Rural disparities in surgical care from gynecologic oncologists among Midwestern ovarian cancer patients.

ABSTRACT:

Objective

Up to one-third of women with ovarian cancer in the United States do not receive surgical care from a gynecologic oncologist specialist despite guideline recommendations. We aim to investigate the impact of rurality on receiving surgical care from a specialist, referral to a specialist, and specialist surgery after referral, and the consequences of specialist care.

Methods

We utilized a retrospective cohort created through an extension of standard cancer surveillance in three Midwestern states. Multivariable adjusted logistic regression was utilized to assess gynecologic oncologist treatment of women 18-89 years old, who were diagnosed with primary, histologically confirmed, malignant ovarian cancer in 2010-2012 in Kansas, Missouri and Iowa by rurality.

Results<

SUBMITTER: Weeks K 

PROVIDER: S-EPMC7869694 | biostudies-literature | 2021 Feb

REPOSITORIES: biostudies-literature