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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