The surgical management of women with ovarian cancer in the south west of England
2001

Surgery for Ovarian Cancer in South West England

Sample size: 682 publication Evidence: moderate

Author Information

Author(s): Olaitan A, Weeks J, Mocroft A, Smith J, Howe K, Murdoch J

Primary Institution: Department of Gynaecological Oncology, St Michael's Hospital

Hypothesis

What factors influence the outcome of surgery for women with ovarian cancer?

Conclusion

Specialized surgeons are more likely to achieve optimal cytoreduction in ovarian cancer surgeries.

Supporting Evidence

  • Older patients are less likely to be optimally cytoreduced.
  • Patients treated in hospitals managing fewer than ten cases of ovarian cancer per year are less likely to be optimally cytoreduced.
  • Patients with FIGO stage 3 or 4 disease are less likely to be optimally cytoreduced.
  • Gynaecological oncologists are more likely to achieve optimal cytoreduction compared to general gynaecologists.

Takeaway

This study found that women with ovarian cancer do better when their surgery is done by specialized doctors.

Methodology

The study analyzed outcomes of surgery in 682 patients over two years using multivariate models.

Participant Demographics

Women with epithelial ovarian cancer in the South West of England.

Statistical Information

P-Value

P = 0.0003, P = 0.02, P < 0.0001, P = 0.01

Statistical Significance

p<0.0001

Digital Object Identifier (DOI)

10.1054/bjoc.2001.2196

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