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Table 3 Treatment administered to cervical cancer cases by tumour stage and time period (1984–1998 and 1999–2008) (n = 1085)

From: Effect of changes in treatment practice on survival for cervical cancer: results from a population-based study in Manitoba, Canada

 

Women treated for cervical cancer according to the guidelines by tumour stage and time period

 

Stage IAa (n = 229)

Stage IB-IIAb (n = 398)

Stage IIB-IVAc (n = 406)

Stage IVB (n = 52)

 

1984–1998

1999–2008

1984–1998

1999–2008

1984–1998

1999–2008

1984–1998

1999–2008

Treatment

No./Total

%

No./Total

%

No./Total

%

No./Total

%

No./Total

%

No./Total

%

No./Total

%

No./Total

%

Surgery alone

121/152

80

46/62

74

95/138

69

32/36

89

0/3

0

0/2

0

0/0

-

0/0

-

Surgery + adjuvant radiotherapy

0/7

0

0/0

-

32/44

73

8/14

57

0/2

0

0/9

0

0/0

-

0/1

0

Preoperative radiotherapy + surgery

0/0

-

0/0

-

5/7

71

0/2

0

0/14

0

0/0

-

0/0

-

0/0

-

Surgery + adjuvant chemotherapy

0/0

-

0/0

-

0/2

0

0/0

-

0/0

-

0/0

-

0/0

-

0/1

0

Radiotherapy alone

7/7

100

1/1

100

99/99

100

8/9

89

196/196

100

0/49

0

17/17

100

21/21

100

Chemo-radiotherapy

0/0

-

0/0

-

0/6

0

22/38

58

22/22

100

108/108

100

0/0

-

10/10

100

Chemotherapy alone

0/0

-

0/0

-

0/2

0

0/1

0

0/0

-

0/1

0

0/0

-

2/2

100

Total

128/166

77

47/63

75

231/298

78

70/100

70

218/237

92

108/169

64

17/17

100

33/35

94

% (95 % CI) of women treated according to the guidelines

 By tumour stage and time period

77 % (70–83 %)

75 % (62–85 %)

78 % (72–82 %)

70 % (60–79 %)

92 % (88–95 %)

64 % (56–71 %)

100 % (80–100 %)

94 % (81–99 %)

 By tumour stage in 1984-2008

76 % (70–82 %) in 1984–2008

76 % (71–80 %) in 1984–2008

80 % (76–84 %) in 1984–2008

96 % (87–100 %) in 1984–2008

 By time period for all tumour stages

83 % (80–85 %) in 1984–1998, 70 % (65–75 %) in 1999–2008

 Overall

79 % (76–81 %) in 1984–2008

  1. No. number of women treated according to the guidelines
  2. aMost patients who did not receive guideline treatment were treated with different surgery types (for example, LEEP with or without hysterectomy or total hysterectomy where radical hysterectomy was indicated or vice versa)
  3. bMost patients who were not treated according to the guidelines were treated with total hysterectomy with or without adjuvant radiotherapy. Patients with bulky lesion and treated with chemo-radiotherapy were regarded as not receiving guideline treatment
  4. cPatients diagnosed with advanced stage disease who received radiotherapy alone due to co-morbidities or poor performance status were regarded as not receiving guideline treatment