我们试图记录美国妇科肿瘤专家当前的手术实践。在2020年3月/4月，我们对妇科肿瘤学会会员进行了横断面调查，以确定美国妇科肿瘤学实践趋势。调查收集了人口统计数据，并询问参与者所执行的手术类型和化疗使用情况。我们使用单变量和多变量分析来评估外科医生的实践类型、实践地区、与妇科肿瘤专业医生的合作时间、实践时间和主要手术模式对特定手术程序的表现的关联性。在发送了调查邮件的1199名妇科肿瘤外科医生中，724人完成了调查（响应率为60.4％）。其中，170人（23.5％）在研究生毕业后6年内，368人（50.8％）为女性，479人（66.2％）在学术环境中工作。与妇科肿瘤专业医生合作的外科医生更有可能进行肠道手术、上腹部手术、复杂的上腹部手术和处方化疗。毕业研究生时间≥13年的外科医生更有可能进行肠道手术和复杂的腹部手术，但不太可能处方化疗和进行哨兵淋巴结切除手术（P <0.05）。这些发现突显了美国妇科肿瘤专家进行手术程序的差异。这些数据支持有进一步调查的实践差异。版权所有©2023 Elsevier Inc.。

We sought to document current surgical practices among gynecologic oncologists in the United States.In March/April 2020, we conducted a cross-sectional survey among members of the Society of Gynecologic Oncology to identify gynecologic oncology practice trends in the United States. The survey collected demographic data and queried participants on types of surgical procedures performed and chemotherapy use. Univariant and multivariant analyses were used to evaluate the association between surgeon practice type, region of practice, working with gynecologic oncology fellows, time in practice, and dominant surgical modality of practice on performance of specific procedures.Among 1199 gynecologic oncology surgeons who were emailed the survey, 724 completed the survey (60.4% response rate). Of these respondents, 170 (23.5%) were within 6 years of fellowship graduation, 368 (50.8%) identified as female; and 479 (66.2%) worked in an academic setting. Surgeons who worked with gynecologic oncology fellows were more likely to perform bowel surgery, upper abdominal surgery, complex upper abdominal surgery, and prescribe chemotherapy. Surgeons who were ≥ 13 years out from fellowship graduation were more likely to perform bowel surgery and complex abdominal surgery and less likely to prescribe chemotherapy and perform sentinel lymph node dissections (P < 0.05).These findings highlight the variation in surgical procedures performed by gynecologic oncologists in the United States. These data support that there are practice variations that would benefit from further investigation.Copyright © 2023 Elsevier Inc. All rights reserved.