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42 Social and economic impact of cervical cancer in brazil: analysis of EVA/EVITA cohort study (LACOG 0215)
  1. A Nogueira-Rodrigues1,
  2. A Melo2,
  3. A Calabrich3,
  4. E Cronenberger4,
  5. K Torres5,
  6. F Damian6,
  7. R Cossetti7,
  8. C Azevedo8,
  9. A Fonseca9,
  10. N Yeni10,
  11. J Nunes11,
  12. A Lopes12,
  13. F Thomé13,
  14. R Leal14,
  15. G Borges15,
  16. PR Nunes Filho16,
  17. F Zaffaroni16,
  18. L Hertzog16,
  19. R Gomes16,
  20. G Werutsky16 and
  21. F Maluf17
  1. 1Universidade Federal de Minas Gerais, Medical Oncology, Belo Horizonte, Brazil
  2. 2Brazilian National Cancer Institute – INCA, Medical Oncology, Rio de Janeiro, Brazil
  3. 3Clínica Assistência Multidisciplinar em Oncologia, Medical Oncology, Salvador, Brazil
  4. 4Centro Regional Integrado de Oncologia, Medical Oncology, Fortaleza, Brazil
  5. 5Fundação Centro de Controle de Oncologia do Estado do Amazonas, Medical Oncology, Manaus, Brazil
  6. 6Centro de Pesquisa em Oncologia, Medical Oncology, Porto Alegre, Brazil
  7. 7Hospital Aldenora Bello, Medical Oncology, São Luís, Brazil
  8. 8Instituto de Medicina Integral Prof Fernando Figueira, Medical Oncology, Recife, Brazil
  9. 9Hospital Geral de Roraima, Medical Oncology, Boa Vista, Brazil
  10. 10Centro de Pesquisas Oncológicas, Medical Oncology, Florianópolis, Brazil
  11. 11Hospital Erasto Gaertner, Medical Oncology, Curitiba, Brazil
  12. 12Instituto Brasileiro de Controle do Câncer, Medical Oncology, São Paulo, Brazil
  13. 13Hospital São Vicente de Paulo, Medical Oncology, Passo Fundo, Brazil
  14. 14Hospital Universitário Walter Cantídio, Medical Oncology, Fortaleza, Brazil
  15. 15Clínica Neoplasias Litoral, Medical Oncology, Itajaí, Brazil
  16. 16Latin American Cooperative Oncology Group, Clinical Research, Porto Alegre, Brazil
  17. 17Hospital Beneficência Portuguesa de São Paulo, Medical Oncology, São Paulo, Brazil


Objectives Compare marital status, household income and labor activity at diagnosis and at 1-year follow-up among cervical cancer (CC) patients in Brazil.

Methods LACOG 0215 EVITA is a prospective observational study, within 16 Brazilian sites, including 18 years-old, newly diagnosed, stage I to IV invasive CC patients. We present data collected at baseline and at 1-year follow-up regarding demography, histology, stage, marital status, household income and labor activity. Variables were compared using Chi-square test.

Results 593 patients were included in this analysis. 75 (12.6%) were diagnosed in stage I, 452 (76.2%) II-III and 66 (11.2%) IV. Mean age at diagnosis was 57.0, 56.4 and 50.5 years respectively. Squamous cell carcinoma was the most frequent histology. 34.2% of stage I, 30.6% of stage II-III and 24.6% of stage IV patients had 9 or more years of education. About 95% patients had a previous pregnancy history. At 1-year follow-up there was a decrease in the proportion of married patients in stage II-III patients only (53.3% to 47.5%; p-value <0.001). There was a reduction in the proportion of women engaged in labor activity in stage II-III (34.1% to 16.1%; p-value, <0.001) but not in stage I and IV. No difference was found in household income 1 year after diagnosis.

Conclusions CC may impact patients personal and work life long after diagnosis, even in those diagnosed with curable disease. In this cohort, stage II-III CC face more risk of divorce and job losses. Social support following diagnosis and treatment is essential for CC patients.

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