Impact of Surgeon Type and Rurality on Treatment and Survival of Ovarian Cancer Patients.

ABSTRACT:

Background

National Comprehensive Cancer Network guidelines recommend ovarian cancer patients receive cancer-directed surgery from a gynecologic oncologist surgeon. We aimed to determine if rurality impacts type of surgeon and estimate if the interaction between rurality and type of surgeon impacts cytoreductive surgery, chemotherapy initiation, and survival.

Methods

Our population-based cohort of Iowan (N=675) ovarian cancer patients included women diagnosed with histologically confirmed stages IB-IV cancer in 2010 to 2016 at the ages of 18 to 89 years old and who received cancer-directed surgery in Iowa. Multivariable logistic regression analysis and Cox proportional hazards models were used.

Results

Rural (vs. urban) patients were less likely to receive surgery fro

SUBMITTER: Weeks KS 

PROVIDER: S-EPMC8801132 | biostudies-literature | 2021 Oct

REPOSITORIES: biostudies-literature