Cervical Cancer in Jujuy province: description of cases and evaluation of compliance with oncological treatment

Authors

  • Fernando Binder Centro de Estudios de Estado y Sociedad, Ciudad Autónoma de Buenos Aires, Argentina
  • Silvina Arrossi Centro de Estudios de Estado y Sociedad, Ciudad Autónoma de Buenos Aires, Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas, Ciudad Autónoma de Buenos Aires, Argentina
  • Luciana Prozillo Instituto Nacional del Cáncer, Ciudad Autónoma de Buenos Aires, Argentina
  • Ana Carolina Ituarte Hospital Pablo Soria, San Salvador de Jujuy, Argentina
  • Oscar Marin Hospital Pablo Soria, San Salvador de Jujuy, Argentina
  • Melisa Paolino Centro de Estudios de Estado y Sociedad, Ciudad Autónoma de Buenos Aires, Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas, Ciudad Autónoma de Buenos Aires, Argentina

Keywords:

Uterine Cervical Neoplasms, Oncology, Treatment Adherence and Compliance

Abstract

INTRODUCTION: Cervical cancer (CC) is the fourth cause of cancer-related death among women worldwide. Delays in treatment are associated with worse disease control. The objectives of this study were to describe the characteristics of women with newly-diagnosed CC in the Argentine province of Jujuy, and to evaluate the degree of treatment compliance. METHODS: An observational retrospective cohort study was conducted on women with CC diagnosed at Hospital Pablo Soria (state-wide referral center in Jujuy) in 2015-2016. Dates of the main treatment modalities were registered (surgery, chemotherapy, radiotherapy and brachytherapy). Recommended treatment duration was extracted from the literature, considering the different treatment combinations (60, 90 or 120 days). RESULTS: A total of 78 women with CC were included. Of all women who were prescribed oncological treatment, 64% (n=48) showed inappropriate compliance, either due to not having started treatment (n=17) or due to delays in completion of treatment (n=31). Among women who initiated treatment, 48% (n=28) completed it on time. For women receiving chemotherapy and radiotherapy, having more than 5 children was associated with treatment delays. Brachytherapy showed longer delays than other treatment modalities, due to lack of local availability and the need to travel to a different province for treatment. DISCUSSION: Suboptimal compliance with CC treatment remains a public health issue.  

 

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Published

06-10-2021

How to Cite

Binder, F., Arrossi, S. ., Prozillo, L. ., Ituarte , A. C., Marin , O. ., & Paolino , M. . (2021). Cervical Cancer in Jujuy province: description of cases and evaluation of compliance with oncological treatment . Revista Argentina De Salud Pública, 13, e57. Retrieved from https://rasp.msal.gov.ar/index.php/rasp/article/view/706