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논문 기본 정보

자료유형
학술저널
저자정보
Shim Ji Eun (Department of Obstetrics and Gynecology Ewha Womans University Mokdong Hospital Ewha Womans Univers) Kim Mi-Kyung (Department of Obstetrics and Gynecology Ewha Womans University Mokdong Hospital Ewha Womans Univers) Kim Yun Hwan (Department of Obstetrics and Gynecology Ewha Womans University Mokdong Hospital Ewha Womans Univers) Kim Seung Cheol (Department of Obstetrics and Gynecology Ewha Womans University Mokdong Hospital Ewha Womans Univers)
저널정보
대한의학회 Journal of Korean Medical Science Journal of Korean Medical Science Vol.36 No.45
발행연도
2021.11
수록면
1 - 9 (9page)
DOI
10.3346/jkms.2021.36.e316

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Background: Regular assessments of clinical performance in gynecologic cancer surgery is important for the safety of patients. We evaluated the effects of quality control (QC) program on the treatment pattern and clinical outcomes of early cervical cancer. Methods: Medical records of cervical cancer patients who received operation in our institution from January 2007 to December 2018 were retrospectively reviewed. Cases were divided into 2 groups, before and after the initiation of QC program, group 1 (2007?2013) and group 2 (2014?2018), based on the operation date. Two groups were compared in clinicopathologic variables, surgical methods, operative details, adjuvant treatments, recurrence and survival. Results: A total of 305 cervical cancer patients were included in the analysis, 210 in group 1 and 95 in group 2. In group 2, minimally invasive surgery (MIS) was more frequently performed (60.0% vs. 76.8%, P = 0.004), especially in earlier stages (stage IA, 72.6% vs. 100.0%; stage IB, 52.2% vs. 69.5%). However, the median tumor size treated by MIS was decreased in stage IB (20 mm vs. 17 mm, P = 0.015). Frequency of adjuvant treatment was also reduced in stage IB (56.5% vs. 37.3%, P = 0.016). Recurrence within 3 years, 3-year disease free survival and overall survival did not show significant difference; however, 3-year recurrence after MIS was significantly reduced in stage IB. Conclusion: QC program enforced stricter patient selection criteria for MIS and positively affected clinical outcomes in cervical cancer patients who underwent surgery. Systemic monitoring should be considered for patient safety.
#Quality Control #Uterine Cervical Neoplasms #Gynecologic Surgical Procedures #Hysterectomy

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참고문헌 (19)

참고문헌 신청
Koh WJ / 2019 / Cervical cancer, version 3. 2019, NCCN clinical practice guidelines in oncology / J Natl Compr Canc Netw 17(1):64~84 google schola Verleye L / 2009 / Quality assurance for radical hysterectomy for cervical cancer : the view of the European Organization for Research and Treatment of Cancer--Gynecological Cancer Group(EORTC-GCG) / Ann Oncol 20(10):1631~1638 google schola du Bois A / 2009 / Variations in institutional infrastructure, physician specialization and experience, and outcome in ovarian cancer : a systematic review / Gynecol Oncol 112(2):422~436 google schola Arora V / 2018 / Essential surgical skills for a gynecologic oncologist / Int J Gynaecol Obstet 143(Suppl 2):118~130 google schola Vernooij F / 2007 / The outcomes of ovarian cancer treatment are better when provided by gynecologic oncologists and in specialized hospitals : a systematic review / Gynecol Oncol 105(3):801~812 google schola

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