Five-year survival and associated factors in women treated for cervical cancer at a reference hospital in the Brazilian Amazon
Cervical cancer (CC) is the most common type of cancer in women and is the third leading cause of death in most developing countries, causing more than 288,000 deaths in women worldwide each year. The most favourable survival rate is in developed countries, since CC mortality has recently declined i...
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| Veröffentlicht in: | PloS one 2017-11, Vol.12 (11), p.e0187579-e0187579 |
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| creator | Carneiro, Saul Rassy Fagundes, Marcela de Araújo do Rosário, Pricila de Jesus Oliveira Neves, Laura Maria Tomazi Souza, Givago da Silva Pinheiro, Maria da Conceição Nascimento |
| description | Cervical cancer (CC) is the most common type of cancer in women and is the third leading cause of death in most developing countries, causing more than 288,000 deaths in women worldwide each year. The most favourable survival rate is in developed countries, since CC mortality has recently declined in those countries. The purpose of this study was to determine the survival rate and associated factors of CC patients at a reference hospital in the Amazon region. The patient sample included records of 339 patients with cervical cancer who had been hospitalized in Belém, Pará, Brazil from January 2005 to December 2010; the socioeconomic and clinical data were collected between June and September 2016. A survival rate of approximately 84% was observed, and it was found that disease stage (p |
| doi_str_mv | 10.1371/journal.pone.0187579 |
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The most favourable survival rate is in developed countries, since CC mortality has recently declined in those countries. The purpose of this study was to determine the survival rate and associated factors of CC patients at a reference hospital in the Amazon region. The patient sample included records of 339 patients with cervical cancer who had been hospitalized in Belém, Pará, Brazil from January 2005 to December 2010; the socioeconomic and clinical data were collected between June and September 2016. A survival rate of approximately 84% was observed, and it was found that disease stage (p <0.01), metastasis (p <0.01) and readmission (p <0.01) had significant influences on patient outcome. The impact of these factors on the general survival rate was higher in the Amazon region compared with other regions of Brazil, and the primary survival factors were associated with earlier stages of the disease. However, more national studies are needed on this subject. Our findings may contribute to the development of regional strategies for the prevention of cervical cancer, a reduction in its incidence and mortality rate, an increase in survival time and an improvement in the quality of life of these women.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0187579</identifier><identifier>PMID: 29145414</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Biology and Life Sciences ; Cancer ; Cancer survivors ; Care and treatment ; Cervical cancer ; Cervix ; Demographic aspects ; Developed countries ; Developing countries ; Health aspects ; Histology ; Hospitals ; LDCs ; Medical diagnosis ; Medical prognosis ; Medical screening ; Medicine and Health Sciences ; Metastases ; Mortality ; Patient outcomes ; Patients ; People and places ; Population ; Quality of life ; Regional development ; Skin cancer ; Socioeconomic factors ; Squamous cell carcinoma ; Survival ; Survival analysis ; Womens health</subject><ispartof>PloS one, 2017-11, Vol.12 (11), p.e0187579-e0187579</ispartof><rights>COPYRIGHT 2017 Public Library of Science</rights><rights>2017 Carneiro et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. 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The most favourable survival rate is in developed countries, since CC mortality has recently declined in those countries. The purpose of this study was to determine the survival rate and associated factors of CC patients at a reference hospital in the Amazon region. The patient sample included records of 339 patients with cervical cancer who had been hospitalized in Belém, Pará, Brazil from January 2005 to December 2010; the socioeconomic and clinical data were collected between June and September 2016. A survival rate of approximately 84% was observed, and it was found that disease stage (p <0.01), metastasis (p <0.01) and readmission (p <0.01) had significant influences on patient outcome. The impact of these factors on the general survival rate was higher in the Amazon region compared with other regions of Brazil, and the primary survival factors were associated with earlier stages of the disease. However, more national studies are needed on this subject. Our findings may contribute to the development of regional strategies for the prevention of cervical cancer, a reduction in its incidence and mortality rate, an increase in survival time and an improvement in the quality of life of these women.</description><subject>Biology and Life Sciences</subject><subject>Cancer</subject><subject>Cancer survivors</subject><subject>Care and treatment</subject><subject>Cervical cancer</subject><subject>Cervix</subject><subject>Demographic aspects</subject><subject>Developed countries</subject><subject>Developing countries</subject><subject>Health aspects</subject><subject>Histology</subject><subject>Hospitals</subject><subject>LDCs</subject><subject>Medical diagnosis</subject><subject>Medical prognosis</subject><subject>Medical screening</subject><subject>Medicine and Health Sciences</subject><subject>Metastases</subject><subject>Mortality</subject><subject>Patient outcomes</subject><subject>Patients</subject><subject>People and 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reference hospital in the Brazilian Amazon</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2017-11-16</date><risdate>2017</risdate><volume>12</volume><issue>11</issue><spage>e0187579</spage><epage>e0187579</epage><pages>e0187579-e0187579</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>Cervical cancer (CC) is the most common type of cancer in women and is the third leading cause of death in most developing countries, causing more than 288,000 deaths in women worldwide each year. The most favourable survival rate is in developed countries, since CC mortality has recently declined in those countries. The purpose of this study was to determine the survival rate and associated factors of CC patients at a reference hospital in the Amazon region. The patient sample included records of 339 patients with cervical cancer who had been hospitalized in Belém, Pará, Brazil from January 2005 to December 2010; the socioeconomic and clinical data were collected between June and September 2016. A survival rate of approximately 84% was observed, and it was found that disease stage (p <0.01), metastasis (p <0.01) and readmission (p <0.01) had significant influences on patient outcome. The impact of these factors on the general survival rate was higher in the Amazon region compared with other regions of Brazil, and the primary survival factors were associated with earlier stages of the disease. However, more national studies are needed on this subject. Our findings may contribute to the development of regional strategies for the prevention of cervical cancer, a reduction in its incidence and mortality rate, an increase in survival time and an improvement in the quality of life of these women.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>29145414</pmid><doi>10.1371/journal.pone.0187579</doi><tpages>e0187579</tpages><orcidid>https://orcid.org/0000-0002-6825-0239</orcidid><oa>free_for_read</oa></addata></record> |
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| source | DOAJ Directory of Open Access Journals; Public Library of Science (PLoS) Journals Open Access; EZB-FREE-00999 freely available EZB journals; PubMed Central; Free Full-Text Journals in Chemistry |
| subjects | Biology and Life Sciences Cancer Cancer survivors Care and treatment Cervical cancer Cervix Demographic aspects Developed countries Developing countries Health aspects Histology Hospitals LDCs Medical diagnosis Medical prognosis Medical screening Medicine and Health Sciences Metastases Mortality Patient outcomes Patients People and places Population Quality of life Regional development Skin cancer Socioeconomic factors Squamous cell carcinoma Survival Survival analysis Womens health |
| title | Five-year survival and associated factors in women treated for cervical cancer at a reference hospital in the Brazilian Amazon |
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