{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,28]],"date-time":"2026-10-28T00:17:13Z","timestamp":1793146633219,"version":"4.5.0"},"reference-count":49,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-004"}],"funder":[{"DOI":"10.13039\/100017413","name":"Innovation Fund","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100017413","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100008309","name":"Johns Hopkins University Bloomberg School of Public Health","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100008309","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["ajog.org","clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["American Journal of Obstetrics and Gynecology"],"published-print":{"date-parts":[[2026,8]]},"DOI":"10.1016\/j.ajog.2026.08.020","type":"journal-article","created":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T15:41:01Z","timestamp":1787240461000},"update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":2,"title":["Trends in US gynecologic cancers (2001\u20132019): influence of social determinants, geographic disparities, and specialist access on stage at diagnosis"],"prefix":"10.1016","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2789-5460","authenticated-orcid":false,"given":"Michael R.","family":"Desjardins","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nerlyne","family":"Desravines","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Visha","family":"Patel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"suffix":"III","given":"Charles A.","family":"Leath","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rebecca","family":"Stone","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Frank C.","family":"Curriero","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amanda N.","family":"Fader","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.ajog.2026.08.020_bib2","doi-asserted-by":"crossref","first-page":"343","DOI":"10.1097\/PPO.0000000000000678","article-title":"Disparities in gynecologic cancers","volume":"29","author":"Lee","year":"2023","journal-title":"Cancer J"},{"key":"10.1016\/j.ajog.2026.08.020_bib3","doi-asserted-by":"crossref","first-page":"315","DOI":"10.1038\/s41416-020-01038-6","article-title":"Cancer health disparities in racial\/ethnic minorities in the United States","volume":"124","author":"Zavala","year":"2021","journal-title":"Br J Cancer"},{"key":"10.1016\/j.ajog.2026.08.020_bib4","doi-asserted-by":"crossref","first-page":"S54","DOI":"10.1097\/ACM.0000000000005181","article-title":"Perspectives on disparities and equity in cancer outcomes: a call to action","volume":"98","author":"Odunsi","year":"2023","journal-title":"Acad Med"},{"key":"10.1016\/j.ajog.2026.08.020_bib5","doi-asserted-by":"crossref","DOI":"10.1001\/jamanetworkopen.2020.0618","article-title":"Association of neighborhood measures of social determinants of health with breast, cervical, and colorectal cancer screening rates in the US midwest","volume":"3","author":"Kurani","year":"2020","journal-title":"JAMA Netw Open"},{"key":"10.1016\/j.ajog.2026.08.020_bib6","doi-asserted-by":"crossref","first-page":"527","DOI":"10.1016\/j.ygyno.2017.12.032","article-title":"Racial disparities in young women with endometrial cancer","volume":"148","author":"Mukerji","year":"2018","journal-title":"Gynecol Oncol"},{"key":"10.1016\/j.ajog.2026.08.020_bib7","doi-asserted-by":"crossref","first-page":"196","DOI":"10.1097\/AOG.0000000000005210","article-title":"Health disparities in ovarian cancer: report from the ovarian cancer evidence review conference","volume":"142","author":"Mei","year":"2023","journal-title":"Obstet Gynecol"},{"key":"10.1016\/j.ajog.2026.08.020_bib8","doi-asserted-by":"crossref","DOI":"10.1016\/j.ejon.2024.102614","article-title":"Social determinants of health in post-treatment cancer survivors: scoping review","volume":"70","author":"Lara-Morales","year":"2024","journal-title":"Eur J Oncol Nurs"},{"key":"10.1016\/j.ajog.2026.08.020_bib9","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.ygyno.2024.03.015","article-title":"Healthcare utilization in women diagnosed with endometrial cancer: a survey-based study","volume":"186","author":"Desravines","year":"2024","journal-title":"Gynecol Oncol"},{"key":"10.1016\/j.ajog.2026.08.020_bib10","first-page":"31","article-title":"Understanding and addressing social determinants to advance cancer health equity in the United States: a blueprint for practice, research, and policy","volume":"70","author":"Alcaraz","year":"2020","journal-title":"CA Cancer J Clin"},{"key":"10.1016\/j.ajog.2026.08.020_bib11","doi-asserted-by":"crossref","first-page":"8094","DOI":"10.1245\/s10434-023-14200-0","article-title":"Social determinants of cancer disparities","volume":"30","author":"Syrnioti","year":"2023","journal-title":"Ann Surg Oncol"},{"key":"10.1016\/j.ajog.2026.08.020_bib12","doi-asserted-by":"crossref","DOI":"10.1001\/jamanetworkopen.2022.54595","article-title":"Factor analysis of health care access with ovarian cancer surgery and gynecologic oncologist consultation","volume":"6","author":"Gupta","year":"2023","journal-title":"JAMA Netw Open"},{"key":"10.1016\/j.ajog.2026.08.020_bib13","doi-asserted-by":"crossref","DOI":"10.1001\/jamanetworkopen.2024.9474","article-title":"Disparities in cancer stage outcomes by catchment areas for a comprehensive cancer center","volume":"7","author":"Desjardins","year":"2024","journal-title":"JAMA Netw Open"},{"key":"10.1016\/j.ajog.2026.08.020_bib14","doi-asserted-by":"crossref","first-page":"975","DOI":"10.1186\/s12889-016-3621-9","article-title":"Examining health literacy disparities in the United States: a third look at the National Assessment of Adult Literacy (NAAL)","volume":"16","author":"Rikard","year":"2016","journal-title":"BMC Pub Health"},{"key":"10.1016\/j.ajog.2026.08.020_bib15","doi-asserted-by":"crossref","first-page":"574","DOI":"10.1089\/whr.2020.0090","article-title":"Patient and provider perspectives on barriers to accessing gynecologic oncologists for ovarian cancer surgical care","volume":"1","author":"Weeks","year":"2020","journal-title":"Women's Health Rep"},{"key":"10.1016\/j.ajog.2026.08.020_bib16","doi-asserted-by":"crossref","first-page":"811","DOI":"10.3390\/bs14090811","article-title":"Exploring cervical cancer screening uptake among women in the United States: impact of social determinants of health and psychosocial determinants","volume":"14","author":"Asare","year":"2024","journal-title":"Behav Sci"},{"key":"10.1016\/j.ajog.2026.08.020_bib17","doi-asserted-by":"crossref","DOI":"10.3389\/fonc.2023.1263371","article-title":"Healthcare access dimensions and uterine cancer survival: a national cancer database study","volume":"13","author":"Anastasio","year":"2023","journal-title":"Front Oncol"},{"key":"10.1016\/j.ajog.2026.08.020_bib18","doi-asserted-by":"crossref","first-page":"209","DOI":"10.1136\/ijgc-2020-001807","article-title":"Impact of geography and travel distance on outcomes in epithelial ovarian cancer: a national cancer database analysis","volume":"31","author":"Daruvala","year":"2021","journal-title":"Int J Gynecol Cancer"},{"key":"10.1016\/j.ajog.2026.08.020_bib19","doi-asserted-by":"crossref","first-page":"125","DOI":"10.1016\/j.ygyno.2003.12.018","article-title":"The benefits of a gynecologic oncologist: a pattern of care study for endometrial cancer treatment","volume":"93","author":"Roland","year":"2004","journal-title":"Gynecol Oncol"},{"key":"10.1016\/j.ajog.2026.08.020_bib20","doi-asserted-by":"crossref","first-page":"1342","DOI":"10.1097\/01.AOG.0000265207.27755.28","article-title":"Influence of the gynecologic oncologist on the survival of ovarian cancer patients","volume":"109","author":"Chan","year":"2007","journal-title":"Obstet Gynecol"},{"key":"10.1016\/j.ajog.2026.08.020_bib21","doi-asserted-by":"crossref","first-page":"801","DOI":"10.1016\/j.ygyno.2007.02.030","article-title":"The outcomes of ovarian cancer treatment are better when provided by gynecologic oncologists and in specialized hospitals: a systematic review","volume":"105","author":"Vernooij","year":"2007","journal-title":"Gynecol Oncol"},{"key":"10.1016\/j.ajog.2026.08.020_bib22","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1016\/j.ygyno.2017.03.022","article-title":"An update on post-treatment surveillance and diagnosis of recurrence in women with gynecologic malignancies: Society of Gynecologic Oncology (SGO) recommendations","volume":"146","author":"Salani","year":"2017","journal-title":"Gynecol Oncol"},{"key":"10.1016\/j.ajog.2026.08.020_bib23","doi-asserted-by":"crossref","first-page":"688","DOI":"10.1097\/AOG.0000000000005284","article-title":"Geographic disparities in potential accessibility to gynecologic oncologists in the United States from 2001 to 2020","volume":"142","author":"Desjardins","year":"2023","journal-title":"Obstet Gynecol"},{"key":"10.1016\/j.ajog.2026.08.020_bib24","doi-asserted-by":"crossref","first-page":"670","DOI":"10.1186\/s12913-024-11129-2","article-title":"Barriers to cancer treatment for people experiencing socioeconomic disadvantage in high-income countries: a scoping review","volume":"24","author":"Bourgeois","year":"2024","journal-title":"BMC Health Serv Res"},{"key":"10.1016\/j.ajog.2026.08.020_bib25","first-page":"171","article-title":"Clinical highlights from the national cancer data base, 2000","volume":"50","author":"Stewart","year":"2000","journal-title":"CA Cancer J Clin"},{"key":"10.1016\/j.ajog.2026.08.020_bib26","first-page":"1","article-title":"A social vulnerability index for disaster management","volume":"8","author":"Flanagan","year":"2011","journal-title":"J Homeland Secur Emerg Manage"},{"key":"10.1016\/j.ajog.2026.08.020_bib27","series-title":"R (version 4.3.1)[Computer software]","year":"2021"},{"key":"10.1016\/j.ajog.2026.08.020_bib29","series-title":"ArcGIS Pro 3.2","year":"2024"},{"key":"10.1016\/j.ajog.2026.08.020_bib30","doi-asserted-by":"crossref","first-page":"1715","DOI":"10.2147\/IJWH.S474571","article-title":"The future of cervical cancer screening","volume":"16","author":"Goldstein","year":"2024","journal-title":"Int J Women's Health"},{"key":"10.1016\/j.ajog.2026.08.020_bib31","doi-asserted-by":"crossref","first-page":"1605","DOI":"10.3390\/healthcare10091605","article-title":"Advances on prevention and screening of gynecologic tumors: are we stepping forward?","volume":"10","author":"Giannini","year":"2022","journal-title":"Healthcare"},{"key":"10.1016\/j.ajog.2026.08.020_bib32","doi-asserted-by":"crossref","first-page":"1","DOI":"10.31083\/j.ceog5008160","article-title":"Prevention, screening, treatment and follow-up of gynecological cancers. State of art and future perspectives","volume":"50","author":"Golia D'auge","year":"2023","journal-title":"Clin Exp Obstet Gynecol"},{"key":"10.1016\/j.ajog.2026.08.020_bib33","doi-asserted-by":"crossref","first-page":"199","DOI":"10.1002\/ijgo.70094","article-title":"Artificial intelligence in the diagnosis and management of gynecologic cancer","volume":"171","author":"Paiboonborirak","year":"2025","journal-title":"Int J Gynecol Obstet"},{"key":"10.1016\/j.ajog.2026.08.020_bib34","doi-asserted-by":"crossref","first-page":"1412","DOI":"10.1016\/S0140-6736(22)00323-3","article-title":"Endometrial cancer","volume":"399","author":"Crosbie","year":"2022","journal-title":"Lancet"},{"key":"10.1016\/j.ajog.2026.08.020_bib39","doi-asserted-by":"crossref","first-page":"293","DOI":"10.1002\/uog.17557","article-title":"Screening for ovarian cancer: imaging challenges and opportunities for improvement","volume":"51","author":"Mathieu","year":"2018","journal-title":"Ultrasound Obstet Gynecol"},{"key":"10.1016\/j.ajog.2026.08.020_bib40","doi-asserted-by":"crossref","first-page":"588","DOI":"10.1001\/jama.2017.21926","article-title":"Screening for ovarian cancer: US preventive services task force recommendation statement","volume":"319","author":"Grossman","year":"2018","journal-title":"JAMA"},{"key":"10.1016\/j.ajog.2026.08.020_bib41","doi-asserted-by":"crossref","first-page":"e106","DOI":"10.3399\/bjgp19X700781","article-title":"Patient and primary care delays in the diagnostic pathway of gynaecological cancers: a systematic review of influencing factors","volume":"69","author":"Williams","year":"2019","journal-title":"Br J Gen Pract"},{"key":"10.1016\/j.ajog.2026.08.020_bib42","doi-asserted-by":"crossref","first-page":"430","DOI":"10.1186\/s12905-022-02016-1","article-title":"Pathways to ovarian cancer diagnosis: a qualitative study","volume":"22","author":"Lawson-Michod","year":"2022","journal-title":"BMC Women's Health"},{"key":"10.1016\/j.ajog.2026.08.020_bib45","doi-asserted-by":"crossref","first-page":"668","DOI":"10.1016\/S2213-8587(22)00163-2","article-title":"Polycystic ovary syndrome","volume":"10","author":"Joham","year":"2022","journal-title":"Lancet Diabetes Endocrinol"},{"key":"10.1016\/j.ajog.2026.08.020_bib46","doi-asserted-by":"crossref","first-page":"321","DOI":"10.1097\/AOG.0000000000002698","article-title":"Polycystic ovary syndrome","volume":"132","author":"Azziz","year":"2018","journal-title":"Obstet Gynecol"},{"key":"10.1016\/j.ajog.2026.08.020_bib47","doi-asserted-by":"crossref","first-page":"270","DOI":"10.1038\/nrendo.2018.24","article-title":"Polycystic ovary syndrome: definition, aetiology, diagnosis and treatment","volume":"14","author":"Escobar-Morreale","year":"2018","journal-title":"Nat Rev Endocrinol"},{"key":"10.1016\/j.ajog.2026.08.020_bib48","doi-asserted-by":"crossref","first-page":"274","DOI":"10.1001\/jama.2021.23769","article-title":"Diagnosis and treatment of polycystic ovary syndrome","volume":"327","author":"Huddleston","year":"2022","journal-title":"JAMA"},{"key":"10.1016\/j.ajog.2026.08.020_bib43","doi-asserted-by":"crossref","first-page":"38","DOI":"10.1080\/10463356.2020.1796385","article-title":"A rural healthcare system expands cancer care with a \u201cHub and Spoke\u201d model","volume":"35","author":"La Raia","year":"2020","journal-title":"Oncol Issues"},{"key":"10.1016\/j.ajog.2026.08.020_bib44","doi-asserted-by":"crossref","first-page":"422","DOI":"10.1200\/OP.20.00174","article-title":"Closing the rural cancer care gap: three institutional approaches","volume":"16","author":"Levit","year":"2020","journal-title":"JCO Oncol Pract"},{"key":"10.1016\/j.ajog.2026.08.020_bib49","doi-asserted-by":"crossref","first-page":"243","DOI":"10.1111\/j.1744-4667.2012.00129.x","article-title":"Management of women with postmenopausal bleeding: evidence-based review","volume":"14","author":"Bakour","year":"2012","journal-title":"Obstet Gynaecol"},{"key":"10.1016\/j.ajog.2026.08.020_bib50","doi-asserted-by":"crossref","first-page":"677","DOI":"10.1097\/AOG.0000000000002248","article-title":"Trends in seeing an obstetrician-gynecologist compared with a general physician among U.S. women, 2000-2015","volume":"130","author":"Simon","year":"2017","journal-title":"Obstet Gynecol"},{"key":"10.1016\/j.ajog.2026.08.020_bib51","doi-asserted-by":"crossref","first-page":"203.e1","DOI":"10.1016\/j.ajog.2022.09.005","article-title":"Supply of obstetrician-gynecologists and gynecologic oncologists to the US medicare population: a state-by-state analysis","volume":"228","author":"Talbott","year":"2023","journal-title":"Am J Obstet Gynecol"},{"key":"10.1016\/j.ajog.2026.08.020_bib35","doi-asserted-by":"crossref","first-page":"2501","DOI":"10.1200\/JCO.19.00363","article-title":"Update on genetic testing in gynecologic cancer","volume":"37","author":"Domchek","year":"2019","journal-title":"J Clin Oncol"},{"key":"10.1016\/j.ajog.2026.08.020_bib36","doi-asserted-by":"crossref","first-page":"43","DOI":"10.1001\/jama.2023.9526","article-title":"Germline genetic testing after cancer diagnosis","volume":"330","author":"Kurian","year":"2023","journal-title":"JAMA"},{"key":"10.1016\/j.ajog.2026.08.020_bib37","doi-asserted-by":"crossref","first-page":"44","DOI":"10.1016\/j.ajog.2023.06.043","article-title":"Long-term outcomes of hysterectomy with bilateral salpingo-oophorectomy: a systematic review and meta-analysis","volume":"230","author":"Hassan","year":"2024","journal-title":"Am J Obstet Gynecol"},{"key":"10.1016\/j.ajog.2026.08.020_bib38","doi-asserted-by":"crossref","first-page":"1203","DOI":"10.1001\/jamaoncol.2021.1590","article-title":"Association of salpingectomy with delayed oophorectomy versus salpingo-oophorectomy with quality of life in BRCA1\/2 pathogenic variant carriers: a nonrandomized controlled trial","volume":"7","author":"Steenbeek","year":"2021","journal-title":"JAMA Oncol"}],"container-title":["American Journal of Obstetrics and Gynecology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0002937826004242?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0002937826004242?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T21:06:30Z","timestamp":1789592790000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0002937826004242"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8]]},"references-count":49,"alternative-id":["S0002937826004242"],"URL":"https:\/\/doi.org\/10.1016\/j.ajog.2026.08.020","relation":{},"ISSN":["0002-9378"],"issn-type":[{"value":"0002-9378","type":"print"}],"subject":[],"published":{"date-parts":[[2026,8]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Trends in US gynecologic cancers (2001\u20132019): influence of social determinants, geographic disparities, and specialist access on stage at diagnosis","name":"articletitle","label":"Article Title"},{"value":"American Journal of Obstetrics and Gynecology","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.ajog.2026.08.020","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 Elsevier Inc. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}]}}