Nartey Yvonne, Hill Philip C, Amo-Antwi Kwabena, Nyarko Kofi M, Yarney Joel, Cox Brian
Hugh Adam Cancer Epidemiology Unit, Department of Preventive and Social Medicine, University of Otago, Dunedin, New Zealand. Email:
Asian Pac J Cancer Prev. 2018 Feb 26;19(2):357-363. doi: 10.22034/APJCP.2018.19.2.357.
Objective: To describe the characteristics of women diagnosed with invasive cervical cancer from 2010 to 2013 in two large hospitals in Ghana. Method: Medical records and other hospital data on women diagnosed with invasive cervical cancer were collected from the Komfo Anokye and Korle-Bu Teaching Hospitals. Data were recorded onto a standardized data collection sheet and analyzed using summary statistics. Results: For of the 1,725 women with invasive cervical cancer who were included in the study, parity was high (5 and more births). The most common diagnostic investigation undertaken was a cervical biopsy, performed for 95.5% of cases. Few women had an imaging test performed as part of the diagnostic process (3.3%). Some had comorbid conditions at diagnosis (29.3%). Only 61% of women attended at least one follow-up appointment after diagnosis of their cancer. Conclusion: Our study suggests that more work is needed to improve patient education and access to diagnostic and treatment facilities to reduce the incidence and mortality of cervical cancer in Ghana. Additionally, improvement in data quality is needed to provide more complete data for cancer control in Ghana.
描述2010年至2013年在加纳两家大型医院被诊断为浸润性宫颈癌的女性的特征。方法:从孔福·阿诺凯和科勒-布教学医院收集被诊断为浸润性宫颈癌的女性的病历和其他医院数据。数据记录在标准化的数据收集表上,并使用汇总统计进行分析。结果:纳入研究的1725例浸润性宫颈癌女性中,产次较高(生育5次及以上)。最常见的诊断检查是宫颈活检,95.5%的病例进行了该检查。很少有女性在诊断过程中进行影像学检查(3.3%)。一些女性在诊断时有合并症(29.3%)。只有61%的女性在癌症诊断后至少参加了一次随访预约。结论:我们的研究表明,需要做更多工作来改善患者教育以及获得诊断和治疗设施的机会,以降低加纳宫颈癌的发病率和死亡率。此外,需要提高数据质量,以便为加纳的癌症控制提供更完整的数据。