ArticleBMJ open2019
Barriers to care for women with low-grade endometrial cancer and morbid obesity: a qualitative study.
Article in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.
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Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it, 33 citations in OpenAlex.
- Robotic-Assisted Hysterectomy for Endometrial Cancer in People With Obesity: A Health Technology Assessment.Ontario health technology assessment series · 2023Pooled it
- Identifying patients with obesity from health administrative data: Diagnostic accuracy of surgical billing claims.Canadian journal of public health = Revue canadienne de sante publique · 2026Article
- Perceived Discrimination and Healthcare System Trust as Barriers to Survivorship Care in Endometrial Cancer.Cancer medicine · 2026Article
- "You don't treat your skinny patients like this": a qualitative study of fertility care experiences among women with larger bodies and infertility.Frontiers in reproductive health · 2026Article
- Detecting metabolic signatures in endometrial cancer: potential applications of Raman spectroscopy.Future oncology (London, England) · 2025Review
- Risk factors for delayed diagnosis of endometrial cancer among black individuals: Results from the GUIDE-EC study.Gynecologic oncology reports · 2025Article
- Patient Perspectives on Impact of Weight and Weight Stigma on Breast and Cervical Cancer Treatment: A Qualitative Study.Cancer medicine · 2025Article
- Living with and beyond gynecologic cancer: A summary of current trends and perspectives.Canadian oncology nursing journal = Revue canadienne de nursing oncologique · 2025Article
- Challenges in Providing Gynecological Procedures in Primary Care: A Survey of Canadian Academic Family Physicians.Women's health reports (New Rochelle, N.Y.) · 2025Article
- Minimally Invasive and Emerging Diagnostic Approaches in Endometrial Cancer: Epigenetic Insights and the Promise of DNA Methylation.Diagnostics (Basel, Switzerland) · 2024Review
- An eight-year analysis of robotic surgery in morbidly obese women with endometrial cancer in a tertiary center in Singapore.European journal of obstetrics & gynecology and reproductive biology: X · 2024Article
- Worldwide association of the gender inequality with the incidence and mortality of cervical, ovarian, endometrial, and breast cancers.SSM - population health · 2024Article
- Patient perspectives of weight stigma across the cancer continuum: A scoping review.Cancer medicine · 2024Article
- Perceived importance of weight loss and exercise among endometrial cancer survivors with overweight or obesity: Implications for lifestyle modification interventions.Obesity science & practice · 2023Article
- Role of Nucleolin in Endometrial Precancerous Hyperplasia and Carcinogenesis: Ex Vivo and In Silico Study.International journal of molecular sciences · 2022Article
- Vibrational Biospectroscopy: An Alternative Approach to Endometrial Cancer Diagnosis and Screening.International journal of molecular sciences · 2022Review
- Article
- Factors influencing the delivery of cancer pathways: a summary of the literature.Journal of health organization and management · 2021Article
- Beyond the numbers-understanding women's experiences of accessing care for abnormal uterine bleeding (AUB): a qualitative study.BMJ open · 2020Article
Corrections and comments
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Authors and funding
10 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveObesity is a major risk factor for low-grade endometrial cancer. The surgical management of patients with obesity is challenging, and they may face unique barriers to accessing care. We completed a qualitative study to understand the experiences of low-grade endometrial cancer patients with morbid obesity, from symptom onset to diagnosis to surgery.
designSemi-structured interviews were performed with endometrial cancer patients with morbid obesity (body mass index (BMI)
settingTwo tertiary care centres in Toronto, Ontario, Canada.
participantsFifteen endometrial cancer patients with a median age of 61 years (range: 50-74) and a median BMI of 50 kg/m
resultsThematic analysis identified that (1) both patients and providers lack knowledge on endometrial cancer and its presenting symptoms and risk factors; (2) patients with morbid obesity are subject to stigma and poor communication in the healthcare system and (3, 4) although clinical, administrative, financial, geographic and facility-related barriers exist, quality care for patients with morbid obesity is an achievable goal.
conclusionsImproved education on the prevention and identification of endometrial cancer is needed for both patients and providers. Delivery of cancer care to patients with morbid obesity may be improved through provider awareness of the impact of weight stigma and establishing streamlined care pathways at centres equipped to manage surgical complexity.
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