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Adherence to Guidelines During Follow-up of Endometrial Cancer: Analysis of French Health Insurance Database.

Abstract Recommendations for endometrial cancer (EC) follow-up after treatment include regular clinical examinations without further systematic investigation. The objectives of our study were to examine adherence to follow-up guidelines in patients who underwent surgery for EC and identify associated variables.
PMID
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Authors

Mayor MeshTerms
Keywords

Endometrial cancer

follow-up

guidelines

Journal Title anticancer research
Publication Year Start




PMID- 29715127
OWN - NLM
STAT- MEDLINE
DCOM- 20180508
LR  - 20180508
IS  - 1791-7530 (Electronic)
IS  - 0250-7005 (Linking)
VI  - 38
IP  - 5
DP  - 2018 May
TI  - Adherence to Guidelines During Follow-up of Endometrial Cancer: Analysis of
      French Health Insurance Database.
PG  - 2977-2982
AB  - BACKGROUND/AIM: Recommendations for endometrial cancer (EC) follow-up after
      treatment include regular clinical examinations without further systematic
      investigation. The objectives of our study were to examine adherence to follow-up
      guidelines in patients who underwent surgery for EC and identify associated
      variables. PATIENTS AND METHODS: Patients who underwent surgery for EC between
      2005 and 2014 were identified among the Echantillon Generaliste des
      Beneficiaires. The adherence to guidelines was defined by fewer than two
      investigations performed, including vaginal smear, CA 125 evaluation and imaging 
      during two postoperative years. RESULTS: Among the 314 women identified, a gap
      between recommendations and practices was observed in 48.1%. This gap was more
      frequently observed in patients who underwent surgery before 2011, in private
      institutions and in institutions performing less than 20 hysterectomies for EC
      per year and who had Long Duration Disease declaration for EC. CONCLUSION: A gap 
      between recommendations and practices for the follow-up was observed in almost
      half of the patients with EC. Updating the recommendations in 2010 may have
      improved compliance with the recommendations.
CI  - Copyright(c) 2018, International Institute of Anticancer Research (Dr. George J. 
      Delinasios), All rights reserved.
FAU - Phelippeau, Juliette
AU  - Phelippeau J
AD  - Gynecologic Oncology, Bichat University Hospital, Paris Diderot University,
      Paris, France.
AD  - EA 7285, Versailles Saint Quentin University, Montigny Le Bretonneux, France.
FAU - Rouzier, Roman
AU  - Rouzier R
AD  - EA 7285, Versailles Saint Quentin University, Montigny Le Bretonneux, France.
AD  - Department of Surgical Oncology, Rene Huguenin Centre, Saint-Cloud, France.
FAU - Koskas, Martin
AU  - Koskas M
AD  - Gynecologic Oncology, Bichat University Hospital, Paris Diderot University,
      Paris, France [email protected]
AD  - EA 7285, Versailles Saint Quentin University, Montigny Le Bretonneux, France.
LA  - eng
PT  - Journal Article
PL  - Greece
TA  - Anticancer Res
JT  - Anticancer research
JID - 8102988
SB  - IM
MH  - Aged
MH  - Endometrial Neoplasms/*surgery
MH  - Female
MH  - France
MH  - Guideline Adherence/*statistics & numerical data
MH  - Humans
OTO - NOTNLM
OT  - *Endometrial cancer
OT  - *follow-up
OT  - *guidelines
EDAT- 2018/05/02 06:00
MHDA- 2018/05/09 06:00
CRDT- 2018/05/02 06:00
PHST- 2018/02/28 00:00 [received]
PHST- 2018/03/23 00:00 [revised]
PHST- 2018/03/27 00:00 [accepted]
PHST- 2018/05/02 06:00 [entrez]
PHST- 2018/05/02 06:00 [pubmed]
PHST- 2018/05/09 06:00 [medline]
AID - 38/5/2977 [pii]
AID - 10.21873/anticanres.12549 [doi]
PST - ppublish
SO  - Anticancer Res. 2018 May;38(5):2977-2982. doi: 10.21873/anticanres.12549.