Titre du document / Document title

Qualitätssicherungsprogramm Endometriumkarzinom der Arbeitsgemeinschaft Gynäkologische Onkologie Österreich = Endometrial cancer: Quality assurance program of the Austrian Association of Gynecologic Oncology

Auteur(s) / Author(s)

MARTH C. ⁽¹⁾ ; OBERAIGNER W. ⁽²⁾ ; SEVELDA P. ⁽³⁾ ; KANDOLF O. ⁽⁴⁾ ; WINTER R. ⁽⁵⁾ ;

Affiliation(s) du ou des auteurs / Author(s) Affiliation(s)

⁽¹⁾ Universitätsklinik für Frauenheilkunde, Medizinische Universität Innsbruck, AUTRICHE
⁽²⁾ Institut für klin. Epidemiologie der TILAK/Tumorregister Tirol, Innsbruck, AUTRICHE
⁽³⁾ Gynäkologische Abteilung, Krankenhaus Lainz, Wien, AUTRICHE
⁽⁴⁾ Gynäkologische Abteilung, Krankenhaus Villach, AUTRICHE
⁽⁵⁾ Universitätsfrauenklinik, Medizinische Universität Graz, alle für die Arbeitsgemeinschaft Gynäkologische Onkologie Österreich, AUTRICHE

Résumé / Abstract

Purpose: Treatment of endometrial cancer in Austria is not restricted to specialized tumor centers but also is carried out in general hospitals. The aim of the quality assurance program of the Austrian Association of Gynecologic Oncology was a first evaluation of the status quo. Material and Methods: We submitted a questionnaire for endometrial cancer patients diagnosed in 2002 to all Austrian gynecologic departments that asked about the most relevant predictors of treatment quality. Results: A total of 372 questionnaires were returned. This represents about 40% of all newly diagnosed endometrial cancer patients of Austria. One third was treated in the 5 major institutions (A centers), while the remaining patients came from 33 minor institutions (B centers). Patients from B centers had, compared to A centers, significantly lower FIGO stages, fewer frozen section biopsies during surgery, fewer bowel surgery procedures, fewer omentectomies but more frequent radical hysterectomies. In particular peritoneal cytology was missing in every second patient from a B center whereas it was missing in only 17% of patients in A centers (p < 0.001). Missing values or procedures not performed were reported in 3 % and 6% in A and B centers respectively (p = 0.06). Conclusion: Treatment of endometrial cancer in Austria is not restricted to cancer centers. Staging recommendations were followed to a significantly higher degree in larger institutions.

Revue / Journal Title

Geburtshilfe und Frauenheilkunde   ISSN 0016-5751   CODEN GEFRA2 

Source / Source

2005, vol. 65, n^o1, pp. 39-45 [7 page(s) (article)] (14 ref.)

Langue / Language

Allemand

Editeur / Publisher

Thieme, Stuttgart, ALLEMAGNE  (1939) (Revue)

Mots-clés anglais / English Keywords

Obstetrics ; Gynecology ; Cancerology ; Program ; Malignant tumor ; Quality assurance ; Female genital diseases ; Endometrium cancer ;

Mots-clés français / French Keywords

Obstétrique ; Gynécologie ; Cancérologie ; Programme ; Tumeur maligne ; Assurance qualité ; Appareil génital femelle pathologie ; Cancer endomètre ;

Mots-clés espagnols / Spanish Keywords

Obstétrico ; Ginecología ; Cancerología ; Programa ; Tumor maligno ; Aseguración calidad ; Aparato genital hembra patología ; Cáncer del endometrio ;

Localisation / Location

INIST-CNRS, Cote INIST : 4872, 35400012116738.0030