Quality statement 5: Initial staging CT

Quality statement

Women who are offered staging for ovarian cancer, following ultrasound, are offered computed tomography (CT) of the abdomen and pelvis as the initial staging investigation.

Quality measure

Structure: Evidence of local arrangements and written clinical protocols to ensure women who are offered staging for ovarian cancer, following ultrasound, are offered CT of the abdomen and pelvis as the initial staging investigation.

Process: Proportion of women who are offered staging for ovarian cancer, following ultrasound, who receive CT of the abdomen and pelvis as the initial staging investigation.

Numerator – the number of women in the denominator receiving CT of the abdomen and pelvis as the initial staging investigation.

Denominator – the number of women who are offered staging for ovarian cancer, following ultrasound.

What the quality statement means for each audience

Service providers ensure systems and written clinical protocols are in place so that women who are offered staging for ovarian cancer, following ultrasound, are offered CT of the abdomen and pelvis as the initial staging investigation.

Healthcare professionals ensure women who are offered staging for ovarian cancer, following ultrasound, are offered CT of the abdomen and pelvis as the initial staging investigation.

Commissioners ensure they commission services that offer women who are offered staging for ovarian cancer, following ultrasound, a CT of the abdomen and pelvis as the initial staging investigation.

Women who are offered investigations to find out the stage of the ovarian cancer, following ultrasound, are offered a CT scan of the abdomen and pelvis as the first investigation.

Source guidance

NICE clinical guideline 122 recommendations 1.2.3.2 and 1.2.3.3.

The Royal College of Radiologists. iRefer: Making the best use of clinical radiology: referral guidelines recommendation CA43 staging (CT).

Data source

Structure: Local data collection.

Process: National Cancer Outcomes and Services Dataset (in development), available from the National Cancer Intelligence Network.

Also contained in NICE audit support for ovarian cancer (NICE clinical guideline 122): secondary care, criteria 5.