Cross-sectional survey of surgical practices among gynecologic oncologists in the United States Journal Article
| Authors: | Straubhar, A. M.; Zhou, Q.; Iasonos, A.; Clarke-Pearson, D. L.; Cliby, W. A.; Hoffman, M. S.; Chi, D. S. |
| Article Title: | Cross-sectional survey of surgical practices among gynecologic oncologists in the United States |
| Abstract: | Objective: We sought to document current surgical practices among gynecologic oncologists in the United States. Methods: In March/April 2020, we conducted a cross-sectional survey among members of the Society of Gynecologic Oncology to identify gynecologic oncology practice trends in the United States. The survey collected demographic data and queried participants on types of surgical procedures performed and chemotherapy use. Univariant and multivariant analyses were used to evaluate the association between surgeon practice type, region of practice, working with gynecologic oncology fellows, time in practice, and dominant surgical modality of practice on performance of specific procedures. Results: Among 1199 gynecologic oncology surgeons who were emailed the survey, 724 completed the survey (60.4% response rate). Of these respondents, 170 (23.5%) were within 6 years of fellowship graduation, 368 (50.8%) identified as female; and 479 (66.2%) worked in an academic setting. Surgeons who worked with gynecologic oncology fellows were more likely to perform bowel surgery, upper abdominal surgery, complex upper abdominal surgery, and prescribe chemotherapy. Surgeons who were ≥ 13 years out from fellowship graduation were more likely to perform bowel surgery and complex abdominal surgery and less likely to prescribe chemotherapy and perform sentinel lymph node dissections (P < 0.05). Conclusions: These findings highlight the variation in surgical procedures performed by gynecologic oncologists in the United States. These data support that there are practice variations that would benefit from further investigation. © 2023 Elsevier Inc. |
| Keywords: | adult; cancer chemotherapy; controlled study; cancer surgery; surgical technique; united states; chemotherapy; lymph node dissection; sentinel lymph node; surgeon; surgery; abdominal surgery; gynecologic oncology; intestine; demographics; human; male; female; article; gynecologic oncologist; society of gynecologic oncology; surgical practice |
| Journal Title: | Gynecologic Oncology |
| Volume: | 172 |
| ISSN: | 0090-8258 |
| Publisher: | Elsevier Inc. |
| Date Published: | 2023-05-01 |
| Start Page: | 36 |
| End Page: | 40 |
| Language: | English |
| DOI: | 10.1016/j.ygyno.2023.03.004 |
| PROVIDER: | scopus |
| PUBMED: | 36933401 |
| PMCID: | PMC10192122 |
| DOI/URL: | |
| Notes: | The MSK Cancer Center Support Grant (P30 CA008748) is acknowledged in the PDF -- Corresponding author is MSK author: Dennis S. Chi -- Source: Scopus |
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