Medical Journal of Cairo University [The]. 2007; 75 (2): 369-373
in English
| IMEMR
| ID: emr-84392
ABSTRACT
To assess the quality of care for patients with advanced ovarian carcinoma at Mansoura University Teaching Hospital. Case notes of 96 patients with advanced ovarian carcinoma [stages III-IV] were reviewed. Operative intervention was carried out by Gynecologists in 50 patients and optimal debulking was achieved in 19 [38%]. A combined team of Gynecologists and Surgeons achieved optimal debulking in 17/21 [81%], while general surgeons achieved optimal debulking in 5/25 [20%] of patients. 78% of patients completed 6 cycles of platinum based chemotherapy. The median progression-free and overall survival was 16 and 22.9 months respectively. Optimal cytoreduction was the single favorable prognostic factor. Patients were managed on individual basis with no specialization or multi-disciplinary team management. Multidisciplinary surgical management achieved the best survival for patients with advanced ovarian carcinoma. Centralization of care and surgical sub-specialization are still suboptimal in Mansoura
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Index:
IMEMR (Eastern Mediterranean)
Main subject:
Postoperative Period
/
Quality of Health Care
/
Neoplasm Staging
Limits:
Female
/
Humans
Language:
English
Journal:
Med. J. Cairo Univ.
Year:
2007
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