RT Journal Article
SR Electronic
T1 Adherence to Guidelines in Gynecologic Cancer Surgery
JF International Journal of Gynecologic Cancer
JO Int J Gynecol Cancer
FD BMJ Publishing Group Ltd
SP 1675
OP 1678
DO 10.1097/IGC.0000000000000284
VO 24
IS 9
A1 Delannes, Martine
A1 Ferron, Gwenael
A1 Martinez, Alejandra
A1 Gladieff, Laurence
A1 Mery, Eliane
A1 David, Isabelle
A1 Montastruc, Marion
A1 Balagué, Gisèle
A1 Picaud, Laetitia
A1 Querleu, Denis
YR 2014
UL http://ijgc.bmj.com/content/24/9/1675.abstract
AB Abstract The purpose of this study is to review the available evidence documenting the prognostic role of adherence to guidelines in gynecologic cancers. A systematic review of the PubMed database using “guideline,” “adherence,” and “cancer” was carried out on February 25, 2014. Two thousand one hundred twenty-three publications were identified. Only publications addressing the question of adherence to recommendations regarding surgical care and multidisciplinary management of gynecologic cancers were selected. Six studies were identified in endometrial cancer, 4 in ovarian cancer, and none in cervical cancer. Adoption of guidelines is an effective tool for disease control and must consequently be considered as a process measure of quality cancer care. It is urgent to develop reliable and reproducible tools to assess adherence to guidelines based on level 1 evidence in gynecologic cancer then to carry out investigations to document the prognostic impact of compliance with guidelines. The time has come to include adherence to guidelines in quality assurance programs.