Racial–ethnic comparison of guideline-adherent gynecologic cancer care in an equal-access system
Obstetrics and Gynecology Apr 02, 2021
Eaglehouse YL, Darcy KM, Tian C, et al. - Non-Hispanic White women and racial–ethnic minority women in the equal-access Military Health System were compared with respect to the receipt of National Comprehensive Cancer Network Guideline–adherent treatment for gynecologic cancers, inclusive of uterine, cervical, and ovarian cancer. A cohort of 3,354 women (aged 18–79 years) who were diagnosed with uterine, cervical, or ovarian cancer were identified via accessing MilCanEpi, which links data from the Department of Defense Central Cancer Registry and Military Health System Data Repository administrative claims data. Of 3,354 women, 68.7% were non-Hispanic White, 15.6% Asian, 9.0% non-Hispanic Black, and 6.7% Hispanic. Guideline-adherent treatment was received by, overall, 77.8% of patients (79.1% non-Hispanic White, 75.9% Asian, 69.3% non-Hispanic Black, and 80.5% Hispanic). Likelihood to receive guideline-adherent treatment was marginally less among Non-Hispanic Black patients vs non-Hispanic White women and was significantly less relative to either Asian or Hispanic patients. Findings overall suggest the existence of racial–ethnic disparities in guideline-adherent care among patients in the equal-access Military Health System suggesting the contribution of factors other than access to care to the observed disparities.
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