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Although women with ovarian cancer have longer survival when cared for by gynecologic oncologists (GOs) rather than general obstetrician-gynecologists or surgeons (JW Womens Health May 8 2008), the influence of subspecialty care in the setting of endometrial cancer is not known. To address this question, researchers used U.S. national cancer data to identify more than 18,000 women with endometrial cancer (median age at diagnosis, 70; 90% white) and to analyze outcomes in relation to type of care received.
From 1991 to 2002, the proportion of women with endometrial cancer who received treatment from GOs rose from 10.7% to 27.5%. Women whose surgeries were performed by GOs were more likely to present with advanced disease, to have more-aggress…