CC BY-NC-ND 4.0 · Indian J Med Paediatr Oncol 2017; 38(03): 291-295
DOI: 10.4103/ijmpo.ijmpo_20_16
Original Article

Sociodemographic and Clinical Profile of Cervical Cancer Patients Visiting in a Tertiary Care Hospital in India

Aanchal Jain
Department of Medical Records, Biostatistics and Epidemiology, Tata Memorial Hospital, Mumbai, Maharashtra, India
,
Balasubramaniam Ganesh
Department of Medical Records, Biostatistics and Epidemiology, Tata Memorial Hospital, Mumbai, Maharashtra, India
,
Saurabh C Bobdey
Department of Medical Records, Biostatistics and Epidemiology, Tata Memorial Hospital, Mumbai, Maharashtra, India
,
Jignasa A Sathwara
Department of Medical Records, Biostatistics and Epidemiology, Tata Memorial Hospital, Mumbai, Maharashtra, India
,
Sushma Saoba
Department of Medical Records, Biostatistics and Epidemiology, Tata Memorial Hospital, Mumbai, Maharashtra, India
› Author Affiliations
Financial support and sponsorship Nil.

Abstract

Context: Cancer of the cervix is the most common genital tract malignancy in the female and is a major public health problem in the developing countries. Study of the sociodemographic and clinical profile of patients is the first step in planning control measures and treatment facilities. Aims: The aims of the study were to determine the sociodemographic and clinical profile of cervical cancer patients and study their association with other tumor-related factors. Settings and Design: This is a record-based retrospective study from a single institution. Subjects and Methods: The data on sociodemographic and clinical factors of 765 cervical cancer patients visited and treated at tertiary care cancer hospital in Mumbai in 1 year period were analyzed. Statistical Analysis: Data were analyzed using descriptive statistics. Kruskal–Wallis and Chi-square test were used to assess relationship between variables. Results: The median age of the cohort was 54 years and interquartile range was 16 years. Nearly 53.6% of patients were illiterate. About 88.10% of patient's had squamous cell carcinoma. Only 13% of cases had early stage disease and 77% of patient's had not taken any treatment before coming to the hospital. Of the total, about 26% patients also had concomitant comorbidities, of which hypertension was found to be the leading comorbid condition. Stage of disease was found to be significantly (P < 0.05) associated with age and educational status. Conclusion: This study highlights certain important baseline characteristics of cervical cancer patients. This basic information on profile of patients can help plan and optimum utilization of hospital services, especially in resource-poor countries like India.



Publication History

Article published online:
04 July 2021

© 2017. Indian Society of Medical and Paediatric Oncology. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/.)

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  • References

  • 1 Awodele O, Adeyomoye AA, Awodele DF, Kwashi V, Awodele IO, Dolapo DC, et al. A study on cervical cancer screening amongst nurses in Lagos university teaching hospital, Lagos, Nigeria. J Cancer Educ 2011;26:497-504.
  • 2 Ferlay J, Soerjomataram I, Ervik M, Dikshit R, Eser S, Mathers C, et al. GLOBOCAN 2012 v1.0, Cancer Incidence and Mortality Worldwide: IARC Cancer Base No. 11. Lyon, France: International Agency for Research on Cancer; 2013. Available from: http://www.globocan.iarc.fr. [Last accessed on 2015 Aug 03].
  • 3 Institute for Health Metrics and Evaluation. The Challenge Ahead: Progress in Breast and Cervical Cancer. Institute of Health Metrics and Evaluation; 2011. Available from: http://www.healthmetricsandevaluation.org/publications/policyreport/challenge-ahead-progress-and-setbacks-breastand-cervical-cancer. [Last accessed on 2013 Jan 21].
  • 4 International Collaboration of Epidemiological Studies of Cervical Cancer. Comparison of risk factors for invasive squamous cell carcinoma and adenocarcinoma of the cervix: Collaborative reanalysis of individual data on 8,097 women with squamous cell carcinoma and 1,374 women with adenocarcinoma from 12 epidemiological studies. Int J Cancer 2007;120:885-91.
  • 5 Franceschi S, Plummer M, Clifford G, de Sanjose S, Bosch X, Herrero R, et al. Differences in the risk of cervical cancer and human papillomavirus infection by education level. Br J Cancer 2009;101:865-70.
  • 6 Green J, Berrington de Gonzalez A, Sweetland S, Beral V, Chilvers C, Crossley B, et al. Risk factors for adenocarcinoma and squamous cell carcinoma of the cervix in women aged 20-44 years: The UK national case-control study of cervical cancer. Br J Cancer 2003;89:2078-86.
  • 7 Rajkumar T, Franceschi S, Vaccarella S, Gajalakshmi V, Sharmila A, Snijders PJ, et al. Role of paan chewing and dietary habits in cervical carcinoma in Chennai, India. Br J Cancer 2003;88:1388-93.
  • 8 Balasubramaniam G, Sushama S, Rasika B, Mahantshetty U. Hospital-based study of endometrial cancer survival in Mumbai, India. Asian Pac J Cancer Prev 2013;14:977-80.
  • 9 Balasubramaniam G, Talole S, Mahantshetty U, Saoba S, Shrivastava S. Prostate cancer: A hospital-based survival study from Mumbai, India. Asian Pac J Cancer Prev 2013;14:2595-8.
  • 10 Ganesh B, Swaminathan R, Mathew A, Sankaranarayanan R, Hakama M. Loss-adjusted hospital and population-based survival of cancer patients. IARC Sci Publ 2011;162:15-21.
  • 11 IARC. Handbooks on Cancer Prevention. Cervix Cancer Screening. Vol. 10. Lyon: IARC Press; 2004.
  • 12 Sankaranarayanan R, Budukh AM, Rajkumar R. Effective screening programmes for cervical cancer in low- and middle-income developing countries. Bull World Health Organ 2001;79:954-62.
  • 13 Sankaranarayanan R, Nair MK, Jayaprakash PG, Stanley G, Varghese C, Ramadas V, et al. Cervical cancer in Kerala: A hospital registry-based study on survival and prognostic factors. Br J Cancer 1995;72:1039-42.
  • 14 Flores-Luna L, Salazar-Martinez E, Escudero-De los Rios P, Gonzalez-Lira G, Zamora-Muñoz S, Lazcano-Ponce E, et al. Prognostic factors related to cervical cancer survival in Mexican women. Int J Gynaecol Obstet 2001;75:33-42.
  • 15 Kaverappa VB, Prakash B, Kulkarni P, Renuka M. Sociodemographic profile of patients with cervical cancer in a tertiary-care cancer hospital in Mysuru, Karnataka. Int J Med Sci Public Health 2015;4:1187-90.
  • 16 Nandakumar A, Anantha N, Venugopal TC. Incidence, mortality and survival in cancer of the cervix in Bangalore, India. Br J Cancer 1995;71:1348-52.
  • 17 Rajarao P, Hemanth Kumar B. Study of socio demographic profile of cancer cervix patients in tertiary care hospital, Karimnagar (Andhra Pradesh). Int J Biol Med Res 2012;3:2306-10.
  • 18 Thulaseedharan JV, Malila N, Hakama M, Esmy PO, Cheriyan M, Swaminathan R, et al. Socio demographic and reproductive risk factors for cervical cancer – A large prospective cohort study from rural India. Asian Pac J Cancer Prev 2012;13:2991-5.
  • 19 Ibfelt EH, Kjær SK, Høgdall C, Steding-Jessen M, Kjær TK, Osler M, et al. Socioeconomic position and survival after cervical cancer: Influence of cancer stage, comorbidity and smoking among danish women diagnosed between 2005 and 2010. Br J Cancer 2013;109:2489-95.
  • 20 National Cancer Registry Programme (NCRP), Indian Council of Medical Research (ICMR). An Assessment of the Burden and Care of Cancer Patients: Consolidated Report of Hospital Based Cancer Registries, 2001-2003. Bangalore: NCRP, ICMR; 2007. Available from: http://www.icmr.nic.in/ncrp/cancer_reg.htm. [Last accessed on 2015 Feb 21].
  • 21 Rajesh N, Sreelakshmi K, Ramesh K. Sociodemographic profile of patients with cancer of cervix attending tertiary care hospital. Int J Sci Res 2014;3:331-2.
  • 22 Fotra R, Gupta S, Gupta S. Sociodemographic risk factors for cervical cancer in Jammu region of J and K state of India first ever report from Jammu. Indian J Sci Res 2014;9:105-10.
  • 23 Ertem G. Awareness of cervical cancer risk factors and screening behaviour among nurses in a rural region of turkey. Asian Pac J Cancer Prev 2009;10:735-8.
  • 24 Thakur A, Gupta B, Gupta A, Chauhan R. Risk factors for cancer cervix among rural women of a hilly state: A case-control study. Indian J Public Health 2015;59:45-8.
  • 25 Patil V, Wahab SN, Zodpey S, Vasudeo ND. Development and validation of risk scoring system for prediction of cancer cervix. Indian J Public Health 2006;50:38-42.
  • 26 Kaverappa VB, Boralingaiah P, Kulkarni P, Manjunath R. Determinants of survival among patients with cervical cancer: A hospital based study. Natl J Community Med 2015;6:4-9.
  • 27 Shrivastava S, Mahantshetty U, Engineer R, Tongaonkar H, Kulkarni J, Dinshaw K. Treatment and outcome in cancer cervix patients treated between 1979 and 1994: A single institutional experience. J Cancer Res Ther 2013;9:672-9.
  • 28 Kumar S, Rana ML, Verma K, Singh N, Sharma AK, Maria AK, et al. PrediQt-cx: Post treatment health related quality of life prediction model for cervical cancer patients. PLoS One 2014;9:e89851.