OBJECTIVE: We sought to investigate the impact of race, socioeconomic status (SES), and health care system characteristics on receipt of specific components of National @entity5 Network guideline care for stage IIIC/IV @entity43 . STUDY DESIGN: @entity1 diagnosed with stage IIIC/IV @entity43 between Jan. 1, 1996, through Dec. 31, 2006, were identified from the @entity7452 @entity5 Registry. Multivariate logistic regression analyses evaluated differences in surgery, chemotherapy, and treatment sequence according to race, increasing SES ( @entity16420 to SES-5), and provider annual case volume. RESULTS: A total of 11,865 @entity1 were identified. Median age at diagnosis was 65.0 years. The overall median cancer-specific survival was 28.2 months. African American race (odds ratio [OR], 2.04; 95% confidence interval [CI], 1.45-2.87) and care by a low-volume physician (OR, 19.72; 95% CI, 11.87-32.77) predicted an increased risk of not  undergoing surgery. @entity1 with @entity16420 (OR, 0.71; 95% CI, 0.60-0.85) and those treated at low-volume hospitals (OR, 0.88; 95%  CI, 0.77-0.99) or by low-volume physicians (OR, 0.80; 95% CI,  0.70-0.92) were less likely to undergo debulking surgery. African American race (OR, 1.55; 95% CI, 1.24-1.93) and @entity16420 (OR, 1.80; 95% CI, 1.35-2.39) were both significant predictors of not receiving chemotherapy. African American @entity1 were also more likely than whites to receive no treatment (OR, 2.08; 95% CI, 1.45-2.99) or only chemotherapy (OR, 1.55; 95% CI, 1.10-2.18). @entity1 with low SES were more likely to receive no treatment (OR, 1.95; 95% CI, 1.44-2.64) or surgery without chemotherapy (OR, 1.67; 95% CI, 1.38-2.03). CONCLUSION: Among @entity1 with @entity43 , African American race, low SES, and treatment by low-volume providers are significant and independent predictors of receiving no surgery, no debulking surgery, no chemotherapy, and nonstandard treatment sequences.

Impact of race, socioeconomic status, and the health care system on the treatment of @entity43 in XXXX .

@entity1 :: ('9606', 'Species') :: ['Patients', 'patients'] @entity43 :: ('MESH:D010051', 'Disease') :: ['advanced-stage ovarian cancer', 'ovarian cancer', 'epithelial ovarian cancer'] @entity5 :: ('MESH:D009369', 'Disease') :: ['Comprehensive Cancer', 'Cancer'] @entity7452 :: ('MESH:D004670', 'Disease') :: ['California'] @entity16420 :: ('9805', 'Gene') :: ['SES-1']
@entity7452 :: (MESH:D004670,Disease) :: ['California']
