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Key clinical findings from the IMPROVE-UK quality improvement projects: an overview
Andrew James Phillips1, Rebecca Bowen2, Mary Wells3,4
1University Hospitals of Derby and Burton NHS Foundation Trust, Derby, UK andrew.phillips6@nhs.net.
BMJ Open Quality
|February 25, 2025
Summary
The IMPROVE-UK program addressed ovarian cancer survival inequalities in the UK through seven quality improvement projects. These projects successfully identified areas for refining care processes, aiming to improve survival rates for all women diagnosed with ovarian cancer.
Area of Science:
- Oncology
- Public Health
- Health Services Research
Background:
- UK ovarian cancer survival rates lag behind international benchmarks.
- Significant variations in survival and treatment rates exist across the UK.
- The Ovarian Cancer Audit Feasibility Pilot highlighted these disparities.
Purpose of the Study:
- To establish IMPROVE-UK, a national program addressing ovarian cancer care inequalities.
- To develop and evaluate quality improvement projects to standardize best practices.
- To improve and equalize survival rates for all women with ovarian cancer, irrespective of geography, age, or ethnicity.
Main Methods:
- Funded seven quality improvement projects via a competitive process.
- Projects focused on diverse aspects of ovarian cancer care, including diagnostics, genomics, and treatment decisions.
- Evaluated strategies to address health inequalities in ovarian cancer management.
Main Results:
- All seven projects achieved at least partial success in their aims.
- Identified numerous areas for process refinement across all projects.
- Best practices were disseminated to improve ovarian cancer outcomes.
Conclusions:
- IMPROVE-UK was the first UK program to systematically target ovarian cancer care inequalities.
- Quality improvement projects demonstrated potential to refine the treatment journey.
- Scaling up pilot project results could enhance ovarian cancer survival nationally and internationally.
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