Conclusions
Even in a randomised trial in which
comprehensive surgical staging was strongly advised in the study
protocol the majority of patients (66%) were incompletely staged.
Factors relating to a lack of surgical skills attributed most to the
number of incompletely staged patients, but insufficient knowledge of
the tumour behaviour and routes of spread of ovarian cancer also
contributed substantially to this problem.
Multicentre trials recruiting
patients from many institutes with small volume contribution to the
study, run the risk of inadequate adherence to the study protocol.
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