Skip to main content
eScholarship
Open Access Publications from the University of California

Scholarly Works (3 results)

  • Article
Obstetrics and Gynecology (2023)

After patients end their cancer treatmentand have no evidence of disease, theyenter survivorship portion of their care.

Survivorship programs provide thefollowing services: psychosocial support,nutrition, medication side-effects, geneticcounseling, and fertility concerns throughthe use of treatment summaries andsurvivorship care plans. Patients continue to face difficulty in accessing services.

Objectives: To increase enrollment insurvivorship program.

    Cover page: Improving Utilization and Quality of Survivorship Care for Patients with Gynecological Malignancies
    • Article
    • Peer Reviewed
    UC Davis Previously Published Works (2024)
    •Chronic chemical peritonitis caused by spontaneous rupture of a mature cystic teratoma may result in prolonged hospitalization and respiratory decline and can mimic a gynecologic malignancy.•Earlier surgical intervention for mature teratoma may prevent morbidity.•Inclusion of a gynecologic oncologist is advised for management discussions and/or surgical back-up.•Complex benign gynecologic surgeries may have some benefit for gynecologic oncologic trainees, which can be used for later oncologic cases.
      Cover page: Management of ruptured ovarian teratoma mimicking advanced ovarian cancer.
      • Article
      • Peer Reviewed
      UC Davis Previously Published Works (2020)

      Purpose

      Health-related quality of life (HRQOL) is an important prognostic factor in cancer patients. To date, no other studies have assessed the association between HRQOL measured before diagnosis and survival in older women with endometrial cancer.

      Methods

      The Surveillance, Epidemiology, and End Results - Medicare Health Outcomes Survey linked database was used to identify 995 women who were at least 65 years old and completed a survey before diagnosis with endometrial cancer. We obtained scores for 10 HRQOL scales, as measured by Medical Outcomes Study Short Form-36 and Veterans RAND 12-Item Survey, and data on activities of daily living (ADLs) impairments and depressive symptoms. Fine and Gray competing risks regression and Cox proportional hazards were used to estimate the association of HRQOL with endometrial cancer-specific and overall survival, respectively.

      Results

      Women who died had worse pre-diagnosis HRQOL than women who were still alive at the end of the study period. For every five-point increase in HRQOL score, overall survival improved by 5-9%. The strongest associations were observed for vitality (HR = 0.91, 95% CI 0.86, 0.97, p = 0.0021) and physical functioning (HR = 0.92, 95% CI 0.87, 0.97, p = 0.0010). ADL impairments were generally not predictive of survival, though depressive symptoms were significantly associated with increased hazard of death from all causes (HR = 1.34, 95% CI 1.00, 1.79, p = 0.0466).

      Conclusion

      HRQOL measured before diagnosis with endometrial cancer has prognostic value. Having measures of HRQOL available at diagnosis may facilitate timely supportive care to improve survival.
        Top