Clinical Edge

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

Surgical Delays in Women With Endometrial Cancer

Gynecol Oncol; ePub 2016 Apr 23; Strohl, Feinglass, et al

Surgical delays of >6 weeks in women with endometrial cancer occur in 25% of cases, and these long surgical wait times may be associated with worse survival. This according to a study of 112,041 women who underwent surgical treatment from 2003 to 2011. Survival through 2001 was available for 40,184 women and all patients underwent hysterectomy. Researchers found:

• 28% of patients underwent surgery >6 weeks after diagnosis.

• Being <40 years of age, being black or Hispanic, having Medicaid or being uninsured, or being from the lowest education quartile were associated with a significantly higher likelihood of surgical wait time of >6 weeks.

• Patients diagnosed in 2010 and 2011 were more likely (IRR=1.32) to undergo surgery >6 weeks after diagnosis compared to patients treated in 2003.

• Survival for women with surgical wait times >6 weeks was worse than those treated within 6 weeks of diagnosis (HR=1.14).

Citation: Strohl AE, Feinglass JM, Shahabi S, Simon MA. Surgical wait time: A new health indicator in women with endometrial cancer. [Published online ahead of print April 23, 2016]. Gynecol Oncol. doi:10.1016/j.ygyno.2016.04.014.