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Time series and risk factors associated with mortality in women with cervical cancer from 2000 to 2021.
de Oliveira Lima, Talita; Erialdo da Silva Junior, José; Aparecida Vieira Barreto, Giulianna; Wellington Sátiro Justino, Max; Lia Coutinho Carvalho, Maria; Gurgel Carlos da Silva, Marcelo; Alves Ferreira, Daniele; Flávio Gonzaga Silva, Lúcio; Goberlânio de Barros Silva, Paulo.
Afiliação
  • de Oliveira Lima T; Oncology Department in Cancer Institute of Ceará, Brazil.
  • Erialdo da Silva Junior J; Oncology Department in Cancer Institute of Ceará, Brazil.
  • Aparecida Vieira Barreto G; Oncology Department in Cancer Institute of Ceará, Brazil.
  • Wellington Sátiro Justino M; Oncology Department in Cancer Institute of Ceará, Brazil.
  • Lia Coutinho Carvalho M; Oncology Department in Cancer Institute of Ceará, Brazil.
  • Gurgel Carlos da Silva M; Oncology Department in Cancer Institute of Ceará, Brazil.
  • Alves Ferreira D; Oncology Department in Cancer Institute of Ceará, Brazil.
  • Flávio Gonzaga Silva L; Oncology Department in Cancer Institute of Ceará, Brazil.
  • Goberlânio de Barros Silva P; Oncology Department in Cancer Institute of Ceará, Brazil.
Gynecol Oncol Rep ; 55: 101490, 2024 Oct.
Article em En | MEDLINE | ID: mdl-39281844
ABSTRACT

Introduction:

Cervical cancer is a significant public health problem worldwide. The development of cervical neoplasms is associated with persistent infection by oncogenic subtypes of the HPV virus, which are responsible for around 70% of cervical cancers.A study carried out in Brazil between 2002 and 2021 recorded 133,429 deaths from cervical cancer..

Methodology:

An observational, retrospective, cross-sectional, quantitative study was carried out using data collected by the Cancer Registry Service of the Haroldo Juaçaba Hospital/Ceará Cancer Institute (HHJ/ICC) over 22 years.

Results:

The sample consisted of 9096 women. The mean age was 51.4 ± 15.5, ranging from 15 to 100, with a median age of 60 years. Median overall survival was 59.77. The most frequent histological type was squamous cell carcinoma, with 8023 (88.2 %) cases. Around 25 % of patients (n = 2270) entered the service with stage 4A. The most common treatment was radiotherapy combined with chemotherapy (n = 3270, 35.9 %), followed by surgical removal (n = 1909, 21.0 %).In multivariate analysis, age (p = 0.019), race (p = 0.016), low level of education (p < 0.001), tumor location, staging (p < 0.001), and treatment (p = 0.011) were risk factors independently associated with a higher chance of death in the sample studied.

Conclusion:

The sociodemographic characteristics of mortality from cervical cancer in patients followed up at the Haroldo Juaçaba Hospital (HHJ/ICC) highlight the higher frequency of deaths in women aged over 60, indigenous and black, with low levels of education, as well as clinical variables related to tumor location, staging and type of treatment.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Idioma: En Revista: Gynecol Oncol Rep Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Brasil País de publicação: Holanda

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Idioma: En Revista: Gynecol Oncol Rep Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Brasil País de publicação: Holanda