The search for recurrences or metastases in asymptomatic patients with endometrial carcinoma gives no better survival or quality of life. It often has no consequences for the treatment. This project focuses on reducing three types of inappropriate care for gynaecological carcinoma:
– Unnecessary (staging) diagnostics for primary endometrial carcinoma
– Unnecessary follow-up diagnostics for endometrial carcinoma to determine recurrent carcinoma growth
– Unnecessary lymphadenectomy in endometrial carcinoma
This unnecessary diagnosis creates extra uncertainty and anxiety. It exposes patients to punctures, invasive testing and extra time in the hospital. After removing the lymph nodes, approximately 30% of the patients suffer from lymphedema. This also adds extra pressure on the workload.
The project leaders first assess how often the inappropriate care occurs and the barriers and facilitators for reducing it. This will be the base of a tailor-made de-implementation strategy. Because there are no results of the problem analysis at this moment, the strategy has not been definitively selected. Because a lack of knowledge is very likely, training will be part of the strategy. Information material is probably also being developed for patients.
‘Patients should be better informed about the value of the diagnostics.’
Planned duration: 2 years.
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