Temporal trends of healthcare system use between symptomatic presentation and ovarian cancer diagnosis in the United States.

ABSTRACT:

Objective

To describe trends in healthcare system use over time between onset of classic ovarian cancer symptoms and ovarian cancer diagnosis in the United States.

Methods

A population-based study of the Surveillance, Epidemiology, and End Results-Medicare database was conducted on patients aged ≥66 years with stage II-IV epithelial ovarian cancer between 1992 and 2015 with at least one of the following diagnosis codes: abdominal pain, bloating, difficulty eating, and/or urinary symptoms. The outcomes were frequency of visit type, frequency of diagnostic modality, and Medicare reimbursement between first symptomatic claim and cancer diagnosis. Jonckheere-Terpstra and Cochran-Armitage tests were used to evaluate trends over time.

Results

Among 13 872 women, 13 541 (97.

SUBMITTER: Huepenbecker SP 

PROVIDER: S-EPMC9256761 | biostudies-literature | 2022 Jul

REPOSITORIES: biostudies-literature