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BioMed Research International
Volume 2014 (2014), Article ID 920915, 6 pages
http://dx.doi.org/10.1155/2014/920915
Research Article

Ovarian Cancer Screening Practices of Obstetricians and Gynecologists in Puerto Rico

1Department of Obstetrics and Gynecology, University of Puerto Rico School of Medicine, San Juan, PR 00936-5067, USA
2Department of Biostatistics and Epidemiology, University of Puerto Rico School of Medicine, San Juan, PR 00936-5067, USA
3Cancer Control and Population Sciences Program, University of Puerto Rico Comprehensive Cancer Center, San Juan, PR 00927-6346, USA

Received 28 February 2014; Revised 13 May 2014; Accepted 23 May 2014; Published 5 June 2014

Academic Editor: Myong Cheol Lim

Copyright © 2014 Gianni Rodríguez-Ayala et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Background. Ovarian cancer is the most fatal malignancy of the female genital tract and is associated with high mortality. The American Congress of Obstetricians and Gynecologists (ACOG) and the United States Preventive Services Task Force (USPSTF) recommend against screening for ovarian cancer in asymptomatic, average-risk women. Objective. To assess the ovarian cancer screening practices in asymptomatic, average-risk women among obstetricians and gynecologists (Ob/Gyn) in Puerto Rico. Methodology. From 2011 to 2012, self-administered anonymous questionnaires were mailed to all licensed obstetricians and gynecologists in PR. Results. Response rate was 25%. Overall, 53.9% were screening for the disease. Reported screening methods were CA-125 and transvaginal ultrasound (TVUS), 39.2%, TVUS only, 30.4%, and CA-125 only, 9.8%. In the logistic regression model, the odds that a given health practitioner routinely screened for ovarian cancer in the asymptomatic, average-risk population increased by 8% with every unit increase in his or her years in practice. Conclusion. The majority of the practicing Ob/Gyn in PR who participated are not following the guidelines established by the ACOG and the USPSTF for ovarian cancer screening.