PT  - JOURNAL ARTICLE
AU  - T Silva
AU  - B Ribeiro
AU  - F Schamne
AU  - R Ribeiro
AU  - J Linhares
AU  - A Tsunoda
TI  - EPV177/#165 Implementation of esgo quality indicators (QI) for ovarian cancer surgery (OCS) in a Latin American center
AID  - 10.1136/ijgc-2021-IGCS.248
DP  - 2021 Nov 01
TA  - International Journal of Gynecologic Cancer
PG  - A99--A99
VI  - 31
IP  - Suppl 4
4099  - http://ijgc.bmj.com/content/31/Suppl_4/A99.3.short
4100  - http://ijgc.bmj.com/content/31/Suppl_4/A99.3.full
SO  - Int J Gynecol Cancer2021 Nov 01; 31
AB  - 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.