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Quality of Care for Cervical and Endometrial Cancer Patients: The Impact of Different Techniques of Sentinel Lymph Node Mapping on Patient Satisfaction

  • Gynecologic Oncology
  • Published:
Annals of Surgical Oncology Aims and scope Submit manuscript

Abstract

Objectives

The purpose of this study was to assess the quality of care in patients who underwent sentinel lymph node (SLN) mapping for endometrial and cervical cancer staging, and evaluate the impact of different techniques on patient satisfaction, i.e. radiotracer Tc99m versus indocyanine green (ICG) or methylene blue injection.

Method

Women with preoperative stage I endometrial cancer or stage I (1A2–1B1) cervical cancer who underwent surgical staging, including SLN mapping, were considered for this study. Patient satisfaction was assessed using the European Organisation for Research and Treatment of Cancer IN-PATSAT32 questionnaire. Women were classified into two groups according to the different nodal mapping techniques: intracervical preoperative injection of Tc99m nanocolloid + intraoperative blue dye (Group 1) versus intraoperative cervical injection of ICG or blue dye (Group 2). Differences in patient satisfaction scores between the groups were analyzed.

Results

Of the 178 eligible women, 143 were included in the study (endometrial cancer n = 106, cervical cancer n = 37): 57 underwent SLN mapping with Tc99m and blue dye (Group 1), and 86 women were mapped intraoperatively with blue dye alone or ICG (Group 2). Analysis of IN-PATSAT32 questionnaire scores showed a higher patient satisfaction score for patients in Group 2 (p = 0.001), which was independent of the physician and surgical outcomes evaluated. The scores were statistically better for Group 2, and also in rating doctors (p = 0.0001), nurses (p = 0.006), and care and services organizations (p = 0.001).

Conclusions

Cervical and endometrial cancer patients who underwent SLN mapping by ICG or blue dye perceived a better quality of care when compared with those patients who underwent the combined radiocolloid and blue dye technique.

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Acknowledgment

The authors would like to thank Patricia Ann Sawchuk for her friendship and contribution to the revision of this paper.

Funding

No sources of funding were used to support the present investigation.

Conflict of interest

Alessandro Buda, Federica Elisei, Sharon Palazzi, Elena De Ponti, Maurizio Arosio, Francesca Vecchione, Tiziana Dell’Anna, Marco Cuzzocrea, Beatrice Bussi, Daniela Giuliani, Giampaolo Di Martino, and Cinzia Crivellaro have no conflicts of interest to declare.

Author information

Authors and Affiliations

  1. Gynecologic Oncology Surgery Unit, Department of Obstetrics and Gynecology, San Gerardo Hospital, Monza, Italy

    Alessandro Buda MD, Francesca Vecchione MD & Tiziana Dell’Anna MD

  2. Department of Nuclear Medicine, San Gerardo Hospital, Monza, Italy

    Federica Elisei MD, Maurizio Arosio MD & Cinzia Crivellaro MD

  3. University of Milano-Bicocca, Monza, Italy

    Alessandro Buda MD, Sharon Palazzi MD, Marco Cuzzocrea MD, Beatrice Bussi MD, Daniela Giuliani MD & Giampaolo Di Martino MD

  4. Department of Medical Physics, San Gerardo Hospital, Monza, Italy

    Elena De Ponti MD

  5. Technomed Foundation, University of Milano-Bicocca, Monza, Italy

    Cinzia Crivellaro MD

Authors
  1. Alessandro Buda MD
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  2. Federica Elisei MD
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  3. Sharon Palazzi MD
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  4. Elena De Ponti MD
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  5. Maurizio Arosio MD
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  6. Francesca Vecchione MD
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  7. Tiziana Dell’Anna MD
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  8. Marco Cuzzocrea MD
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  9. Beatrice Bussi MD
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  10. Daniela Giuliani MD
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  11. Giampaolo Di Martino MD
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  12. Cinzia Crivellaro MD
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Corresponding author

Correspondence to Alessandro Buda MD.

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Buda, A., Elisei, F., Palazzi, S. et al. Quality of Care for Cervical and Endometrial Cancer Patients: The Impact of Different Techniques of Sentinel Lymph Node Mapping on Patient Satisfaction. Ann Surg Oncol 23, 2975–2981 (2016). https://doi.org/10.1245/s10434-016-5233-0

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  • DOI: https://doi.org/10.1245/s10434-016-5233-0

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