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. 2022 May;2(1):119-128.
doi: 10.1016/j.yao.2022.02.003. Epub 2022 May 4.

Healthcare Disparities in Gynecologic Oncology

Allison Grubbs  1 , Emma L Barber  1   2 , Dario R Roque  1   2
Affiliations

Healthcare Disparities in Gynecologic Oncology

Allison Grubbs et al. Adv Oncol. 2022 May.
No abstract available

Keywords: cervical cancer; endometrial cancer; gynecologic oncology; healthcare disparities; ovarian cancer.

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Figures

Figure 1.
Figure 1.
Trends in age-adjusted incidence rates of uterine cancer between 2000–2018. The Annual Percentage Change (APC) for Asian, Black and Hispanic women during this time period was 2.5, 2.3 and 2.2, respectively. The APC for white non-hispanic women was 0.7. Source: https://seer.cancer.gov/explorer
Figure 2.
Figure 2.
Five-year Age-Adjusted Incidence Rates of Uterine Cancer by Disease Stage and Race/Ethnicity. Source: https://seer.cancer.gov/explorer
Figure 3.
Figure 3.
Frequency of recognition and evaluation of post-menopausal bleeding (PMB), by race, prior to diagnosis of endometrial cancer. Women are grouped into 1 guideline-concordant and 4 nonguideline-concordant pathways. AB ± proc, alternative bleeding characterization (eg, menorrhagia) with or without diagnostic procedures; B, black; None, neither PMB documented nor diagnostic procedures performed; PMB + proc, PMB documented and at least 1 diagnostic procedure (endometrial biopsy, transvaginal ultrasound, and/or uterine dilation and curettage) was performed; PMB only, PMB documented with no diagnostic procedures; Proc only, diagnostic procedures with no bleeding documented; W, white. From Doll KM, Khor S, Odem-Davis K, et al. Role of bleeding recognition and evaluation in Black-White disparities in endometrial cancer. Am J Obstet Gynecol. 2018;219(6):593.e1-e593.e14; with permission. (Figure 2 in original)
Figure 4.
Figure 4.
Five-year Incidence Rates of Cervical Cancer by Age and Race/Ethnicity. Source: https://seer.cancer.gov/explorer
Figure 5.
Figure 5.
Five-year Age-Adjusted Incidence Rates of Cervical Cancer by Disease Stage and Race/Ethnicity. Source: https://seer.cancer.gov/explorer
Figure 6.
Figure 6.
Minority participation in Gynecologic Oncology Group (GOG) Studies from 1985–2013. (a) Racial breakdown by tumor site; (b) racial breakdown by study type; (c) racial breakdown by publication year. From Scalici J, Finan MA, Black J, et al. Minority participation in Gynecologic Oncology Group (GOG) Studies. Gynecol Oncol. 2015;138(2):441–444.; with permission. (Figure 1 in original).
See this image and copyright information in PMC

References

    1. Institute of Medicine (US) Committee on Understanding and Eliminating Racial and Ethnic Disparities in Health Care. Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care. (Smedley BD, Stith AY, Nelson AR, eds.). National Academies Press; (US: ); 2014. - PubMed
    1. Cancer Disparities. Published August 4, 2016. Accessed July 25, 2021. https://www.cancer.gov/about-cancer/understanding/disparities
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    1. Collins Y, Holcomb K, Chapman-Davis E, Khabele D, Farley JH. Gynecologic cancer disparities: a report from the Health Disparities Taskforce of the Society of Gynecologic Oncology. Gynecol Oncol. 2014;133(2):353–361. - PMC - PubMed
    1. Search Healthy People - Healthy People 2030. Accessed August 9, 2021. https://health.gov/healthypeople/search?query=foundation+health+measures

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