Downstaging of cervical cancer in Tanzania over a 16-year period.
Cervical cancer
Downstaging
Female cancer
Global health
International health
Screening
Tanzania
Journal
Cancer causes & control : CCC
ISSN: 1573-7225
Titre abrégé: Cancer Causes Control
Pays: Netherlands
ID NLM: 9100846
Informations de publication
Date de publication:
Apr 2021
Apr 2021
Historique:
received:
04
03
2020
accepted:
12
01
2021
pubmed:
10
2
2021
medline:
28
4
2021
entrez:
9
2
2021
Statut:
ppublish
Résumé
Globally, the highest cervical cancer mortality rates are found in East Africa. Visual inspection with acetic acid (VIA)-based screening in resource-poor settings has been shown to decrease the proportion of women presenting with late-stage cervical cancer, a process known as clinical downstaging. The only cancer treatment center in Tanzania, Ocean Road Cancer Institute (ORCI) in Dar es Salaam, opened a VIA-based cervical cancer screening program in 2002. We reviewed 6,676 medical records of cervical cancer patients at the ORCI from 2002-2011 to 2014-2018 for stage at diagnosis and screening status, among other variables. We investigated whether clinical downstaging occurred in this period among women screened at the ORCI, when compared to unscreened women. Our results indicated that the proportion of women presenting with late-stage cervical cancer among women screened at the ORCI decreased by 27.7% over the 16-year period (χ
Identifiants
pubmed: 33559768
doi: 10.1007/s10552-021-01397-2
pii: 10.1007/s10552-021-01397-2
pmc: PMC8721882
mid: NIHMS1742209
doi:
Substances chimiques
Acetic Acid
Q40Q9N063P
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
401-407Subventions
Organisme : NCI NIH HHS
ID : R25 CA112383
Pays : United States
Organisme : NCI NIH HHS
ID : CA112383
Pays : United States
Organisme : NCI NIH HHS
ID : CA112383
Pays : United States
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