4.6 Article

Impact of a structured quality management program on surgical outcome in primary advanced ovarian cancer

期刊

GYNECOLOGIC ONCOLOGY
卷 121, 期 3, 页码 615-619

出版社

ACADEMIC PRESS INC ELSEVIER SCIENCE
DOI: 10.1016/j.ygyno.2011.02.014

关键词

Ovarian cancer; Cytoreductive surgery; Primary surgery; Interdisciplinary approach; Quality management

向作者/读者索取更多资源

Objective. Surgical outcome in advanced ovarian cancer (AOC) is an important prognostic factor and the only factor amendable to improvement by optimization. Therefore, introduction of quality management programs (QM) regarding the surgical therapy in ovarian cancer may help to improve outcome. Methods. We introduced a specific ovarian cancer quality management program in 2001 in our gynecologic oncology center. Analysis of 396 consecutive patients with primary surgery for advanced ovarian cancer FIGO stages IIB-IV operated before the introduction of the quality management program 1997-2000, or during the introduction years 2001-2003, or after establishing 2004-2008. Results. Thirty-three percent had complete debulking to no macroscopic residual disease from 1997 to 2000. This rate increased to 47% in 2001-2003 (n = 86) and 62% in 2004-2008 (n = 259). The utilization of extended surgical procedures increased over time. Patients with complete resection had 5-YSR of 55% compared to 16% in patients with residuals 1-10 mm, and 13% in patients with residuals > 1 cm (p < 0.001). The median OS increased from 26 months 1997-2000 to 37 months 2001-2003 and 45 months in 2004-2008 (p < 0.003). Conclusions. Optimizing surgical skills, infrastructure, and introduction of quality management programs may improve both surgical and overall outcome in advanced ovarian cancer. (C) 2011 Elsevier Inc. All rights reserved.

作者

我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。

评论

主要评分

4.6
评分不足

次要评分

新颖性
-
重要性
-
科学严谨性
-
评价这篇论文

推荐

Article Obstetrics & Gynecology

Conservative management of abnormally invasive placenta complicated by local hyperfibrinolysis and beginning disseminated intravascular coagulation

C. Biele, L. Kaufner, A. Schwickert, A. Nonnenmacher, K. von Weizsacker, M. Z. Muallem, W. Henrich, T. Braun

Summary: Routine monitoring of coagulation parameters and signs of infection is recommended during conservative management of abnormally invasive placenta. Postpartum tranexamic acid oral dosage should be considered when fibrinogen levels are decreasing and D-dimers are increasing.

ARCHIVES OF GYNECOLOGY AND OBSTETRICS (2021)

Article Oncology

Nerve-sparing radical hysterectomy-Muallem technique with explanation of parametrium and paracolpium anatomy

Mustafa Zelal Muallem, Andrea Miranda, Jumana Muallem

INTERNATIONAL JOURNAL OF GYNECOLOGICAL CANCER (2021)

Letter Obstetrics & Gynecology

Reply to: Hysterectomy versus continuing conservative management: which is better for disseminated intravascular coagulation?; Shinya Matsuzaki, MD, PhD, Yoshikazu Nagase, MD, Masayuki Endo, MD, PhD, Tadashi Kimura, MD, PhD

C. Biele, L. Kaufner, A. Nonnenmacher, K. von Weizsaecker, M. Z. Muallem, W. Henrich, Thorsten Braun

ARCHIVES OF GYNECOLOGY AND OBSTETRICS (2022)

Article Cell Biology

Human tumor necrosis factor alpha-induced protein eight-like 1 exhibited potent anti-tumor effect through modulation of proliferation, survival, migration and invasion of lung cancer cells

Devivasha Bordoloi, Ganesan Padmavathi, Kishore Banik, Khwairakpam Amrita Devi, Choudhary Harsha, Sosmitha Girisa, Constanze Buhrmann, Mehdi Shakibaei, Ajaikumar B. Kunnumakkara

Summary: Lung cancer is a prevalent neoplasm globally, with factors such as tobacco smoking and exposure to carcinogens playing a significant role in its development. The protein TIPE1 shows promise as an important biomarker in lung cancer pathogenesis, with potential therapeutic implications.

MOLECULAR AND CELLULAR BIOCHEMISTRY (2021)

Article Obstetrics & Gynecology

Survival outcomes of women with grade 3 endometrioid endometrial cancer: the impact of adjuvant treatment strategies

Kemal Gungorduk, Jumana Muallem, Osman Asicioglu, Varol Gulseren, Umran Kucukgoz Gulec, Mehmet Mutlu Meydanli, Jalid Sehouli, Aykut Ozdemir, Hanifi Sahin, Ghanim Khatib, Andrea Miranda, Nurettin Boran, Taylan Senol, Nuri Yildirim, Taner Turan, Tufan Oge, Salih Taskin, Mehmet Ali Vardar, Ali Ayhan, Mustafa Zelal Muallem

Summary: In patients with G3-EEC, inadequate lymphadenectomy and lymphovascular space invasion are independent prognostic factors. Adequate lymphadenectomy and optimal surgery are independent prognostic factors for better outcomes. Further research is needed for patients with advanced stage cancer.

ARCHIVES OF GYNECOLOGY AND OBSTETRICS (2022)

Article Biochemistry & Molecular Biology

Curcumin Attenuates Environment-Derived Osteoarthritis by Sox9/NF-kB Signaling Axis

Constanze Buhrmann, Aranka Brockmueller, Anna-Lena Mueller, Parviz Shayan, Mehdi Shakibaei

Summary: Curcumin has shown potential in modulating the pathophysiology of osteoarthritis by inhibiting inflammation through NF-kB-Sox9 coupling, thereby contributing to the maintenance of homeostasis in OA.

INTERNATIONAL JOURNAL OF MOLECULAR SCIENCES (2021)

Article Oncology

A New Anatomic and Staging-Oriented Classification of Radical Hysterectomy

Mustafa Zelal Muallem

Summary: The current classifications of radical hysterectomy are limited by focusing only on lateral resection extension, while the new proposed three-dimensional classification takes into account tumor size, stage, localization, and infiltration in the vaginal vault for more precise surgical planning and customization.

CANCERS (2021)

Article Oncology

Nerve sparing systematic lymph node dissection (para-aortic region): a technique for enhanced functional outcomes after gynecological cancer surgeries

Mustafa Zelal Muallem, Sara Nasser, Andrea Miranda

INTERNATIONAL JOURNAL OF GYNECOLOGICAL CANCER (2022)

Article Oncology

Cell-Free-DNA-Based Copy Number Index Score in Epithelial Ovarian Cancer-Impact for Diagnosis and Treatment Monitoring

Elena Ioana Braicu, Andreas du Bois, Jalid Sehouli, Julia Beck, Sonia Prader, Hagen Kulbe, Bernd Eiben, Philipp Harter, Alexander Traut, Klaus Pietzner, Ralf Glaubitz, Beyhan Ataseven, Radoslav Chekerov, Christoph Keck, Thomas Winkler, Sebastian Heikaus, Peggy Gellendin, Ekkehard Schuetz, Florian Heitz

Summary: This study demonstrates the use of low-coverage cell-free tumor DNA sequencing to detect chromosomal instability (CI) in ovarian cancer patients. The CI can serve as a reliable marker for ovarian cancer detection and is associated with prognostic and predictive clinical measures. The findings suggest that ctDNA analysis based on the CNI-Score can be an important tool for diagnostics and therapy monitoring in high-grade epithelial ovarian cancer.

CANCERS (2022)

Article Oncology

Ten years of live surgical broadcast at Charite-MAYO conferences (2010-2019): a systematic evaluation of the surgical outcome

Judith Altmann, Radoslav Chekerov, Christina Fotopoulou, Mustafa-Zelal Muallem, Andreas du Bois, William Cliby, Sean Dowdy, Karl Podratz, Werner Lichtenegger, Omar Camara, Ralf Tunn, David Cibula, Sherko Kuemmel, Giovanni Scambia, Ignace Vergote, Vito Chiantera, Klaus Pietzner, Melisa Guelhan Inci, Sascha Chopra, Matthias Biebl, Joerg Neymeyer, Jens-Uwe Blohmer, Jalid Sehouli

Summary: This study analyzed the peri-operative risks in patients who underwent live surgeries during the Charite-MAYO Conferences. The results showed that live surgeries performed within a multidisciplinary setting are safe, with no increase in surgical morbidity and mortality, and without compromising patients' outcomes.

INTERNATIONAL JOURNAL OF GYNECOLOGICAL CANCER (2022)

Article Oncology

Reconstructive Surgery versus Primary Closure following Vulvar Cancer Excision: A Wide Single-Center Experience

Mustafa Zelal Muallem, Jalid Sehouli, Andrea Miranda, Helmut Plett, Ahmad Sayasneh, Yasser Diab, Jumana Muallem, Imad Hatoum

Summary: In the management of advanced vulval cancer, there is a dilemma between primary closure and reconstructive surgery. This study compared the preoperative parameters and postoperative results between these two approaches. The findings suggest that reconstructive surgery may lead to better treatment outcomes by improving complete resection rates, anatomical restoration, and wound healing, consequently reducing recurrence rates.

CANCERS (2022)

Article Oncology

Treatment strategies in patients with gynecological sarcoma: Results of the prospective intergroup real-world registry for gynecological sarcoma in Germany (REGSA-NOGGO RU1)

Eva Roser, Philipp Harter, Dario Zocholl, Dominik Denschlag, Radoslav Chekerov, Pauline Wimberger, Christian Kurzeder, Annette Hasenburg, Mustafa-Zelal Muallem, Alexander Mustea, Guenter Emons, A. G. Zeimet, Felix Beck, Tjadina Arndt, Sara Y. Brucker, Stefan Kommoss, Florian Heitz, Julia Welz, Eva-Katharina Egger, Matthias Kalder, Paul Buderath, Maximilian Klar, Christian Marth, Uwe Andreas Ulrich, Michael Weigel, Lea Traub, Christoph Anthuber, Hans Strauss, Lars Hanker, Theresa Link, Karol Kubiak, Badrig Melekian, Daniela Hornung, Martin Poelcher, Bjoern Lampe, Thomas Krauss, Ulrich Keilholz, Anne Floercken, Klaus Pietzner, Jalid Sehouli

Summary: This study aimed to describe the treatment strategies used in patients with gynecological sarcomas. The results showed heterogeneous treatment methods, and further research is needed to implement new treatment strategies.

INTERNATIONAL JOURNAL OF GYNECOLOGICAL CANCER (2023)

Article Oncology

Implementing HRD Testing in Routine Clinical Practice on Patients with Primary High-Grade Advanced Ovarian Cancer

Florian Heitz, Beyhan Ataseven, Claudia Staniczok, Carsten Denkert, Kerstin Rhiem, Eric Hahnen, Sebastian Heikaus, Malak Moubarak, Julia Welz, Timoleon Dagres, Vasilios Vrentas, Mareike Bommert, Stephanie Schneider, Nicole Concin, Philipp Harter

Summary: Testing for HRD is crucial for recommending appropriate therapy in primary high-grade ovarian cancer patients. While patients with a BRCA mutation are defined as HRD deficient, approximately 20% of patients without BRCA mutation can still have HRD deficiency based on tumor genomic analysis. This study highlights the importance of obtaining sufficient tumor tissue and conducting additional BRCA germline testing to improve the accuracy of HRD testing and inform treatment decisions.

CANCERS (2023)

Article Oncology

Incidence and Prognostic Impact of Deleterious Germline Mutations in Primary Advanced Ovarian Carcinoma Patients

Majdi Imterat, Philipp Harter, Kerstin Rhiem, Florian Heitz, Stephanie Schneider, Nicole Concin, Malak Moubarak, Julia Welz, Vasileios Vrentas, Alexander Traut, Eric Hahnen, Rita Schmutzler, Andreas du Bois, Beyhan Ataseven

Summary: Limited data is available on deleterious variants in genes other than BRCA1/2. A retrospective cohort study investigated the impact of germline mutations on ovarian cancer prognosis. The study found that germline mutations, including BRCA1/2 and other genes, were detected in a quarter of ovarian cancer patients and were associated with significantly better outcomes in terms of overall survival and progression-free survival.

CANCERS (2023)

Article Oncology

Lymphovascular space invasion and Ki67 as predictors of lymph node metastasis in primary low grade serous ovarian cancer

Jacek P. Grabowski, Joanna Glajzer, Rolf Richter, Helmut Plett, Mustafa-Zelal Muallem, Elena Ioana Braicu, Eliane Taube, Jalid Sehouli

Summary: This study found an association between lymphovascular space invasion, Ki67 expression, and risk of lymph node metastasis in primary low grade ovarian cancer. Further prospective trials are needed to evaluate lymphovascular space invasion and Ki-67 as predictors of lymph node metastasis.

INTERNATIONAL JOURNAL OF GYNECOLOGICAL CANCER (2021)

Article Oncology

Molecular landscape of ERBB2/HER2 gene amplification among patients with gynecologic malignancies; clinical implications and future directions

Dimitrios Nasioudis, Stefan Gysler, Nawar Latif, Lory Cory, Robert L. Giuntoli II, Sarah H. Kim, Fiona Simpkins, Lainie Martin, Emily M. Ko

Summary: The prevalence of ERBB2 gene amplification was investigated among patients with gynecologic malignancies. The study found that ERBB2 amplification is frequently encountered in uterine serous carcinoma and mucinous ovarian carcinoma, but less common in endometrioid endometrial carcinoma.

GYNECOLOGIC ONCOLOGY (2024)