Revista de Saúde Pública
On-line version ISSN 1518-8787
CARMO, Claudio Calazan do and LUIZ, Ronir Raggio. Survival of a cohort of women with cervical cancer diagnosed in a Brazilian cancer center. Rev. Saúde Pública [online]. 2011, vol.45, n.4, pp.661-667. Epub May 13, 2011. ISSN 1518-8787. http://dx.doi.org/10.1590/S0034-89102011005000029.
OBJECTIVE: To assess overall survival of women with cervical cancer and describe prognostic factors associated. METHODS: A total of 3,341 cases of invasive cervical cancer diagnosed at the Brazilian Cancer Institute, Rio de Janeiro, southeastern Brazil, between 1999 and 2004 were selected. Clinical and pathological characteristics and follow-up data were collected. There were performed a survival analysis using Kaplan-Meier curves and a multivariate analysis through Cox model. RESULTS: Of all cases analyzed, 68.3% had locally advanced disease at the time of diagnosis. The 5-year overall survival was 48%. After multivariate analysis, tumor staging at diagnosis was the single variable significantly associated with prognosis (p<0.001). There was seen a dose-response relationship between mortality and clinical staging, ranging from 27.8 to 749.6 per 1,000 cases-year in women stage I and IV, respectively. CONCLUSIONS: The study showed that early detection through prevention programs is crucial to increase cervical cancer survival.
Keywords : Uterine Cervical Neoplasms; Early Detection of Cancer; Delayed Diagnosis; Survival Analysis.