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

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 Généraliste des Bénéficiaires. 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.