Table 3.
Treatment administered to cervical cancer cases by tumour stage and time period (1984–1998 and 1999–2008) (n = 1085)
| 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 | |||||||||||||||
No. number of women treated according to the guidelines
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)
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
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