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National Trends in the Surgical Staging of Corpus CancerA Pattern‐of‐Practice Survey

 

作者: BENJAMIN CORN,   CHARLES DUNTON,   JOHN CARLSON,   YANG XIE,   RICHARD VALICENTI,  

 

期刊: Obstetrics & Gynecology  (OVID Available online 1997)
卷期: Volume 90, issue 4, Part 1  

页码: 628-631

 

ISSN:0029-7844

 

年代: 1997

 

出版商: OVID

 

数据来源: OVID

 

摘要:

ObjectiveTo survey general gynecologists regarding the nature of surgical staging of corpus cancer as practiced in the United States.MethodsA survey tool was designed to ascertain issues related to surgical staging of corpus cancer among gynecologists in the United States. The survey elicited data pertaining to the demographics and practice characteristics of the respondents. The questionnaire was sent to 700 practicing gynecologists selected randomly from the ACOG membership list.ResultsResponses were obtained form 227 physicians; however, only 193 could be analyzed. Most of the respondents classified themselves as general gynecologists (93%) and nonacademicians (90%). In a typical year, 60% evaluated fewer than five patients with corpus cancer. A minority of respondents carry out surgical staging of their patients, which includes total abdominal hysterectomy and bilateral salpingo-oophorectomy (TAHBSO), removal of pelvic and para-aortic lymph nodes, and cytologic evaluation of peritoneal fluid. No uniformity was observed regarding the numeric definition of an appropriate “sampling” (median 5, range 1–25) or “dissection” (median 10, range 1–40) of lymph nodes. Most respondents would not return a corpus cancer patient to the operating room to carry out lymph node dissection if a referring colleague had performed TAHBSO but had not removed the nodes. In such a scenario, private practitioners were approximately three times less likely to reoperate on lymph nodes than academic physicians.ConclusionComplete surgical staging is not performed by most physicians caring for women with corpus cancer. The relatively high proportion of nonresponders and nonevaluable responses suggests that these results should be corroborated by other investigators.

 

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