Cancer J. 2023;29(6):343-353. doi: 10.1097/PPO.0000000000000678.
Gynecologic cancer disparities have different trends by cancer type and by sociodemographic/economic factors. We highlight disparities in the United States arising due to poor delivery of cancer care across the continuum from primary prevention, detection, and diagnosis through treatment and identify opportunities to eliminate/reduce disparities to achieve cancer health equity. Our review documents the persistent racial and ethnic disparities in cervical, ovarian, and uterine cancer outcomes, with Black patients experiencing the worst outcomes, and notes literature investigating social determinants of health, particularly access to care. Although timely delivery of screening and diagnostic evaluation is of paramount importance for cervical cancer, efforts for ovarian and uterine cancer need to focus on timely recognition of symptoms, diagnostic evaluation, and delivery of guideline-concordant cancer treatment, including tumor biomarker and somatic/germline genetic testing.
妇科癌症的差异在癌症类型和社会人口经济学因素方面呈现不同的趋势。我们强调了由于癌症护理在从初级预防、检测和诊断到治疗的整个过程中提供不足而在美国产生的差异，并确定了消除/减少差异以实现癌症健康公平的机会。我们的综述记录了宫颈癌、卵巢癌和子宫体癌结果中持续存在的种族和民族差异，黑人患者的预后最差，并指出了研究健康社会决定因素的文献，特别是获得医疗保健的机会。尽管及时进行筛查和诊断评估对于宫颈癌至关重要，但卵巢癌和子宫体癌的防治工作需要侧重于及时识别症状、进行诊断评估，并提供符合指南的癌症治疗，包括肿瘤生物标志物和体细胞/种系基因检测。
