Patients with low socio-economic status are more likely to present for non-elective Ovarian Cancer surgery
Survival for women with ovarian cancer is dependent on the quality of care provided. One of the most significant markers of better care is the completeness of surgical clearance at the initial surgery. Obviously there will be a better chance of this when the surgery follows careful pre-operative planning.
Sometimes this is not possible and many women present with complications of ovarian cancer requiring immediate emergency surgery. This retrospective survey looked at about 100,000 women in the US who had surgery for ovarian cancer during the period 2010-2015. Of these women, 19% were emergencies.
Those women who needed emergency care had higher mortality (2.7% vs. 0.6%), longer hospital stays, and more post-operative complications. The non-elective surgery group had lower incomes, were younger, with more co-existing disease shown as marked weight loss, diabetes and cardiac failure. Surgery for urgent cases was often incomplete without pelvic clearance or lymph node sampling.
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