Increased county densities of PCPs related to earlier most cancers stage at prognosis

Might 09, 2022

2 min learn

Supply:

Smick AH, et al. Summary A316. Offered at: ACOG Annual Scientific & Scientific Assembly; Might 6-8, 2022; San Diego.

Disclosures: The authors report no related monetary disclosures.

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SAN DIEGO — The next density of major care physicians was related to an earlier stage of cervical most cancers at prognosis, in response to findings offered on the ACOG Annual Scientific & Scientific Assembly.

“Whereas gynecologists are well-trained in following [gynecologic cancer] tips, this research reveals that PCPs might play a extra vital function in earlier prognosis, and subsequently elevated survival,” Alexandra H. Smick, MD, a third-year resident in OB/GYN at TriHealth in Cincinnati, Ohio, advised Healio. “Rising the coaching alternatives for our PCPs in screening exams like PAP smears, endometrial biopsies, imaging or tumor markers might proceed to make a optimistic influence on ladies’s well being care and enhance population-based take care of cervical most cancers.”

Female doctor
The next density of major care physicians was related to an earlier stage of cervical most cancers at prognosis. Supply: Adobe Inventory.

Smick and colleagues analyzed most cancers levels at prognosis of gynecologic cancers, together with uterine, ovarian and cervical cancers, utilizing knowledge from the Surveillance, Epidemiology and Finish Outcomes (SEER) database from 2005 to 2018. They extracted county-level demographics from SEER, inhabitants density from the U.S. Census and OB/GYN and PCP densities from the Space Well being Assets File. In complete, 620 U.S. counties had been analyzed, 57% of which had been nonmetropolitan.

Amongst 113,938 sufferers, 15% had cervical most cancers, 60% had uterine most cancers and 25% had ovarian most cancers. In nonmetropolitan counties, the typical OB/GYN density was 9 physicians per 100,000 ladies and the typical PCP density was 92 physicians per 100,000 ladies. In metropolitan areas, the averages had been 16 OB/GYNs and 110 PCPs per 100,000 ladies. Total, the typical densities had been 12 OB/GYNs and 99 PCPs per 100,000 ladies, Smick and colleagues reported.

Alexandra Smick

Alexandra H. Smick

The upper density of PCPs might assist clarify why PCPs play a extra vital function in cervical most cancers screening, Smick mentioned. PCP density was negatively correlated with most cancers stage at prognosis (P < .05) and positively correlated with 5-year survival in cervical most cancers (P = .04). In the meantime, OB/GYN density was not correlated with the most cancers stage at prognosis or survival outcomes from the gynecologic cancers analyzed. The researchers reported that median family revenue was negatively correlated with most cancers stage (P = .01) whereas training and metropolitan standing had been positively correlated with 5-year survival (P < .01). For endometrial most cancers particularly, figuring out as Black was positively correlated with most cancers stage at prognosis (P < .01) and negatively correlated with 5-year survival (P < .01).

“Rising PCP density has been proven to have a optimistic influence on different cancers like colorectal and urologic malignancies, and we weren’t shocked to see an analogous development with cervical most cancers outcomes,” Smick mentioned.

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