Your browser doesn't support javascript.
loading
Fertility preservation and survival among young women with early ovarian cancer living in US counties with gynecologic oncologist services.
Hillman, R Tyler; Saenz, Cheryl C; McHale, Michael T; Plaxe, Steven C.
Afiliación
  • Hillman RT; Division of Gynecologic Oncology, Department of Reproductive Medicine, Rebecca and John Moores UCSD Cancer Center, La Jolla, CA, USA.
  • Saenz CC; Division of Gynecologic Oncology, Department of Reproductive Medicine, Rebecca and John Moores UCSD Cancer Center, La Jolla, CA, USA.
  • McHale MT; Division of Gynecologic Oncology, Department of Reproductive Medicine, Rebecca and John Moores UCSD Cancer Center, La Jolla, CA, USA.
  • Plaxe SC; Division of Gynecologic Oncology, Department of Reproductive Medicine, Rebecca and John Moores UCSD Cancer Center, La Jolla, CA, USA.
Int J Gynaecol Obstet ; 137(2): 157-163, 2017 May.
Article en En | MEDLINE | ID: mdl-28170079
OBJECTIVE: To examine the association between living in a county with gynecologic oncologist provision, the performance of fertility sparing surgery, and survival among young women with early epithelial ovarian cancer. METHODS: The present retrospective cohort study was based on the SEER 18 dataset of the US National Cancer Institute. Women younger than 45 years with early stage epithelial ovarian cancer diagnosed between 2000 and 2012 were included. Logistic regression and Cox proportional hazards methods were used to analyze all-cause survival. Adjustment was made for relevant clinical and demographic variables. RESULTS: In total, 1499 women were included. Women living in a county with gynecologic oncologist provision were less likely to undergo hysterectomy (adjusted odds ratio, 0.69; 95% confidence interval, 0.52-0.93) at the time of primary surgery. Women who underwent hysterectomy had a similar risk of mortality as women with uterine preservation (adjusted hazard ratio [HR], 0.73; 95% CI, 0.41-1.30). Living in a county with gynecologic oncologist provision was associated with reduced risk of mortality (adjusted HR, 0.53; 95% CI, 0.31-0.92). CONCLUSION: Living in a county with gynecologic oncologist provision was independently associated with the use of fertility sparing surgery among young women with early epithelial ovarian cancer.
Asunto(s)
Palabras clave

Texto completo: 1 Colección: 01-internacional Banco de datos: MEDLINE Asunto principal: Neoplasias Ováricas / Preservación de la Fertilidad Tipo de estudio: Etiology_studies / Incidence_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Adult / Female / Humans / Middle aged País/Región como asunto: America do norte Idioma: En Revista: Int J Gynaecol Obstet Año: 2017 Tipo del documento: Article País de afiliación: Estados Unidos

Texto completo: 1 Colección: 01-internacional Banco de datos: MEDLINE Asunto principal: Neoplasias Ováricas / Preservación de la Fertilidad Tipo de estudio: Etiology_studies / Incidence_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Adult / Female / Humans / Middle aged País/Región como asunto: America do norte Idioma: En Revista: Int J Gynaecol Obstet Año: 2017 Tipo del documento: Article País de afiliación: Estados Unidos