Universität zu Köln

Battista, Marco Johannes, Schmidt, Marcus ORCID: 0000-0003-1365-2414, Rieks, Nicole, Steetskamp, Joscha, Sicking, Isabel, Lebrecht, Antje, Koelbl, Heinz, Mallmann, Peter, Hoffmann, Gerald and Steiner, Eric (2014). Nationwide analysis on surgical procedures for patients with endometrial cancer in Germany: Results of the AGO pattern of care studies from the years 2013, 2009, and 2006. J. Cancer Res. Clin. Oncol., 140 (12). S. 2087 - 2094. NEW YORK: SPRINGER. ISSN 1432-1335

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Abstract

In 2013, 2009, and 2006, the Arbeitsgemeinschaft Gynakologische Onkologie evaluated the therapeutic approaches and the adherence to their guidelines for endometrial carcinoma (EC) in Germany. Here, we present the results concerning the surgical procedures. A questionnaire was developed and sent to 682 German gynecological departments in 2013 (775 in 2009 and 500 in 2006). The results were compared with the recommendations of the guideline and with each other. Responses were available in 40.0 % in 2013, 33.3 % in 2009, and 35.8 % in 2006, respectively. Pelvic lymphadenectomy (LAN) was performed in accordance with the guidelines with some exceptions in 2013, 2009, and 2006, whereas paraaortic LAN was performed in accordance with the guideline only in 2009. Histological high-risk subtypes of EC received pelvic and paraaortic LAN in 2013, 2009, and 2006 in accordance with the guidelines with small exceptions. LAN for Patients, who were postoperatively upstaged or upgraded, was not conducted in accordance with the guidelines in 2013, 2009, and 2006. In 2013, 84.6 % of the participants offered the laparoscopic approach (LSA) for hysterectomy and bilateral salpingo-oophorectomy, 63.3 % for pelvic LAN, and 49.1 % for paraaortic LAN, respectively. More participants offered the LSA in 2013 compared to 2009 and 2006 (p values < 0.014). The paraaortic LAN was the second operation on patients, who are postoperatively upstaged, and the LSA was not conducted in accordance with the guideline. Improvements concerning surgical treatment are possible and might lead to higher survival rates and a reduction of morbidity in patients with EC in Germany.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Battista, Marco Johannes UNSPECIFIED UNSPECIFIED UNSPECIFIED Schmidt, Marcus UNSPECIFIED orcid.org/0000-0003-1365-2414 UNSPECIFIED Rieks, Nicole UNSPECIFIED UNSPECIFIED UNSPECIFIED Steetskamp, Joscha UNSPECIFIED UNSPECIFIED UNSPECIFIED Sicking, Isabel UNSPECIFIED UNSPECIFIED UNSPECIFIED Lebrecht, Antje UNSPECIFIED UNSPECIFIED UNSPECIFIED Koelbl, Heinz UNSPECIFIED UNSPECIFIED UNSPECIFIED Mallmann, Peter UNSPECIFIED UNSPECIFIED UNSPECIFIED Hoffmann, Gerald UNSPECIFIED UNSPECIFIED UNSPECIFIED Steiner, Eric UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-422545
DOI:	10.1007/s00432-014-1755-7
Journal or Publication Title:	J. Cancer Res. Clin. Oncol.
Volume:	140
Number:	12
Page Range:	S. 2087 - 2094
Date:	2014
Publisher:	SPRINGER
Place of Publication:	NEW YORK
ISSN:	1432-1335
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language PHASE-III TRIAL; INTERMEDIATE-RISK; CARCINOMA; CHEMOTHERAPY; RADIOTHERAPY; LAPAROTOMY; SURGERY Multiple languages Oncology Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/42254