Temporal trend and associated factors to advanced stage at diagnosis of cervical cancer: analysis of data from hospital based cancer registries in Brazil, 2000-2012* * This article is derived from the Master's thesis entitled 'Access to diagnosis and treatment of patients with breast cancer and cervical cancer in Brazil: an analysis of data from Cancer Hospital Registers', defended by Nelson Luiz Renna Junior to the Postgraduate Program in Collective Health of the Institute of Social Medicine of the State University of Rio de Janeiro (UERJ) in 2016.

Nelson Luiz Renna Junior Gulnar Azevedo e Silva About the authors

Abstract

Objective:

To analyze the time trend and analyze the determinants of stage at diagnosis of cervical cancer in Brazil.

Methods:

Time trend analysis and cross-sectional study using data from hospital-based cancer registries (2000-2012); multinomial and joinpoint regression statistical models were used.

Results:

65.843 cases were analyzed; the median interval between diagnosis and treatment was 59 days; the percentage of advanced staging increased, annual percent change 1.10% (95%CI 0.80;1.50); women with higher education (compared to unlettered) had less odds of late stage diagnosis (OR=0.38; 95%CI 0.31;0.47); among indigenous (OR=2.38; 95%CI 1.06;5.33) and black women (OR=1.16; 95%CI 1.02;1.31), compared to white, and in the North region (OR=2.55; 95%CI 2.26;2.89), compared to the Southeast, the odds was higher; other factors positively related to advanced stage were 'age', 'histology', and marital status'.

Conclusion

Inequities affect the odds of late stage diagnosis of cervical cancer.

Keywords:
Uterine Cervical Neoplasms; Women's Health; Hospital Records; Health Services Accessibility; Medical Oncology

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