Effect of gynecologic oncologist availability on ovarian cancer mortality
Open Access
- 1 January 2014
- journal article
- Published by Baishideng Publishing Group Inc. in World Journal of Obstetrics and Gynecology
- Vol. 3 (2), 71-77
- https://doi.org/10.5317/wjog.v3.i2.71
Abstract
AIM: To determine the association between the distribution of gynecologic oncologist (GO) and population-based ovarian cancer death rates. METHODS: Data on ovarian cancer incidence and mortality in the United States was supplemented with United States census data, and analyzed in relation to practicing GOs. GO locations were geocoded to link association between county variables and GO availability. Logistic regression was used to measure areas of high and low ovarian cancer mortality, adjusting for contextual variables. RESULTS: Practicing GOs were unevenly distributed in the United States, with the greatest numbers in metropolitan areas. Ovarian cancer incidence and death rates increased as distance to a practicing GO increased. A relatively small number (153) of counties within 24 miles of a GO had high ovarian cancer death rates compared to 577 counties located 50 or more miles away with high ovarian cancer death rates. Counties located 50 or more miles away from a GO practice had an almost 60% greater odds of high ovarian cancer mortality compared to those with closer practicing GOs (OR = 1.59, 95%CI: 1.18-2.15). CONCLUSION: The distribution of GOs across the United States appears to be significantly associated with ovarian cancer mortality. Efforts that facilitate outreach of GOs to certain populations may increase geographic access.Keywords
This publication has 21 references indexed in Scilit:
- Oral contraceptive use for the primary prevention of ovarian cancer.2013
- The Effect of Provider Density on Lung Cancer Survival Among Blacks and Whites in the United StatesJournal of Thoracic Oncology, 2013
- Detection of Gynecologic Cancers in Indigent Women in an Urban Inner-City HospitalInternational Journal of Gynecologic Cancer, 2012
- Projecting the Need for Gynecologic Oncologists for the Next 40 YearsObstetrics & Gynecology, 2010
- Association of Risk-Reducing Surgery in BRCA1 or BRCA2 Mutation Carriers With Cancer Risk and MortalityJAMA, 2010
- Urologist Density and County-Level Urologic Cancer MortalityJournal of Clinical Oncology, 2010
- Ensuring Quality Cancer Care Through the Oncology WorkforceJournal of Oncology Practice, 2010
- Influence of the Gynecologic Oncologist on the Survival of Ovarian Cancer PatientsObstetrics & Gynecology, 2007
- Predictors of comprehensive surgical treatment in patients with ovarian cancerCancer, 2007
- Effect of Surgeon Specialty on Processes of Care and Outcomes for Ovarian Cancer PatientsJNCI Journal of the National Cancer Institute, 2006