Is It Time to Centralize Ovarian Cancer Care in the United States? View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2016-03

AUTHORS

Renee A. Cowan, Roisin E. O’Cearbhaill, Ginger J. Gardner, Douglas A. Levine, Kara Long Roche, Yukio Sonoda, Oliver Zivanovic, William P. Tew, Evis Sala, Yulia Lakhman, Hebert A. Vargas Alvarez, Debra M. Sarasohn, Svetlana Mironov, Nadeem R. Abu-Rustum, Dennis S. Chi

ABSTRACT

PURPOSE: The purpose of this article was to broadly review the most up-to-date information pertaining to the centralization of ovarian cancer care in the United States (US) and worldwide. METHODS: Much of the present literature pertaining to disparities in, and centralization of, ovarian cancer care in the US and internationally was reviewed, and specifically included original research and review articles. RESULTS: Data show improved optimal debulking rates, National Comprehensive Cancer Network (NCCN) guideline adherence, and overall survival rates in higher-volume, more specialized hospitals, and amongst higher-volume providers. CONCLUSIONS: Patients with invasive epithelial ovarian cancer, especially those with higher stages (III and IV), are better served by centralized care in high-volume hospitals and by high-volume physicians, who adhere to NCCN guidelines wherever possible. More research is needed to determine the policy changes that can increase NCCN guideline adherence in low-volume hospitals and low-provider caseload scenarios. Policy and future research should be aimed at increasing patient access, either directly or indirectly, to high-volume hospital and high-volume providers, especially amongst Medicare, lower socioeconomic status, and minority patients. More... »

PAGES

989-993

Identifiers

URI

http://scigraph.springernature.com/pub.10.1245/s10434-015-4938-9

DOI

http://dx.doi.org/10.1245/s10434-015-4938-9

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1030367600

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/26511267


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