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. 2021 Aug 1;33(4):355-359.
doi: 10.1097/GCO.0000000000000713.

Looking at cancer health disparities in gynecologic oncology in 2020

Kiran Clair  1 , Robert E Bristow
Affiliations

Looking at cancer health disparities in gynecologic oncology in 2020

Kiran Clair et al. Curr Opin Obstet Gynecol. .

Abstract

Purpose of review: To summarize the most recent evidence on gynecologic cancer disparities and to describe studies investigating the social determinants of health and receipt of evidence-based care and potential interventions to address inequities in care.

Recent findings: Significant disparities in disease-specific survival by race/ethnicity, socioeconomic status, and payer status have persisted in women with gynecologic cancers. Compared with white women, black women have an increased likelihood of disease-specific mortality for endometrial cancer and are less likely to receive guideline-adherent care for ovarian cancer. The Covid-19 pandemic has brought significant attention to the structural barriers that contribute to persistent health disparities and how community-based partnerships with a focus on policy interventions are needed for equitable gynecologic cancer outcomes.

Summary: In this review, we discuss structural barriers contributing to racial inequities, the role of Medicaid payer status and receipt of quality cancer care, gender, and racial workforce diversity, and community-based partnerships to create evidence-based interventions to address disparities.

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