IMR Press / EJGO / Volume 27 / Issue 1 / pii/2006104

European Journal of Gynaecological Oncology (EJGO) is published by IMR Press from Volume 40 Issue 1 (2019). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on as a courtesy and upon agreement with S.O.G.

Original Research

Physicians'attitudes, beliefs and knowledge concerning ovanan cancer

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1 Department of Obstetrics and Gynecology, McMaster University, Ontario, Canada
2 Division of Gynecologic Oncology at the Juravinski Cancer Centre, Ontario, Canada
3 Centre for Studies in Family Medicine, University of Western Ontario, Ontario, Canada
4 Supportive Cancer Care Research Unit at the Juravinski Cancer Centre, Ontario, Canada
Eur. J. Gynaecol. Oncol. 2006, 27(1), 19–24;
Published: 10 February 2006

Objective: To determine physicians' attitudes, beliefs and knowledge concerning surgical care of women with ovarian cancer. Methods: A survey was created from items generated from the literature, a focus group and individual interviews. The survey was mailed on two occasions to all practicing gynecologists, general surgeons and urologists in Ontario. Results: 701 responses were received (overall response rate: 43.7%); 293 were eligible responses. The responses were analyzed in terms of four determinants of surgical care:  knowledge, practice patterns, perceived goals of surgery and barriers to accessing surgical care. These variables would be influenced by the surgeon's specialty, access to an oncologist (medical or gynecologic) at one's facility and distance of one's facility to the nearest cancer center with a gynecologic oncologist. Surgeon's specialty and dis­tance from the cancer center influenced both the intraoperative surgical plan and referral practices. The most important goals of surgery were survival and optimal debulking. The barriers to care included available operating time and surgical beds. Conclusion: We have shown that peer influence has reached a ceiling effect in ovarian cancer and novel approaches are required to ensure appropriate referrals, knowledge transfer and provincial resourcing to expert centers to provide optimal surgical care for women with ovarian cancer.

Ovarian cancer
Beliefs and attitudes
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