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Re: gynecologic oncologists: YES YES YES, ABSOLUTELY YESFrom: Thomas Ind (Ind@TomInd.freeserve.co.uk)Wed Mar 31 14:28:37 1999
Sorry that I'm a bit late in this thread but as someone intending to start again this year and commence subspecialty training in gynaeonc I thought that I would give my bit. The advantages are not just from the G1 oncologist. There is no doubt that there is no GOOD evidence in terms of survival but in the last year this evidence has increased. However, a gynaecological cancer centre offers a multidiciplinary team with protocols, associated interest specialist (e.g. radiologists, medical oncologists, radiation oncologists, palliative physicians, sex therapists, stoma care nurses, occupational therapists, physiotherapists, etc etc etc), and other patients to speak to. So the gynaecological oncologist can offer patient centered care bringing the support services to the patient rather than sending the patient to the support services. There is evidence that incorrect staging occurs when a gynaeoncologist does not perform the surgery and there is good evidence that a gynaeoncologist has a descreased recurrence rate over a generalist (who is better than a general surgeon). Finally, the evidence base is poor. Patients should be available for recruiting to studies or else there will be no progress.
-- Thomas Ind MB BS MD MRCOG London UK
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