Correlation of surgical volume in gynecological cancer centers with the quality of ovarian cancer care

Publikation: Beitrag in Fachzeitschrift › Forschungsartikel › Beigetragen › Begutachtung

Beitragende

  • Olaf Ortmann - , Universität Regensburg (Autor:in)
  • Rebecca Roth - , Deutsche Krebsgesellschaft e.V. (DKG) (Autor:in)
  • Birgit Klages - , Deutsche Krebsgesellschaft e.V. (DKG) (Autor:in)
  • Christoph Kowalski - , Deutsche Krebsgesellschaft e.V. (DKG) (Autor:in)
  • Johannes Bruns - , Deutsche Krebsgesellschaft e.V. (DKG) (Autor:in)
  • Pauline Wimberger - , Klinik und Poliklinik für Frauenheilkunde und Geburtshilfe, Nationales Centrum für Tumorerkrankungen Dresden (Autor:in)
  • Jalid Sehouli - , Charité – Universitätsmedizin Berlin (Autor:in)
  • Matthias W. Beckmann - , Friedrich-Alexander-Universität Erlangen-Nürnberg (Autor:in)
  • Susanne Schüler-Toprak - , Universität Regensburg (Autor:in)

Abstract

Purpose: Surgical volume in ovarian cancer treatment has been discussed to influence survival. Completeness of staging in early and macroscopic complete resection in advanced ovarian cancer are indicators of treatment quality and surrogate parameters for outcome. This study examines their association with case volume in certified gynecological cancer centers. Methods: Certification audit data from ovarian cancer cases treated in 193 gynecological cancer centers certified by the German Cancer Society between 2020 and 2022 were analyzed. In our study 3,881 patients with FIGO stage I-IIIA and 7,219 patients with FIGO stage IIB-IV ovarian cancer were included. Case volume thresholds of 10, 15, 20 and 25 annual cases per hospital were explored for both quality indicators. Results: Higher-volume centers consistently performed complete surgical staging in FIGO stage I-IIIA ovarian cancer patients more frequently. For example, centers treating < 15 cases annually had a lower likelihood of complete staging (OR 0.82; 95% CI 0.69–0.98; p = 0.031). Macroscopic complete resection was achieved in 72.32–75.64% of FIGO stage IIB-IV ovarian cancer cases across all four thresholds. High-volume centers performed macroscopic complete resection about 2 percentage points more often. Conclusion: These data indicate that case volume of cancer centers is not necessarily an indicator for quality of treatment. Since certification audit data does not account for primary surgery or neoadjuvant chemotherapy, the inherent bias caused by differences in resection rates between these two treatment strategies must be acknowledged.

Details

OriginalspracheEnglisch
Aufsatznummer239
Seitenumfang7
FachzeitschriftJournal of cancer research and clinical oncology
Jahrgang151
Ausgabenummer8
PublikationsstatusVeröffentlicht - 28 Aug. 2025
Peer-Review-StatusJa

Externe IDs

PubMed 40866719

Schlagworte

Ziele für nachhaltige Entwicklung

ASJC Scopus Sachgebiete

  • Onkologie - Complete surgical staging, Macroscopic complete resection, Ovarian cancer, Surgical volume
  • Krebsforschung - Complete surgical staging, Macroscopic complete resection, Ovarian cancer, Surgical volume

Schlagwörter

  • Complete surgical staging, Macroscopic complete resection, Ovarian cancer, Surgical volume