RT Journal Article
SR Electronic
T1 Patient Support Groups Identifying Clinical Equipoise in UK Gynaecological Oncology Surgeons as the Basis for Trials in Ultraradical Surgery for Advanced Ovarian Cancer
JF International Journal of Gynecologic Cancer
JO Int J Gynecol Cancer
FD BMJ Publishing Group Ltd
SP 91
OP 94
DO 10.1097/IGC.0000000000000565
VO 26
IS 1
A1 Raj Naik
A1 Louise Bayne
A1 Christina Founta
A1 Sean Kehoe
A1 Gordon Rustin
A1 Christina Fotopoulou
YR 2016
UL http://ijgc.bmj.com/content/26/1/91.abstract
AB Abstract “Clinical equipoise” is defined as the genuine uncertainty by the expert medical community of the most beneficial treatment. A survey performed in 2013 by a patient support group, Ovacome, of gynaecological oncologists in the UK on ultra-radical surgery in advanced ovarian cancer has shown that there is a wide variation in surgical practice across the country. In addition, there were mixed views on the quality of published evidence justifying it’s performance, signifying a state of clinical equipoise. The survey also identified widespread insufficient infra-structural resources and lack of surgical training and skills. The majority of respondents would be prepared to undertake additional training to acquire the surgical skills and/or refer to other centres/surgeons already performing the surgery and/or recruit to surgical trials investigating ultra-radical surgery in advanced ovarian cancer.