TY - JOUR T1 - Patterns of Care and Outcome of Elderly Women Diagnosed With Cervical Cancer in the Developing World JF - International Journal of Gynecologic Cancer JO - Int J Gynecol Cancer SP - 1246 LP - 1251 DO - 10.1097/IGC.0000000000000756 VL - 26 IS - 7 AU - Angelica Nogueira-Rodrigues AU - Andreia Cristina de Melo AU - Alvaro Henrique Ingles Garces AU - Eduardo Paulino AU - Flavia Vieira Guerra Alves AU - Mariana do Nascimento Vilaça AU - Laisa Gabrielle Silva AU - Cristiane Alves Gonçalves AU - Juliana Chaves Fabrini AU - Anderson Thiago Vieira Carneiro AU - Luiz Claudio Santos Thuler Y1 - 2016/09/01 UR - http://ijgc.bmj.com/content/26/7/1246.abstract N2 - Abstract Scarce data exist about the impact of age in cervical cancer (CC) patients in the developing world. The objective of the current study was to examine the patterns of care and outcome of elderly patients treated in a developing country. Medical records of patients treated from 2006–2009 at the Brazilian National Cancer Institute were reviewed. Patients were divided between women 70 years or older and women younger than 70 years. The χ2 tests were used and odds ratios were calculated. Survival was examined using the Kaplan-Meier method. Single and multivariate Cox proportional hazards modeling were used. A total of 1482 patients were analyzed: 1339 patients younger than 70 years and 143 patients 70 years or older. A marked difference in treatment was noted, even after stratifying by disease stage. Only 21% of the older patients underwent surgical treatment compared with 27.6% of the younger. After adjusting for confounding variables, the hazard ratio for death from CC in the elderly was 1.05 (95% confidence interval, 0.81–1.36; P = 0.11). These results corroborate previous data from developed countries: elderly patients have more advanced disease at diagnosis, and age is an important factor in the allocation of treatment for patients with CC. Worse outcome seemed to be mainly the result of more advanced stage and treatment allocation rather than age itself. ER -