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Open AccessCommunication

Accuracy in Referrals to Gynecologic Oncologists Based on Clinical Presentation for Ovarian Mass

1
Department of Obstetrics and Gynecology, Saint Peter’s University Hospital, New Brunswick, NJ 08901, USA
2
Biostatistics and Epidemiology Services Center, Rutgers School of Public Health, Rutgers University, Piscataway, NJ 08854, USA
3
Department of Gynecology, Saint Peter’s Physician Associates, Somerset, NJ 08873, USA
4
Capital Health Surgical Group, Gynecology Oncology, Pennington, NJ 08534, USA
*
Author to whom correspondence should be addressed.
Diagnostics 2020, 10(2), 106; https://doi.org/10.3390/diagnostics10020106
Received: 22 December 2019 / Revised: 11 February 2020 / Accepted: 12 February 2020 / Published: 16 February 2020
(This article belongs to the Special Issue Ovarian Cancer: Characteristics, Screening, Diagnosis and Treatment)
Ovarian cancer is one of the most lethal gynecological cancers in women due to late diagnosis. Despite technological advancements, experienced physicians have high sensitivities and specificities in subjective assessments when combining ultrasound findings and clinical history in analyzing adnexal masses. This study aims to demonstrate general obstetricians and gynecologists’ (OB/GYN) appropriateness in gynecologic oncologist referrals for malignant ovarian masses based on history and physical (H&P), imaging, and available tumor markers. Three board certified OB/GYNs were given 148 cases and determined whether or not they would refer them to a gynecologic oncologist. Results showed that OB/GYNs were 81–85% accurate in diagnosing patients with a benign or malignant disease. Among the malignant cases, reviewers had a high sensitivity ranging from 74–81% in appropriately referring a malignancy. In our study, OB/GYNs referred between 23–32% of ovarian masses to a gynecologic oncologist with only 9.5% of cases found to be malignant. Despite the high referral rates, generalists showed a high degree of sensitivity in accurately referring malignant diseases based solely on clinical experience and imaging studies, which could improve survival rates with early intervention by gynecologic oncologists. View Full-Text
Keywords: ovarian mass; referral gynecologic oncologists ovarian mass; referral gynecologic oncologists
MDPI and ACS Style

Chua, K.J.C.; Patel, R.D.; Trivedi, R.; Greenberg, P.; Beiter, K.; Magliaro, T.; Patel, U.; Varughese, J. Accuracy in Referrals to Gynecologic Oncologists Based on Clinical Presentation for Ovarian Mass. Diagnostics 2020, 10, 106. https://doi.org/10.3390/diagnostics10020106

AMA Style

Chua KJC, Patel RD, Trivedi R, Greenberg P, Beiter K, Magliaro T, Patel U, Varughese J. Accuracy in Referrals to Gynecologic Oncologists Based on Clinical Presentation for Ovarian Mass. Diagnostics. 2020; 10(2):106. https://doi.org/10.3390/diagnostics10020106

Chicago/Turabian Style

Chua, Katherine J.C.; Patel, Ricky D.; Trivedi, Radhika; Greenberg, Patricia; Beiter, Kyle; Magliaro, Thomas; Patel, Ushma; Varughese, Joyce. 2020. "Accuracy in Referrals to Gynecologic Oncologists Based on Clinical Presentation for Ovarian Mass" Diagnostics 10, no. 2: 106. https://doi.org/10.3390/diagnostics10020106

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