RT Journal Article SR Electronic T1 Survival in ovarian cancer in Wales: prior to introduction of all Wales guidelines JF International Journal of Gynecologic Cancer JO Int J Gynecol Cancer FD BMJ Publishing Group Ltd SP 1770 OP 1776 DO 10.1136/ijgc-00009577-200609000-00008 VO 16 IS 5 A1 T. S. Shylasree A1 R. E.J. Howells A1 K. Lim A1 P. W. Jones A1 A. Fiander A1 M. Adams A1 A. S. Evans A1 THE ALL WALES GYNAECOLOGICAL CANCER STEERING GROUP YR 2006 UL http://ijgc.bmj.com/content/16/5/1770.abstract AB The objective of the study was to review referral practice, overall management, and survival in women with suspected ovarian cancer in Wales. This study was done prior to introduction of cancer management guidelines in the region. A confidential study questionnaire was sent to 20 participating hospitals. Data on 287 consecutive women with suspected ovarian cancer were collected, of which 250 women underwent primary laparotomy. Information was obtained on referral pattern, preoperative investigations, place of primary surgery, specialty of the primary surgeon, surgical parameters recorded at the time of operation, a final overall stage, adjuvant treatment, and survival outcome. There was a wide variation in referral practice and management of ovarian cancer in Wales. Stage of the disease, attempt at optimal debulking, residual disease, management by a cancer centre multidisciplinary team, and platinum-based chemotherapy were associated with improved overall survival and progression-free survival. More women were alive if managed in the cancer centre at 1 and 3 year after diagnosis (P = 0.022). This study has highlighted the acute issue of the standards of clinical care in the area of ovarian cancer management and will emphasize the implementation of better care pathways for ovarian cancers.