Patient support groups identifying clinical equipoise in UK gynaecological oncology surgeons as the basis for trials in ultraradical surgery for advanced ovarian cancer

Research output: Contribution to journalArticlepeer-review


  • Raj Naik
  • Louise Bayne
  • Christina Founta
  • Gordon Rustin
  • Christina Fotopoulou

Colleges, School and Institutes


"Clinical equipoise" is defined as the genuine uncertainty by the expert medical community of the most beneficial treatment. A survey performed in 2013 by a patient support group, Ovacome, of gynaecological oncologists in the UK on ultra-radical surgery in advanced ovarian cancer has shown that there is a wide variation in surgical practice across the country. In addition, there were mixed views on the quality of published evidence justifying it's performance, signifying a state of clinical equipoise. The survey also identified widespread insufficient infra-structural resources and lack of surgical training and skills. The majority of respondents would be prepared to undertake additional training to acquire the surgical skills and/or refer to other centres/surgeons already performing the surgery and/or recruit to surgical trials investigating ultra-radical surgery in advanced ovarian cancer.


Original languageEnglish
Pages (from-to)91-94
JournalInternational Journal of Gynecological Cancer
Issue number1
Early online date28 Oct 2015
Publication statusPublished - Jan 2016


  • patient support groups, gynaecological oncology, ultraradical surgery

ASJC Scopus subject areas