A multimodality triage algorithm to improve cytoreductive outcomes in patients undergoing primary debulking surgery for advanced ovarian cancer: A Memorial Sloan Kettering Cancer Center team ovary initiative

•A multimodal algorithm combining clinical and radiologic data with diagnostic laparoscopy for advanced ovarian cancer•A multimodal preoperative algorithm leads to precise resource utilization without compromising outcomes.•Excellent surgical outcomes with a modest utilization of diagnostic laparoscopy and a very low rate of futile laparotomy