 10, 2y-DFS, 2y-OS and surgical complications were analyzed.
Results Ninety three patients, mean age=59yo (30–82yo), stage III=44 (47,3%) and IV=20 (21,5%), were included. QI 1–10 were 8, 4, 3, 3, 3, 3, 3, 3, 3, 3, sequentially. Debulking procedures were considered: CC0in 69 (65%), CC1 in 6 (6%), and CC2 in 26 cases (27.9%). Complications, according to Clavien-Dindo, in 30 days, were minor in 2 (2.1%) and major in 17 (18%), including 3 post-operative deaths (3.2%). Two-years DFS, relapsed, persistent and deaths were 41 (44.1%), 16 (17.2%), 10 (10.7%), 26 (29%), respectively.
Conclusions Adherance to ESGO QI was feasible and reproducible in a Latin American referral center. Similar criteria could be replicable in LMIC countries for OCS quality assurance.
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