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Annals of Surgical Oncology
Published in: Annals of Surgical Oncology 3/2016

01-03-2016 | Gynecologic Oncology

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

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

Published in: Annals of Surgical Oncology | Issue 3/2016

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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.
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Metadata
Title
Is It Time to Centralize Ovarian Cancer Care in the United States?
Authors
Renee A. Cowan, MD
Roisin E. O’Cearbhaill, MD
Ginger J. Gardner, MD
Douglas A. Levine, MD
Kara Long Roche, MD
Yukio Sonoda, MD
Oliver Zivanovic, MD
William P. Tew, MD
Evis Sala, MD, PhD
Yulia Lakhman, MD
Hebert A. Vargas Alvarez, MD
Debra M. Sarasohn, MD
Svetlana Mironov, MD
Nadeem R. Abu-Rustum, MD
Dennis S. Chi, MD
Publication date
01-03-2016
Publisher
Springer International Publishing
Published in
Annals of Surgical Oncology / Issue 3/2016
Print ISSN: 1068-9265
Electronic ISSN: 1534-4681
DOI
https://doi.org/10.1245/s10434-015-4938-9

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