Showing papers by "Barbara A. Goff published in 2018"
TL;DR: The lack of recognition and evaluation of postmenopausal bleeding is associated with advanced stage at diagnosis in endometrial cancer and older Black women are at highest risk for the most aggressive histology types, yet they are less likely to have guideline‐concordant evaluation of vaginal bleeding.
32 citations
TL;DR: RAS is as an alternative to LS in the treatment of EC and is preferable to XLAP and the use of RAS resulted in fewer early readmissions compared with LS and resulted in an increased proportion of cases via minimally invasive surgery.
30 citations
TL;DR: This pilot study met its objectives of testing unpaid caregiver recruitment procedures and identifying topics to include in the interview guide for a planned grounded theory study on ovarian cancer treatment decision making.
Abstract: Ovarian cancer is the deadliest gynecologic malignancy and the fifth leading cause of cancer death among women living in the USA. Treatment for ovarian cancer that follows the guidelines published by the National Comprehensive Cancer Network is associated with a 33% decrease in disease-specific mortality, yet fewer than 40% of women with ovarian cancer receive guideline-adherent treatment. Little is known about the process by which women with ovarian cancer, their unpaid caregivers, and physicians make decisions about ovarian cancer treatment. We are planning to conduct a population-based study examining the ovarian cancer treatment decision-making process from the perspective of women with ovarian cancer, their caregivers, and physicians using a qualitative approach. Prior to embarking on a large-scale study, we determined it would be beneficial to pilot test our unpaid caregiver recruitment protocol and identify preliminary topics for the main study’s interview guide. We conducted a cross-sectional descriptive study using a qualitative approach. Data were collected via unstructured, individual interviews. Data were analyzed using modified grounded theory methods. We interviewed six women with ovarian cancer, four unpaid caregivers, and three physicians. The recruitment protocol successfully recruited patient participants but did not allow for direct recruitment of unpaid caregivers, which presented logistical difficulties. The interview guide was adequate to elicit participants’ discussion of the major topics of interest; however, the opening statement needed modification to account for physician participants’ specialties. Patient and caregiver participants identified three major categories of concepts describing the process of ovarian cancer treatment decision making: (a) choosing a provider, (b) choosing a facility, and (c) choosing a treatment. All three groups of participants addressed the influence of geographic location on treatment decisions, while physicians described encounters with patients declining recommended treatment. This pilot study met our objectives of testing unpaid caregiver recruitment procedures and identifying topics to include in the interview guide for a planned grounded theory study. Although the thematic results of this study are preliminary, the categories of concepts described by participants provide a framework for the exploration of patient, unpaid caregiver, and physician perspectives of ovarian cancer treatment decision making.
10 citations
TL;DR: The combination of a patient-reported symptom index and refined biomarker panel allows for improved accuracy in the assessment for ovarian cancer in patients with an adnexal mass and could offer a personalized approach to addressing ROM.
9 citations
TL;DR: Young women with dermatomyositis are at high risk for underlying ovarian cancer and should have genetic testing to assess treatment and recurrence of disease.
Abstract: •Young women with dermatomyositis are at high risk for underlying ovarian cancer.•Dermatomyositis symptoms can be used to assess treatment and recurrence of disease.•Immunosuppression can complicate postoperative recovery in ovarian cancer patients.•Ovarian cancer patients with dermatomyositis should have genetic testing.
7 citations
TL;DR: Using the Laparoscopic Hysterectomy Trainer significantly increased knowledge of the hystereCTomy procedure in PGY 1 and 2 gynecology residents.
6 citations
TL;DR: Physicians with nonprofessional cancer experience were more likely to report offering or ordering nonrecommended screening than physicians without this experience, and despite recommendations to the contrary, many physicians reported recommending ovarian cancer screening in low-risk women.
Abstract: Objective: Routine ovarian cancer screening is ineffective; therefore, no professional organization recommends this screening in asymptomatic patients. However, many physicians have recomm...
5 citations
2 citations
TL;DR: Aromatase inhibitors and metformin may be a beneficial adjunct in treating recurrent granulosa cell tumors and Cytotoxic chemotherapy has questionable efficacy against granULosa cell tumor.
Abstract: •Cytotoxic chemotherapy has questionable efficacy against granulosa cell tumor.•Aromatase inhibitors may provide alternative treatment for granulosa cell tumors.•Metformin may be a beneficial adjunct in treating recurrent granulosa cell tumors.