Endometrial cancer survivor perspectives on weight loss and lifestyle modifications: A Uterine Cancer Action Network study

Tseng, Ju-Yu; Long, K.; Jernigan, Amelia; Salani, Ritu; Bristow, Robert E.; Fader, Amanda N.

doi:10.1016/j.ygyno.2015.01.208

Cited by 1 publication

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“…Women preferred direct conversations with specific recommendations and referrals, but none of the 177 women had been offered a referral. 8 Neff et al reported that that only 10% of gynecologic oncologists report having received formal training in weight loss counseling 7 . Despite an interest in referral to bariatric specialists trained to take care of this patient population, both patients and providers report a lack of referrals.…”

Section: Commentmentioning

confidence: 99%

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Referring survivors of endometrial cancer and complex atypical hyperplasia to bariatric specialists: a prospective cohort study

Jernigan

Maurer

Cooper

et al. 2015

American Journal of Obstetrics and Gynecology

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Objective(s) To describe the acceptability of bariatric referrals when offered by gynecologic oncologists to women with a history of complex atypical hyperplasia or early stage endometrial cancer and to detail compliance with referrals and weight loss attempts initiated three months after the referral. Study Design Obese women with complex atypical hyperplasia or early stage endometrial cancer were approached for inclusion in this prospective cohort study. Those not in the care of a bariatric specialist were offered a medical referral with or without a surgical referral. A survey was administered at inclusion and after three months. Results Of 121 women approached, 106 were consented. Women reported that it was acceptable for their gynecologic oncologist to discuss weight loss (91.09%) and that a 10% loss of body weight would be beneficial (86.14%). Six women were already in the care of a bariatric specialist. Of the remaining 100, 43 accepted a referral: 35 of 100 medical and 8 of 66 surgical referrals offered. At three months, 17 women complied with a referral (16 medical and 1 surgical) and 59 had initiated any weight loss attempt. On multivariate analysis, a higher initial weight (p=0.0403), Charlson Comorbidity Index ≥ 5 (p=0.0278) and shorter time from surgery to bariatric referral (p=0.0338) predicted acceptance of a referral. Conclusion(s) Weight loss counseling is well received by these women. After being offered bariatric referral, only 17% comply, but most (59%) subsequently initiate a weight loss attempt. Referrals should be offered early in the course of cancer care to maximize acceptance.

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Section: Commentmentioning

confidence: 99%

“…6,7 Cancer survivors confirm that gynecologic oncologists rarely and inadequately address the issue. 8 …”

Section: Introductionmentioning

confidence: 99%

Referring survivors of endometrial cancer and complex atypical hyperplasia to bariatric specialists: a prospective cohort study

Jernigan

Maurer

Cooper

et al. 2015

American Journal of Obstetrics and Gynecology

View full text Add to dashboard Cite

show abstract

Endometrial cancer survivor perspectives on weight loss and lifestyle modifications: A Uterine Cancer Action Network study

Cited by 1 publication

References 0 publications

Referring survivors of endometrial cancer and complex atypical hyperplasia to bariatric specialists: a prospective cohort study

Referring survivors of endometrial cancer and complex atypical hyperplasia to bariatric specialists: a prospective cohort study

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