Article Text
Abstract
Introduction/Background Advanced cervical cancer is one of the leading causes of cancer-related mortality in the female population . Consequently, numerous studies have emerged worldwide in recent years with the aim of identifying determinants of late presentation in patients with cervical canc.
The present study aims to determine the factors associated with an advanced-stage diagnosis of cervical cancer in patients at the IREN center from February 2020 to December 2022.
Methodology A quantitative, observational, correlational, population-based retrospective cross-sectional study was conducted using a database constructed from secondary data. The study population consisted of 420 women over 18 years of age with a diagnosis of cervical cancer during the specified period and location. The sample was selected using a non-probabilistic census method while considering inclusion and exclusion criteria. The sample size obtained was 208 patients who were included in the analysis. Information was collected from the patient’s digital medical records using a data collection instrument developed based on the relevant literature
Results Of the 208 patients diagnosed with cervical cancer, 135 (64.90%) had an advanced stage (FIGO III and IV) at the time of diagnosis. After statistical analysis, the factors associated with an advanced-stage diagnosis of cervical cancer were observed to be the place of residence in a rural area (PR=1.77, CI 95% =1.41–2.23, p), presence of lower abdominal pain (PR=1.90, CI 95% =1.40–2.58, p ≤0.05), HIV infection (PR=0.81, CI 95% =0.67–0.99, p≤0.05), and screening within less than 3 years (PR=0.67, CI 95% =0.49–0.91, p ≤0.05).
Conclusion The prevalence of patients diagnosed with advanced-stage cervical cancer was high. Rural residence and the presence of lower abdominal pain were identified as risk factors associated with an advanced-stage diagnosis of cervical cancer. Conversely, HIV infection and screening within less than 3 years were identified as protective factors for this condition.
Disclosures None