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Health Disparities in Ovarian Cancer: Report From the Ovarian Cancer Evidence Review Conference
Journal article   Open access   Peer reviewed

Health Disparities in Ovarian Cancer: Report From the Ovarian Cancer Evidence Review Conference

Shirley Mei, David Chelmow, Kimberly Gecsi, Joel Barkley, Emily Barrows, Rebecca Brooks, Kathryn Huber-Keener, Myrlene Jeudy, Julia Sage O'Hara and William Burke
Obstetrics and gynecology (New York. 1953), Vol.142(1), pp.196-210
07/2023
DOI: 10.1097/AOG.0000000000005210
PMCID: PMC10278570
PMID: 37348095
url
https://doi.org/10.1097/AOG.0000000000005210View
Published (Version of record) Open Access

Abstract

Evidence is summarized for health disparities in ovarian cancer from the Ovarian Cancer Evidence Review Conference. Health disparity, defined by the Centers for Disease Control and Prevention (CDC) as "preventable differences in the burden of disease, injury, violence, or opportunities to achieve optimal health that are experienced by socially disadvantaged populations," is seen across multiple diseases. We conducted an evidence review of health disparities and inequities and their mitigation strategies related to ovarian cancer as part of a CDC-sponsored project to develop educational materials for clinicians on the prevention and early diagnosis of gynecologic cancers. Our review found profound disparities in outcomes such as survival, treatment, and stage at diagnosis by factors such as race and ethnicity, insurance, socioeconomic status, and geographic location. We found little direct evidence on mitigation strategies. Studies support equivalent response to equivalent treatment between groups, suggesting that adherence to National Comprehensive Cancer Network guidelines can at least partially mitigate some of the differences.

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