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• W3205710516 abstract "Disparities in gynecologic cancer care are a complex ecosystem. Multiple studies have demonstrated a survival advantage for women with ovarian cancer when treated by a gynecologic oncologist [ 1 Bristow R.E. Santillan A. Diaz-Montes T.P. et al. Centralization of care for patients with advanced-stage ovarian cancer. Cancer. 2007; 109: 1513-1522https://doi.org/10.1002/cncr.22561 Crossref PubMed Scopus (58) Google Scholar , 2 Engelen M.J.A. Kos H.E. Willemse P.H.B. et al. Surgery by consultant gynecologic oncologists improves survival in patients with ovarian carcinoma. Cancer. 2006; 106: 589-598https://doi.org/10.1002/cncr.21616 Crossref PubMed Scopus (214) Google Scholar , 3 Chan J.K. Kapp D.S. Shin J.Y. et al. Influence of the gynecologic oncologist on the survival of ovarian cancer patients. Obstetr. Gynecol. 2007; 109: 1342-1350https://doi.org/10.1097/01.aog.0000265207.27755.28 Crossref PubMed Scopus (0) Google Scholar ]. However, over one-third of women nationwide live >50 miles from a gynecologic cancer specialist [ [4] Stewart S.L. Effect of gynecologic oncologist availability on ovarian cancer mortality. World J. Obstetr. Gynecol. 2014; 3: 71https://doi.org/10.5317/wjog.v3.i2.71 Crossref PubMed Google Scholar ]. Rural women are less likely to be referred to and have surgery from a gynecologic oncologist [ [5] Weeks K. Lynch C.F. West M. et al. Rural disparities in surgical care from gynecologic oncologists among Midwestern ovarian cancer patients. Gynecol. Oncol. 2021; 160: 477-484https://doi.org/10.1016/j.ygyno.2020.11.006 Abstract Full Text Full Text PDF PubMed Scopus (4) Google Scholar ]. Traveling further to receive care has been associated with superior cancer outcomes, however proximity to specialized care such as National Cancer Institute (NCI) designated comprehensive cancer centers or high-volume hospitals (HVHs) has also been associated with better survival [ [6] Bristow R.E. Chang J. Ziogas A. Anton-Culver H. Vieira V.M. Spatial analysis of adherence to treatment guidelines for advanced-stage ovarian cancer and the impact of race and socioeconomic status. Gynecol. Oncol. Jul 2014; 134: 60-67https://doi.org/10.1016/j.ygyno.2014.03.561 Abstract Full Text Full Text PDF PubMed Scopus (68) Google Scholar ]. Increased travel demands are a serious burden on a patient's family associated with financial toxicity, disruption of work and livelihood, and less timely initiation of treatment [ [7] Ackroyd S.A. Shih Y.-C.T. Kim B. Lee N.K. Halpern M.T. A look at the gynecologic oncologist workforce – are we meeting patient demand?. Gynecol. Oncol. 2021; https://doi.org/10.1016/j.ygyno.2021.08.013 Abstract Full Text Full Text PDF Scopus (1) Google Scholar ]. Currently, there is limited data examining the potential benefits of ovarian cancer (OC) care at tertiary or NCI centers with respect to rural patients and quality care measures." @default.
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• W3205710516 title "The urban-rural gap: Disparities in ovarian cancer survival among patients treated in tertiary centers" @default.
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