ArticleGynecologic oncology reports2017
Geographic disparities in the distribution of the U.S. gynecologic oncology workforce: A Society of Gynecologic Oncology study.
Article in Gynecologic oncology reports, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.
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Who cites it
24 citing papers in PubMed, 45 citations in OpenAlex.
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- A comparison of adjuvant therapy modality and treatment outcomes between appalachian and non-appalachian patients with high-risk endometrial carcinoma.Gynecologic oncology reports · 2025Article
- Geographic distance to Commission on Cancer-accredited and nonaccredited hospitals in the United States.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2025Article
- Management of Endometrial Intraepithelial Neoplasia: A Retrospective Review of Practice Patterns at a Single Military Treatment Facility and Civilian Partner Hospital.Women's health reports (New Rochelle, N.Y.) · 2025Article
- Screening log: Challenges in community patient recruitment for gynecologic oncology clinical trials.Contemporary clinical trials communications · 2024Article
- Geographic Disparities in Gynecologic Oncology Clinical Trial Availability in the US.JAMA network open · 2024Article
- Rural-urban disparities and trends in cancer screening: an analysis of Behavioral Risk Factor Surveillance System data (2018-2022).JNCI cancer spectrum · 2024Article
- Rural-urban disparities in psychosocial functioning in epithelial ovarian cancer patients.Gynecologic oncology · 2024Article
- Factors associated with receipt of second-line recurrent or metastatic cervical cancer treatment in the United States: A retrospective administrative claims analysis.Gynecologic oncology reports · 2022Article
- Factors associated with receipt of second-line recurrent or metastatic cervical cancer treatment in the United States: A retrospective administrative claims analysis.Gynecologic oncology reports · 2022Article
- Community access to primary care is an important geographic disparity among ovarian cancer patients undergoing cytoreductive surgery.Gynecologic oncology reports · 2022Article
- Geographic Distribution of Cancer Care Providers in the Philippines.JCO global oncology · 2022Article
- Disparity of ovarian cancer survival between urban and rural settings.International journal of gynecological cancer : official journal of the International Gynecological Cancer Society · 2022Article
- Review
- Association of Distance to Gynecologic Oncologist and Survival in a Rural Midwestern State.Women's health reports (New Rochelle, N.Y.) · 2022Article
- Gynecologic oncologist impact on adjuvant chemotherapy care for stage II-IV ovarian cancer patients.Gynecologic oncology · 2022Article
- Management of the Adnexal Mass: Considerations for the Family Medicine Physician.Frontiers in medicine · 2022Article
- Rural residence is related to shorter survival in epithelial ovarian cancer patients.Gynecologic oncology · 2021Article
- Health Care Access Measures and Palliative Care Use by Race/Ethnicity among Metastatic Gynecological Cancer Patients in the United States.International journal of environmental research and public health · 2021Article
Corrections and comments
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Authors and funding
11 authors at 7 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
A recent ASCO workforce study projects a significant shortage of oncologists in the U.S. by 2020, especially in rural/underserved (R/US) areas. The current study aim was to determine the patterns of distribution of U.S. gynecologic oncologists (GO) and to identify provider-based attitudes and barriers that may prevent GOs from practicing in R/US regions. U.S. GOs (n = 743) were electronically solicited to participate in an on-line survey regarding geographic distribution and participation in outreach care. A total of 320 GOs (43%) responded; median age range was 35-45 years and 57% were male. Most practiced in an urban setting (72%) at a university hospital (43%). Only 13% of GOs practiced in an area with a population < 50,000. A desire to remain in academics and exposure to senior-level mentorship were the factors most influencing initial practice location. Approximately 50% believed geographic disparities exist in GO workforce distribution that pose access barriers to care; however, 39% "strongly agreed" that cancer patients who live in R/US regions should travel to urban cancer centers to receive care within a center of excellence model. GOs who practice within 50 miles of only 0-5 other GOs were more likely to provide R/US care compared to those practicing within 50 miles of ≥ 10 GOs (p < 0.0001). Most (39%) believed the major barriers to providing cancer care in R/US areas were volume and systems-based. Most also believed the best solution was a hybrid approach, with coordination of local and centralized cancer care services. Among GOs, a self-reported rural-urban disparity exists in the density of gynecologic oncologists. These study findings may help address barriers to providing cancer care in R/US practice environments.
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