title: Adherence to guidelines in gynecologic cancer surgery.
abstract: The purpose of this study is to review the available evidence documenting the prognostic role of adherence to guidelines in gynecologic cancers. A systematic review of the PubMed database using "guideline," "adherence," and "cancer" was carried out on February 25, 2014. Two thousand one hundred twenty-three publications were identified. Only publications addressing the question of adherence to recommendations regarding surgical care and multidisciplinary management of gynecologic cancers were selected. Six studies were identified in endometrial cancer, 4 in ovarian cancer, and none in cervical cancer. Adoption of guidelines is an effective tool for disease control and must consequently be considered as a process measure of quality cancer care. It is urgent to develop reliable and reproducible tools to assess adherence to guidelines based on level 1 evidence in gynecologic cancer then to carry out investigations to document the prognostic impact of compliance with guidelines. The time has come to include adherence to guidelines in quality assurance programs.
authors.affiliation: *Department of Surgical Oncology; †Department of Medical Oncology; ‡Department of Surgical Pathology; §Department of Radiation Therapy; and ∥Department of Radiology, Institut Claudius Regaud, Toulouse, France.
authors.forename: Gwenael
authors.initials: G
authors.lastname: Ferron
authors.forename: Alejandra
authors.initials: A
authors.lastname: Martinez
authors.forename: Laurence
authors.initials: L
authors.lastname: Gladieff
authors.forename: Eliane
authors.initials: E
authors.lastname: Mery
authors.forename: Isabelle
authors.initials: I
authors.lastname: David
authors.forename: Martine
authors.initials: M
authors.lastname: Delannes
authors.forename: Marion
authors.initials: M
authors.lastname: Montastruc
authors.forename: Gisèle
authors.initials: G
authors.lastname: Balagué
authors.forename: Laetitia
authors.initials: L
authors.lastname: Picaud
authors.forename: Denis
authors.initials: D
authors.lastname: Querleu
mesh_terms: D005260:Female; D005833:Genital Neoplasms, Female / Q000601:surgery*; D019983:Guideline Adherence; D013509:Gynecologic Surgical Procedures; D006801:Humans; D017410:Practice Guidelines as Topic; D011379:Prognosis