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1.
Obstet Gynecol ; 142(3): 708-724, 2023 09 01.
Article in English | MEDLINE | ID: mdl-37543740

ABSTRACT

The Centers for Disease Control and Prevention sponsored a project conducted by the American College of Obstetricians and Gynecologists to develop educational materials for clinicians on the prevention and early diagnosis of gynecologic cancers. For this final module, focusing on the cancers of the lower anogenital tract (vulva, vagina, and anus), a panel of experts in evidence assessment from the Society for Academic Specialists in General Obstetrics and Gynecology, ASCCP, and the Society of Gynecologic Oncology reviewed relevant literature and current guidelines. Panel members conducted structured literature reviews, which were then reviewed by other panel members. Representatives from stakeholder professional and patient advocacy organizations met virtually in September 2022 to review and provide comment. This article is the executive summary of the review. It covers prevention, early diagnosis, and special considerations of lower anogenital tract cancer. Knowledge gaps are summarized to provide guidance for future research.


Subject(s)
Genital Neoplasms, Female , Female , Humans , Genital Neoplasms, Female/diagnosis , Genital Neoplasms, Female/prevention & control , Gynecology , Obstetrics , Specialization , Vulva , Review Literature as Topic
2.
Obstet Gynecol ; 142(1): 196-210, 2023 Jul 01.
Article in English | MEDLINE | ID: mdl-37348095

ABSTRACT

Health disparity, defined by the Centers for Disease Control and Prevention (CDC) as "preventable differences in the burden of disease, injury, violence, or opportunities to achieve optimal health that are experienced by socially disadvantaged populations," is seen across multiple diseases. We conducted an evidence review of health disparities and inequities and their mitigation strategies related to ovarian cancer as part of a CDC-sponsored project to develop educational materials for clinicians on the prevention and early diagnosis of gynecologic cancers. Our review found profound disparities in outcomes such as survival, treatment, and stage at diagnosis by factors such as race and ethnicity, insurance, socioeconomic status, and geographic location. We found little direct evidence on mitigation strategies. Studies support equivalent response to equivalent treatment between groups, suggesting that adherence to National Comprehensive Cancer Network guidelines can at least partially mitigate some of the differences.


Subject(s)
Genital Neoplasms, Female , Ovarian Neoplasms , Female , Humans , United States/epidemiology , Ethnicity , Social Class , Healthcare Disparities
3.
Obstet Gynecol ; 142(1): 179-195, 2023 Jul 01.
Article in English | MEDLINE | ID: mdl-37348094

ABSTRACT

The Centers for Disease Control and Prevention awarded funding to the American College of Obstetricians and Gynecologists to develop educational materials for clinicians on gynecologic cancers. The American College of Obstetricians and Gynecologists convened a panel of experts in evidence review from the Society for Academic Specialists in General Obstetrics and Gynecology and content experts from the Society of Gynecologic Oncology to review relevant literature, best practices, and existing practice guidelines as a first step toward developing evidence-based educational materials for women's health care clinicians about ovarian cancer. Panel members conducted structured literature reviews, which were then reviewed by other panel members and discussed at a virtual meeting of stakeholder professional and patient advocacy organizations in February 2022. This article is the executive summary of the relevant literature and existing recommendations to guide clinicians in the prevention, early diagnosis, and special considerations of ovarian cancer. Substantive knowledge gaps are noted and summarized to provide guidance for future research.


Subject(s)
Genital Neoplasms, Female , Gynecology , Obstetrics , Ovarian Neoplasms , Pregnancy , Female , Humans , Ovarian Neoplasms/diagnosis , Ovarian Neoplasms/therapy , Women's Health
5.
Obstet Gynecol ; 135(6): 1457-1478, 2020 06.
Article in English | MEDLINE | ID: mdl-32459439

ABSTRACT

The Centers for Disease Control and Prevention launched the Bring Your Brave campaign to increase knowledge about early-onset breast cancer, defined as breast cancer in women aged 18-45 years. The American College of Obstetricians and Gynecologists convened a panel of experts in breast disease from the Society for Academic Specialists in General Obstetrics and Gynecology to review relevant literature, validated tools, best practices, and practice guidelines as a first step toward developing educational materials for women's health care providers about early-onset breast cancer. Panel members conducted structured literature reviews, which were then reviewed by other panel members and discussed at an in-person meeting of stakeholder professional and patient advocacy organizations in April 2019. This article summarizes the relevant literature, existing guidance, and validated tools to guide health care providers in the prevention, early detection, and special considerations of early-onset breast cancer. Substantive knowledge gaps were noted and summarized to provide guidance for future research.


Subject(s)
Breast Neoplasms/diagnosis , Breast Neoplasms/genetics , Practice Guidelines as Topic , Adolescent , Adult , Age of Onset , Breast Neoplasms/mortality , Breast Neoplasms/prevention & control , Congresses as Topic , Female , Gynecology , Humans , Mass Screening , Middle Aged , Obstetrics , Risk Factors , Risk Reduction Behavior , Societies, Medical , United States , Young Adult
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