Review
Obstetrics & Gynecology
Sarah K. Hill, Nefti Bempong-Ahun, Isioma Dianne Okolo, Amber Trujillo Lalla, Dawit Worku, Tadios Asres, Lisa Philpotts, Parisa N. Fallah, John Varallo, Scott Corlew, Paul Kamfwa, Groesbeck P. Parham, Michael L. Hicks, Geoffrey Ibbotson, Thomas Randall
Summary: A well-integrated surgical system is critical for the treatment of cervical cancer and capacity-building programs show promising results. However, there is a need for a standardized methodology to evaluate these programs and their cost-effectiveness.
INTERNATIONAL JOURNAL OF GYNECOLOGY & OBSTETRICS
(2023)
Article
Oncology
David Samuel, Deukwoo Kwon, Marilyn Huang, Wei Zhao, Molly Roy, Angel Tabuyo-Martin, John Siemon, Matthew P. Schlumbrecht, J. Matt Pearson, Abdulrahman K. Sinno
Summary: This study examines the factors associated with refusal of gynecologic cancer surgery and its impact on overall survival. The results show that patients who refuse surgery are more likely to be older, Black, uninsured, with Medicaid coverage, and have lower regional high school graduation rates. Refusal of surgery is also more common among patients treated at community hospitals. Patients who refuse surgery have lower median overall survival and this difference persists across different types of gynecologic cancer. The refusal of surgery has been increasing annually from 2008 to 2017.
GYNECOLOGIC ONCOLOGY
(2023)
Article
Oncology
Ayesha P. Ng, Yas Sanaiha, Arjun Verma, Cory Lee, Aaron Akhavan, Joshua G. Cohen, Peyman Benharash
Summary: This study evaluated the risk of financial toxicity among inpatients undergoing gynecologic cancer resections and found that uninsured patients were more likely to experience complications, longer hospital stays, and higher costs compared to insured patients. Approximately half of the uninsured patients were at risk of financial toxicity. Among insured patients, factors such as Black and Hispanic race, public insurance, and open operative approaches were associated with greater odds of financial toxicity.
GYNECOLOGIC ONCOLOGY
(2022)
Article
Obstetrics & Gynecology
Ranjit Manchanda, Samuel Oxley, Sadaf Ghaem-Maghami, Sudha Sundar
Summary: The COVID-19 pandemic has led to a significant reconfiguration of gynecologic cancer services and care pathways globally, with adaptations to protect vulnerable patients, despite reduced resources and staffing. Remote working, routine COVID-testing, and priority levels for cancer treatments have enabled the safe delivery of care, although delays in surgeries and recruitment to cancer trials have been reported. Healthcare services must maintain capacity and flexibility during recovery to address the backlog of patients with altered treatments and evaluate long-term patient outcomes impacted by COVID-19.
INTERNATIONAL JOURNAL OF GYNECOLOGY & OBSTETRICS
(2021)
Review
Medicine, General & Internal
Joanna Yang, Tori Barabash, Luckshi Rajendran, Alyson L. Mahar, Amy T. Hsu, Paul D. James, Lesley Gotlib Conn, Frances C. Wright, Claire Ludwig, Ekaterina Kosyachkova, Julie Deleemans, Natalie G. Coburn, Julie Hallet
Summary: This article aims to summarize the existing literature on patient-centred outcomes (PCOs) in gastrointestinal cancer care and analyze the tools used to assess these outcomes. By screening relevant studies and extracting data, a comprehensive list of PCOs will be generated for future development of a core outcome set. This is crucial for aiding patients in making informed and meaningful care decisions.
Review
Oncology
Louise Mullen, Christina Signorelli, Larissa Nekhlyudov, Paul B. Jacobsen, Isaiah Gitonga, Tania Estape, Beverly Lim-Hoeg, Anne Miles, Cristina Sade, Carolyn Mazariego, Csaba L. Degi, Fuchsia Howard, Sharon Manne, Luzia Travado, Michael Jefford
Summary: This study found that most National Cancer Control Plans did not mention psycho-oncology, and only one-quarter of the plans had clear objectives specifically in the post-treatment survivorship phase.
Article
Oncology
Alli M. Straubhar, Qin Zhou, Alexia Iasonos, Daniel L. Clarke-Pearson, William A. Cliby, Mitchel S. Hoffman, Dennis S. Chi
Summary: This study aimed to investigate the current surgical practices among gynecologic oncologists in the United States. A cross-sectional survey was conducted among members of the Society of Gynecologic Oncology to collect demographic data and gather information on surgical procedures and chemotherapy use. The results showed variations in surgical practices among gynecologic oncologists in the United States, highlighting the need for further investigation.
GYNECOLOGIC ONCOLOGY
(2023)
Review
Oncology
Violante Di Donato, Giuseppe Caruso, Giorgio Bogani, Andrea Giannini, Ottavia D'Oria, Giorgia Perniola, Innocenza Palaia, Francesco Plotti, Roberto Angioli, Ludovico Muzii, Pierluigi Benedetti Panici
Summary: This article discusses the impact of frailty assessment on gynecological cancer surgery outcomes, showing that frail patients are more likely to experience postoperative complications and worse oncologic outcomes. The modified frailty index (mFI) is the most widely used tool and tailored therapeutic strategies should be considered for patients with 3 or more frailty defining items.
GYNECOLOGIC ONCOLOGY
(2021)
Review
Oncology
Kaylee A. Underkofler, Kari L. L. Ring
Summary: Lynch syndrome is an autosomal dominant hereditary cancer syndrome caused by pathogenic variants in DNA mismatch repair genes or the EPCAM gene. It is estimated to affect 1 in 300 individuals and confers a lifetime risk of cancer. Identification and diagnosis of individuals with Lynch syndrome, as well as evidence-based screening and risk reduction recommendations, are crucial for gynecologists and gynecologic oncologists.
FRONTIERS IN ONCOLOGY
(2023)
Article
Oncology
L. Danielle Rodin, Anna J. Dare, Reanne Booker, Christopher Booth, Heather Bryant, Ophira Ginsburg, Meredith Giuliani, Mary Gospodarowicz, Sumit Gupta, Nazik Hammad, Zeev Rosberger, Simon Sutcliffe, Craig C. Earle
Summary: Cancer control is not a top priority in Canada's international health and development agenda, but it is crucial for achieving the country's Sustainable Development Goal commitments. Success in global cancer control will depend on Canadian leaders and institutions building consensus and working together. Collaboration should focus on framing core issues, building a broad coalition base, aligning with international partners, and establishing a governance structure based on principles of equity, diversity, and inclusion.
Article
Oncology
Genevieve Bouchard-Fortier, Lilian T. Gien, Rinku Sutradhar, Wing C. Chan, Monika K. Krzyzanowska, Shiru (Lucy) Liu, Sarah E. Ferguson
Summary: This study found that timely assessment by gynecologic oncologists (GOs) and surgery performed by GOs is associated with improved survival in patients with non-mucinous epithelial ovarian cancer (EOC). The study also showed that patients who were not assessed by GOs before initiating treatment or had surgery performed by non-GOs had an increased hazard of all-cause mortality.
GYNECOLOGIC ONCOLOGY
(2022)
Article
Oncology
Carlie A. Mell, Patricia Jewett, Deanna Teoh, Rachel Vogel, Susan A. Everson-Rose
Summary: This study aims to describe the fear of cancer recurrence among gynecologic cancer survivors and identify psychosocial factors that predict elevated fear. The findings reveal that fear of recurrence is prevalent among gynecologic cancer survivors. Higher levels of distress, hopelessness, anxiety, and surprisingly, post-traumatic growth are associated with greater fear. These results highlight the importance of addressing the psychosocial well-being of cancer survivors.
Article
Oncology
Emma Jane Swayze, Lauren Strzyzewski, Pooja Avula, Aaron L. Zebolsky, Anna Hoekstra
Summary: This study compared the management strategies, outcomes, and access to care for ovarian cancer patients in a small city and rural communities before and after establishing a full-time gynecologic oncology (GO) office. The results showed that after the establishment of the full-time GO office, patients had significantly improved overall survival, access to specialized surgery, and chemotherapy, highlighting the benefit of expanding comprehensive care into small cities and rural communities.
GYNECOLOGIC ONCOLOGY
(2021)
Article
Obstetrics & Gynecology
Thomas C. Randall, S. P. Somashekhar, Linus Chuang, Joseph Soon-Yau Ng, Kathleen M. Schmeler, Michael Quinn
Summary: Women in low- and middle-income countries are more likely to develop and die from invasive cervical cancer, but lack specialist physicians to treat gynecologic cancers. Training specialists in these countries faces challenges such as protected time, access to guidelines, tailored training, isolation, and support services. Different approaches, such as the IGCS Global Curriculum and initiatives in India, are being used to address the training needs of gynecologic oncology in LMICs.
INTERNATIONAL JOURNAL OF GYNECOLOGY & OBSTETRICS
(2021)
Article
Oncology
Stephanie Blank, Warner K. Huh, Maria Bell, Sarah Dilley, Melissa Hardesty, Ebony R. Hoskins, Jason Lachance, Fernanda Musa, Emily Prendergast, B. J. Rimel, Mark Shahin, Fidel Valea
Summary: The original vision of gynecologic oncology was to establish a multidisciplinary approach to the management of patients with gynecologic cancers. Scientific advances have greatly changed the overall practice of gynecologic oncology, but the profession still struggles to define its value - financial and otherwise.
GYNECOLOGIC ONCOLOGY
(2023)