This paper is published on behalf of the West Midlands Gynaecological Oncology Group, whose members are listed on page 555.
An audit of the management of uterine malignancy within the West Midlands
Article first published online: 12 AUG 2005
BJOG: An International Journal of Obstetrics & Gynaecology
Volume 107, Issue 4, pages 552–555, April 2000
How to Cite
Redman, C. W. E. (2000), An audit of the management of uterine malignancy within the West Midlands. BJOG: An International Journal of Obstetrics & Gynaecology, 107: 552–555. doi: 10.1111/j.1471-0528.2000.tb13277.x
- Issue published online: 12 AUG 2005
- Article first published online: 12 AUG 2005
- Accepted 9 July 1999
Objective To audit the management of uterine malignancy.
Design Retrospective casenote analysis.
Setting Cancer units/centres within the West Midlands.
Sample The last 10 cases managed by each hospital in 1997.
Results Ninety-six cases of uterine malignancy from ten hospitals were analysed. Only six hospitals were able to provide a complete data set. Eighty-eight cases (92%) presented with abnormal, usually postmenopausal, vaginal bleeding. Over 90% of the cases were primary endometrial carcinomas. Of the 15 standards audited, 11 were met by at least one hospital. No hospital met all the standards, although every hospital was able to meet at least one. Standards concerned with initial referral and diagnostic intervals were universally failed. Outpatient diagnosis was made in only 30%. The availability of Rapid Access Clinics neither promoted outpatient diagnosis nor sped up diagnosis. Once the diagnosis had been made, surgery was usually performed within six weeks.
Conclusions This audit has provided valuable baseline data for future activity. Serious attention must be given to improvement in clinical cancer data collection. Referral pathways for women with suspected uterine cancer, and endometrial cancer in particular, need improvement. It is recommended that the current standards remain unaltered, and after the West Midlands Gynaecological Oncology Group had the opportunity to consider and implement the necessary changes, the audit be repeated.