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 Martine Delannes
A1 Gwenael Ferron
A1 Alejandra Martinez
A1 Laurence Gladieff
A1 Eliane Mery
A1 Isabelle David
A1 Marion Montastruc
A1 Gisèle Balagué
A1 Laetitia Picaud
A1 Denis Querleu
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.