Why cervical cancer cases are being lately diagnosed in Eastern India? An analysis of the associated factors
Journal Title: Indian Journal of Obstetrics and Gynecology Research - Year 2016, Vol 3, Issue 4
Abstract
Objective: Stage at diagnosis and factors associated with late diagnosis of cervical cancer have been analyzed in this study. Materials and Methods: It is a hospital based cross sectional study carried out enrolling 246 cervical cancer patients attending outpatient department of tertiary cancer hospital of Odisha, India. The patients were interviewed and histopathological observations were recorded from investigation reports. Factors for late stage presentation were analyzed by using multivariate logistic regression analysis. Results: 56 (21.96%) cases were presented for diagnosis at early stage (I&IIA) and 194(78.04%) at late stage (IIB and above). Late stage diagnosis was associated with higher age i.e., ≥40years (OR=2.54 95% CI=1.11-5.83), poor treatment seeking behavior (OR=2.23, 95% CI=1.001-5.23), lack of awareness (OR=1.91, 95% CI=.43-8.41), lower education level (OR=1.59, 95% CI=.73-2.45) and initial symptoms with painless bleeding/discharge (OR=7.38, 95% CI 3.22-16.89). Conclusion: In the absence of screening programme prevalence of late stage diagnosis of cervical cancer was significantly higher. This could be attributed to higher age at presentation, low education, low awareness about the disease and its symptoms and poor treatment seeking behavior. Specific health programme is suggested for women emphasizing cervical cancer screening and awareness regarding signs and symptoms of cervical cancer to enhance health seeking behavior among them.
Authors and Affiliations
Rashmirani Senapati, Bhagyalaxmi Nayak, Shantanu Kumar Kar, Bhagirathi Dwibedi
Keywords
Related Articles
- EP ID EP242146
- DOI -
- Views 75
- Downloads 0
A study of Maternal and perinatal outcome in eclampsia patients
Background: eclampsia continues to be a major obstetric emergency particularly in developing countries such as India and is a major contributor to maternal and perinatal mortality hence the importance of continued effor...
Primary caesarean section in multiparous women: A clinical study from tertiary care centre in North East India
Introduction: This study intends to analyse the primary caesarean section in multiparous women. Objectives: To study the incidence, indications, maternal and fetal outcome in primary caesarean section in multiparous wome...
Association between the standardized pelvic organ prolapse quantification system (POP Q) and Shaw’s system of classification for pelvic organ prolapse
Background: The commonly used methods of classifying or grading for the pelvic organ prolapse are qualitative and subjective with high interobserver and intraobserver variations. This absence of standardization prevents...
Case report: A rare case of vaginal leiomyoma
Leiomyoma is the most common benign tumor of uterus and rarely it may be seen in other parts female reproductive system like the round ligament uterosacral ligament inguinal canal and vagina There are only few cases repo...
Sociodemographic profile of perimenopausal women having menstrual disturbances
Objective: To evaluate various sociodemographic factors associated with menstrual disturbances in perimenopausal women. Methods: A total of 100 perimenopausal patients were studied for symptoms of menstrual disturbances...