{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,15]],"date-time":"2026-06-15T22:31:06Z","timestamp":1781562666906,"version":"3.54.5"},"reference-count":22,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,1,8]],"date-time":"2026-01-08T00:00:00Z","timestamp":1767830400000},"content-version":"vor","delay-in-days":7,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Obstet and Gynaecol"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To evaluate the impact of surgical waiting time (SWT) on 5\u2010year progression\u2010free survival (PFS). Secondary objectives were to evaluate 5\u2010year overall survival (OS) and prognostic factors for recurrence and OS in endometrial cancer (EC), considering Thailand's Key Performance Indicator (KPI) recommending surgery within 4\u2009weeks.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This retrospective cohort study included 377 patients with histologically confirmed EC who underwent primary surgery at Hatyai Hospital between October 2016 and September 2024. SWT was defined as the time from diagnostic biopsy to definitive surgery and categorized as early (\u2264\u20094\u2009weeks) or delayed (&gt;\u20094\u2009weeks). Survival outcomes were assessed using Kaplan\u2013Meier curves and log\u2010rank tests. Prognostic factors were analyzed using Cox proportional hazards models.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The median SWT was 32\u2009days. Median follow\u2010up was 23\u2009months. Delayed surgery correlated with higher BMI, larger tumors, and increased recurrence (12.7% vs. 4.9%,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.010). Advanced FIGO stage, non\u2010endometrioid histology, grade 3 tumors, LVSI, and delayed SWT were significant recurrence risk factors. Multivariate analysis confirmed advanced stage (HR: 5.15,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001) and SWT &gt;\u20094\u2009weeks (HR: 3.22,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.011) as independent predictors. Recurrence risk increased with longer delays (&gt;\u20096\u2009weeks: HR: 3.22; &gt;\u20098\u2009weeks: HR: 3.16). Kaplan\u2013Meier curves showed significantly reduced PFS with prolonged SWT, while its effect on 5\u2010year OS was not significant (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.1).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Surgical delays beyond 4\u2009weeks were associated with reduced PFS and increased recurrence, supporting Thailand's KPI and underscores the importance of timely surgery. The short follow\u2010up may limit interpretation of long\u2010term outcomes. Longer follow\u2010up is warranted to confirm these results.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jog.70175","type":"journal-article","created":{"date-parts":[[2026,1,9]],"date-time":"2026-01-09T06:55:21Z","timestamp":1767941721000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Impact of Prolonged Surgical Waiting Time on 5\u2010Year Progression\u2010Free Survival in Patients With Endometrial Cancer"],"prefix":"10.1111","volume":"52","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-6618-8678","authenticated-orcid":false,"given":"Ascharavadee","family":"Pulsawat","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology, Division of Gynecologic Oncology Hatyai Hospital  Songkhla 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