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. 2020 Jul 27;5(Suppl 3):e000827. doi: 10.1136/esmoopen-2020-000827

Table 1.

Ovarian cancer: priorities in outpatient visits and staging

High priority Medium priority Low priority
Outpatient visits
  • Potentially unstable (acute abdominal pain, intestinal obstruction, complications during postsurgery recovery.

  • Symptomatic new patient (symptomatic ascites or pleural effusion, intestinal obstruction).

  • Newly diagnosed asymptomatic patients, no prior surgery.

  • Postoperative patients with no complications.

  • Patients continuing on ChT (telemedicine where possible).

  • Established patients with new problems or symptoms from treatment (convert as many visits as possible to telemedicine appointments).

  • Follow-up visit on PARPi maintenance; most can be managed through telemedicine with blood tests and imaging done close to home. Explore postal drug delivery.

  • Maintenance bevacizumab: if facilities exist to continue, supervision can be performed by telemedicine, ensuring BP and urinalysis are monitored.

  • Survivorship visits off study.

Imaging
Symptomatic patient (intestinal obstruction, abdominal perforation). Diagnostic imaging for clinical suspicion of ovarian cancer (clinical, US).
  • Follow-up visit out of study.*

  • Follow-up visit on PARPi maintenance.

*For patients on clinical trials, seek information about changes in management for individual studies from the coordinating trials unit for treatment frequency, blood investigations and imaging.

BP, blood pressure; ChT, chemotherapy; PARPi, poly-ADP ribose polymerase inhibitors; US, ultrasound.