asco@alo33:161294 JSONTXT

{"project":"ASCO_abstracts","denotations":[{"id":"T1","span":{"begin":24,"end":39},"obj":"DiseaseOrPhenotypicFeature"},{"id":"T3","span":{"begin":121,"end":136},"obj":"DiseaseOrPhenotypicFeature"},{"id":"T5","span":{"begin":412,"end":427},"obj":"DiseaseOrPhenotypicFeature"},{"id":"T7","span":{"begin":517,"end":532},"obj":"DiseaseOrPhenotypicFeature"},{"id":"T9","span":{"begin":755,"end":770},"obj":"DiseaseOrPhenotypicFeature"},{"id":"T11","span":{"begin":1658,"end":1673},"obj":"DiseaseOrPhenotypicFeature"}],"attributes":[{"id":"A1","pred":"mondo_id","subj":"T1","obj":"0002974"},{"id":"A2","pred":"mondo_id","subj":"T1","obj":"0005131"},{"id":"A3","pred":"mondo_id","subj":"T3","obj":"0002974"},{"id":"A4","pred":"mondo_id","subj":"T3","obj":"0005131"},{"id":"A5","pred":"mondo_id","subj":"T5","obj":"0002974"},{"id":"A6","pred":"mondo_id","subj":"T5","obj":"0005131"},{"id":"A7","pred":"mondo_id","subj":"T7","obj":"0002974"},{"id":"A8","pred":"mondo_id","subj":"T7","obj":"0005131"},{"id":"A9","pred":"mondo_id","subj":"T9","obj":"0002974"},{"id":"A10","pred":"mondo_id","subj":"T9","obj":"0005131"},{"id":"A11","pred":"mondo_id","subj":"T11","obj":"0002974"},{"id":"A12","pred":"mondo_id","subj":"T11","obj":"0005131"}],"text":" Background: Globally, cervical cancer is the fourth most common cancer in omen and seventh most common cancer overall. Cervical cancer is highly preventable ith HPV vaccination and screening. Previous ork has shon that immigrants are less likely to be screened than non-immigrants. Building on this ork, the objective of our study as to examine hether immigrant omen are more likely to present ith later stage cervical cancer than long-term residents. Methods: We conducted a retrospective cohort study of omen ith cervical cancer diagnosed from 2010 to 2014 using administrative health data from the Canadian province of Ontario, comparing the odds of late stage diagnosis beteen immigrants and long-term residents. The outcome of interest as stage of cervical cancer diagnosis, defined as early stage I or late stage II-IV . We compared immigrants and long-term residents on late vs. early stage adjusting for socioeconomic measures, comorbidities and healthcare utilization. We also confirmed results ith a cohort from 2007-2012. Results: Complete staging data as available for 218 immigrants and 874 non-immigrants. We found no association beteen immigrant status and stage at diagnosis adjusted OR: 0.935, p value = 0.739 . Factors that did sho significant association ith later stage diagnosis ere physician characteristics, hether a oman had been previously screened, or having visited a gynecologist in the past 3 years. These results ere echoed in the 2007-2012 cohort immigrants vs. long-term residents OR: 0.942, adjusted p value = 0.6773 . Conclusions: Our results sho that being an immigrant is not associated ith late stage diagnosis of cervical cancer, although getting screened or having visited a gynecologist did reduce the odds of later stage cancer. Our findings support previous studies shoing that physician characteristics influence immigrant healthcare utilization. Moreso, it may be that programs broadly aimed immigrants require a targeted approach to address higher-risk subgroups.,J Clin Oncol 34, 2016 suppl; abstr e18054 ,Publication Only Health Services Research and Quality of Care \n"}