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Table 1 Characteristics of guidance documents presented by geographical area

From: Variation in the initial assessment and investigation for ovarian cancer in symptomatic women: a systematic review of international guidelines

Guidance document

Development body

Publication date of current version

Country and language if other than English

CPG

SG

CP

CS

Rigour of development (AGREEII) %

Healthcare system

Continental Europe

 Epithelial ovarian carcinoma

Dutch Society for Obstetrics and Gynaecology (NVOG)

2018

Netherlands (Dutch)

   

66

National/Social Health Insurance

 Guideline on diagnostics, therapy and follow-up of malignant ovarian tumours

The Association of Scientific Medical Societies in Germany (AWMF), led by German Society for Gynaecology and Obstetrics (DGGG)

2017

Germany (German)

   

81

National/Social Health Insurance

United Kingdom and Republic of Ireland

 Epithelial ovarian / fallopian tube / primary peritoneal cancer guidelines: recommendations for practice

British Gynaecological Cancer Society

2017

UK

   

48

National Health Service

 Ovarian cancer GP referral for symptomatic women

National Cancer Control Programme

2016

Republic of Ireland

 

  

7

National/Social Health Insurance

 Suspected cancer: recognition and referral

National Institute for Health and Care Excellence (NICE)

2015

England, Wales, Northern Ireland

   

96

National Health Service

 Scottish referral guidelines for suspected cancer

Healthcare Improvement Scotland

2014

Scotland

   

55

National Health Service

 Management of epithelial ovarian cancer

Scottish Intercollegiate Guidelines Network (Part of Healthcare Improvement Scotland)

2013

Scotland

   

76

National Health Service

Scandinavia

 Integrated ovarian cancer patient pathway

The Danish National Health Authority

2016

Denmark (Danish)

  

 

29

National Health Service

 Ovarian cancer patient pathway

The Norwegian Directorate of Health

2016

Norway (Norwegian)

  

 

38

National Health Service

 Standardised ovarian cancer care pathway a

Regional Cancer Centre Co-operative Sweden

2015

Sweden (Swedish)

   

55

National Health Service

Australasia

 

 Assessment of symptoms that may be ovarian cancer: a guide for general practitionersb

Cancer Australia

2015

Australia

 

  

50

National/Social Health Insurance

 Appropriate referral of women with suspected ovarian cancerb

Cancer Australia

2015

Australia

 

  

50

National/Social Health Insurance

 Optimal care pathway for women with ovarian cancer

Cancer Council Victoria

2015

Australia

  

 

10

National/Social Health Insurance

 Suspected cancer in primary care: Guidelines for investigation, referral and reducing ethnic disparity

New Zealand Guidelines Group

2009

New Zealand

   

56

National/Social Health Insurance

North America

 Ovarian cancer: including fallopian tube cancer and primary peritoneal cancer

National Comprehensive Cancer Network

2018 (v2)

USA

   

65

Private Health System

 The role of the obstetrician-gynaecologist in the early detection of epithelial ovarian cancer in women at average risk

American College of Obstetrician Gynaecologists and the Society of Gynaecological Oncology

2017

USA

   

11

Private Health System

 Ovarian cancer diagnosis pathway map

Cancer Care Ontario

2016

Ontario, Canada

  

 

19

National/Social Health Insurance

 Genital tract cancers in females: ovarian, fallopian tube, and primary peritoneal cancers

Guidelines and Protocol Advisory Committee (Medical Services Commission)

2014

British Columbia, Canada

   

16

National/Social Health Insurance

  1. CPG Clinical Practice Guideline, SG Short Guideline, CP Clinical Pathway, CS Consensus Statement
  2. aA full clinical practice guideline covering initial assessment, definitive diagnosis and treatment [18], and a short version focussing on initial assessment and investigation in primary care [19], are available. Guidance on initial assessment differed slightly between the two documents. The recommendations presented in this review were extracted from the short guide. AGREEII appraisal included an assessment of the full guideline evidence review
  3. bShort guide, still active. Based on a now rescinded 2004 full clinical practice guideline entitled ‘Clinical practice guidelines for the management of women with ovarian cancer’ [20]. AGREEII appraisal included an assessment of the full guideline evidence review