Discordance between beliefs and recommendations of gynecologic oncologists in ovarian cancer management

L. Chen, L. A. Learman, V. Weinberg, C. B. Powell

Research output: Contribution to journalArticle

13 Scopus citations

Abstract

Purpose: The purpose of this study was to determine how physician experts make decisions for clinical scenarios in ovarian cancer and describe a profile of factors reported to influence treatment decisions. Methods: A questionnaire was sent to Full Members of the Society of Gynecologic Oncologists regarding surgery and chemotherapy for scenarios of primary and recurrent ovarian cancer. Results: In a scenario of primary presentation, 94% of respondents chose a treatment of tumor resection over chemotherapy. Despite the preference for surgery in a clinical scenario, 50% agreed with a statement that neoadjuvant chemotherapy is equivalent to primary surgery. In a scenario of recurrent disease, a comparable number of respondents chose a treatment of secondary cytoreductive surgery (45%) versus direct retreatment with chemotherapy (49%). Those choosing surgery responded that they believed in extensive surgery to achieve optimal cytoreduction. Most (62%) respondents described themselves as collaborative in treatment planning, yet only 24% reported that patient preference strongly influences their decision making. Conclusions: Although a plan for primary cytoreduction is favored, in specific scenarios, views were divided for the role of neoadjuvant chemotherapy. For a recurrent disease scenario, support was divided between secondary cytoreductive surgery and direct retreatment with chemotherapy. Further clinical research is necessary to minimize the discordance between physician beliefs and recommendations.

Original languageEnglish (US)
Pages (from-to)1055-1062
Number of pages8
JournalInternational Journal of Gynecological Cancer
Volume14
Issue number6
DOIs
StatePublished - Nov 1 2004

Keywords

  • Chemotherapy
  • Decision making
  • Ovarian cancer
  • Surgery

ASJC Scopus subject areas

  • Oncology
  • Obstetrics and Gynecology

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