Do racial/ethnic disparities exist in the utilization of high-volume surgeons for women with ovarian cancer?

被引：40

作者：

Aranda, Michelle A. ^{[2
]}

McGory, Marcia ^{[2
]}

Sekeris, Evan ^{[2
]}

Maggard, Melinda ^{[2
]}

Ko, Clifford ^{[2
]}

Zingmond, David S. ^{[1
]}

机构：

[1] Univ Calif Los Angeles, David Geffen Sch Med, Div Gen Internal Med & Hlth Serv Res, Los Angeles, CA 90095 USA

[2] Univ Calif Los Angeles, David Geffen Sch Med, Dept Surg, Los Angeles, CA 90095 USA

来源：

GYNECOLOGIC ONCOLOGY | 2008年 / 111卷 / 02期

关键词：

Ovarian cancers; Disparities; Quality of care; High volume;

D O I：

10.1016/j.ygyno.2008.08.009

中图分类号：

R73 [肿瘤学];

学科分类号：

100214 ;

摘要：

Objective. Determine if racial/ethnic disparties exist for access to high-volume surgeons (HVS) for patients with ovarian cancer. Methods. Retrospective study of ovarian cancer surgeries identified by the California Cancer Registry (CCR) linked to hospital discharge data (1991-2002). Surgeon volume was defined as HVS (> 10 ovarian cancer surgeries/year), middle volume (MVS; 2-9/year), and low volume (LVS; <= 1/year). Multivariate ordered logistic regression predicting surgeon volume provided estimates of relative risk (RR) of surgeon volume by patient race/ethnicity. Results. 13,186 women had ovarian cancer (mean age 57.8 years; 72% non-Hispanic White (NHW), 4% Black, 8% Hispanic). 25% of cases were treated by HVS, 31% by MVS and 44% by LVS. Compared to NHW, Black (RR: 0.70, p<0.05) and Hispanic women (RR: 0.75, p<0.05) were less likely to have care by a HVS. Hispanic women were significant more likely to have surgery by LVS (RR: 1.1: p<0.05). Conclusions. Disparities in access to HVS for cancer care exist for minority women. Selective referral to high-volume providers should be (C) 2008 Elsevier Inc. All rights reserved.

引用

页码：166 / 172

页数：7

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