Clinical Edge

Summaries of Must-Read Clinical Literature, Guidelines, and FDA Actions

Gynecologic Cancer in the Elderly Poor

A closer look at at-risk group

Women aged ≥65 years who were dually enrolled in Medicare and Medicaid had an overall 34% increase in all-cause mortality after diagnosis with a gynecologic cancer compared with the non-dually enrolled population, according to a study of 4,522 women. Of those enrolled, 82% were enrolled in Medicare and 18% were dually enrolled. Uterine and ovarian cancers had the highest number of cases. The study also concluded:

• Dual enrollees had increased all-cause mortality overall.

• Increased odds of advanced-stage disease at the time of diagnosis among dual enrollees were only present in patients with uterine cancer.

• The strongest disparities were among women with early-stage uterine and early-stage vulgar/vaginal cancers.

Citation: Doll KM, Meng K, Basch EM, Gehrig PA, Brewster WR, Meyer AM. Cancer. [Published online ahead of print July 31, 2015]. doi: 10.1002/cncr.29541.