Cancer Surgery in Ontario, Chapter 7, Surgery for Ovarian Cancer

Cancer Surgery in Ontario, Chapter 7, Surgery for Ovarian Cancer.pdf (application/pdf Object)

Key Findings:

• Nearly three quarters (73 percent) of women
diagnosed with ovarian cancer in 2003/04 received
surgery within a year of diagnosis.

• Almost all procedures (96 percent) were done in an
inpatient hospital setting.

• Some Local Health Integration Networks (LHINs)
appeared to serve as referral centres for women with
ovarian cancer. For example, 223 surgical procedures
for the disease were done in facilities located in the
Toronto Central LHIN during the study period.
However, only 56 of these (25 percent) were for
patients who resided in the Toronto Central LHIN at
the time they were diagnosed.

• The most common surgical procedure performed
on women with ovarian cancer was unilateral or
bilateral salpingo-oophorectomy (USO/BSO) with
omentectomy; this was undergone by 58 percent
of women in the study cohort. Other procedures
included USO/BSO alone (27 percent) and USO/BSO
with pelvic or para-aortic lymph node excision
(8.1 percent). (blogger's comment: not standard of care)

• While gynecologic oncologists comprised just 6.5
percent of surgeons who performed surgery for
ovarian cancer in Ontario during the study period,
these sub-specialists did 49 percent of all procedures.

• Six out of 10 surgeries for ovarian cancer (60 percent)
were done in academic (teaching) hospitals.