Evidence map›Paper›PMID 40687922›Full record

ArticleGynecologic oncology reports2025

Identifying and breaking barriers: Addressing disparities in the care of patients with gynecologic cancers.

Bhavana Pothuri, Michele Muir, Jean Hurteau, John Farley, Michelle D S Lightfoot, Summer Dewdney, Tara Castellano, John K Chan, Sharad Ghamande, Al Asante-Facey and 3 more

Abstract read
In one paragraph

Article in Gynecologic oncology reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Bhavana PothuriPerlmutter Cancer Center, NYU Langone, New York, NY, USA.
Michele MuirGSK, Collegeville, PA, USA.
Jean HurteauGSK, Collegeville, PA, USA.
John FarleyDignity Health Cancer Institute, St. Joseph Hospital and Medical Center, Phoenix, AZ, USA.
Michelle D S LightfootPerlmutter Cancer Center, NYU Langone, New York, NY, USA.
Summer DewdneyRush University Medical Center, Chicago, IL, USA.
Tara CastellanoLSU Health Sciences Center, New Orleans, LA, USA.
John K ChanSutter Health, San Francisco, CA, USA.
Sharad GhamandeGeorgia Cancer Center, Augusta University, Augusta, GA, USA.
Al Asante-FaceyMemorial Sloan Kettering Cancer Center, New York, NY, USA.
Marina StasenkoPerlmutter Cancer Center, NYU Langone, New York, NY, USA.
B J RimelCedars-Sinai Medical Center, Samuel Oschin Comprehensive Cancer Institute, Los Angeles, CA, USA.
Electra D PaskettDivision of Cancer Prevention and Control, Department of Medicine, College of Medicine and Comprehensive Cancer Center, The Ohio State University, Columbus, OH, USA.

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI SELWYN M VICKERS · 1985 to 2026
$347.4M
NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

Background: Significant disparities exist in the care of patients with gynecologic malignancies. Higher incidences of gynecologic malignancies among underrepresented subpopulations (eg, racial, ethnic, and/or LGBTQAI+) and lack of representative enrollment within clinical trials have highlighted the need to improve healthcare equity. We aimed to identify barriers to equitable health care and clinical trial participation for specific diverse populations of patients with gynecologic malignancies and to identify potential solutions for overcoming these barriers. Methods: A series of 4 live and 3 asynchronous advisory boards facilitated by GSK was conducted between January 2023 and July 2024; live advisory boards were population specific. Gynecologic oncologists, health researchers, advanced practice providers, patients, and patient advocacy group representatives who worked with and/or were themselves members of the focus population participated. Insights were compiled and analyzed to identify barriers and potential solutions across and within populations. Results: Common barriers to equitable health care across all populations included cost, transportation, level of health literacy, and provider biases; 11 population-specific barriers were noted, with LGBTQAI+ patients described as facing the most barriers. Patient navigator involvement was identified as a feasible and highly impactful solution for breaking multiple barriers across various diverse populations. Conclusions: Most barriers to equitable health care were population specific, affirming the need for continued consultation and discussions with members of communities and with individuals to address specific barriers and enact effective solutions. Engagement of patient navigators was identified as an important way to improve disparities within the care of gynecologic malignancies across all underrepresented patients.

Indexed as

Gynecologic malignancyHealthcare disparityLGBTQAI+Patient navigator

Identifiers

PMID40687922
PMCPMC12272470

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.