TY - JOUR T1 - SUCCOR quality: validation of ESGO quality indicators for surgical treatment of cervical cancer JF - International Journal of Gynecologic Cancer JO - Int J Gynecol Cancer SP - 1236 LP - 1243 DO - 10.1136/ijgc-2022-003790 VL - 32 IS - 10 AU - Felix Boria AU - Luis Chiva AU - Enrique Chacon AU - Vanna Zanagnolo AU - Anna Fagotti AU - Ali Kucukmetin AU - Constantijne Mom AU - Galina Chakalova, AU - Aliyev Shamistan AU - Mario Malzoni AU - Fabrice Narducci AU - Octavio Arencibia AU - Francesco Raspagliesi AU - Tayfun Toptas AU - David Cibula AU - Dilyara Kaidarova AU - Mehmet Mutlu Meydanli AU - Mariana Tavares AU - Dmytro Golub AU - Anna Myriam Perrone AU - Robert Poka AU - Petra L M Zusterzeel AU - Igor Aluloski AU - Frederic Goffin AU - Dimitrios Haidopoulos AU - Herman Haller AU - Robert Jach AU - Iryna Yezhova AU - Margarida Bernardino AU - Rasiah Bharathan AU - Minna M Maenpaa AU - Vladyslav Sukhin AU - Jean-Guillaume Feron AU - Robert Fruscio AU - Kersti Kukk AU - Jordi Ponce AU - Fuat Demirkiran AU - George Vorgias AU - Natalia Povolotskaya AU - Pluvio J Coronado Martín AU - Tiermes Marina AU - Ignacio Zapardiel AU - Nicolò Bizzarri AU - Mikel Gorostidi AU - Monica Gutierrez AU - Nabil Manzour AU - Arantxa Berasaluce AU - Nerea Martin-Calvo A2 - , Y1 - 2022/10/01 UR - http://ijgc.bmj.com/content/32/10/1236.abstract N2 - Objective To evaluate whether compliance with European Society of Gynaecological Oncology (ESGO) surgery quality indicators impacts disease-free survival in patients undergoing radical hysterectomy for cervical cancer.Methods In this retrospective cohort study, 15 ESGO quality indicators were assessed in the SUCCOR database (patients who underwent radical hysterectomy for International Federation of Gynecology and Obstetrics (FIGO) stage 2009 IB1, FIGO 2018 IB1, and IB2 cervical cancer between January 2013 and December 2014), and the final score ranged between 0 and 16 points. Centers with more than 13 points were classified as high-quality indicator compliance centers. We constructed a weighted cohort using inverse probability weighting to adjust for the variables. We compared disease-free survival and overall survival using Cox proportional hazards regression analysis in the weighted cohort.Results A total of 838 patients were included in the study. The mean number of quality indicators compliance in this cohort was 13.6 (SD 1.45). A total of 479 (57.2%) patients were operated on at high compliance centers and 359 (42.8%) patients at low compliance centers. High compliance centers performed more open surgeries (58.4% vs 36.7%, p<0.01). Women who were operated on at centers with high compliance with quality indicators had a significantly lower risk of relapse (HR=0.39; 95% CI 0.25 to 0.61; p<0.001). The association was reduced, but remained significant, after further adjustment for conization, surgical approach, and use of manipulator surgery (HR=0.48; 95% CI 0.30 to 0.75; p=0.001) and adjustment for adjuvant therapy (HR=0.47; 95% CI 0.30 to 0.74; p=0.001). Risk of death from disease was significantly lower in women operated on at centers with high adherence to quality indicators (HR=0.43; 95% CI 0.19 to 0.97; p=0.041). However, the association was not significant after adjustment for conization, surgical approach, use of manipulator surgery, and adjuvant therapy.Conclusions Patients with early cervical cancer who underwent radical hysterectomy in centers with high compliance with ESGO quality indicators had a lower risk of recurrence and death.Data are available upon reasonable request. ER -