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Clinical and evolving features of women diagnosed with precancerous cervical lesions, screened and treated in the Amazon region of Brazil

Bibliographic Data

ID5232720
AuthorsPatrícia Rezende Do Prado (0000-0002-3563-6602, Universidade Federal do Acre), Rosalina Jorge Koifman (0000-0002-2746-7597, Fundação Oswaldo Cruz), Rosalina Koifman (0000-0003-4391-4542, Fundação Oswaldo Cruz), Ilce Ferreira Da Silva (0000-0002-7134-3030, Fundação Oswaldo Cruz)
Year2014
Volume30
Issue9
Pages1912-1920
Publication date2014-09-01
Open AccessYes
TypeARTICLE
VenueCadernos de Saude Publica (JOURNAL)
Journal identifiersISSN: 0102-311X • E-ISSN: 1678-4464
PublisherFapUNIFESP (SciELO) (PUBLISHER)
DOI10.1590/0102-311x00164913
PMID25317520
OpenAlexW2012178718
SciELOS0102-311X2014000901912
LanguageEN
References cited11

The objective of the study was to determine the dynamics of precancerous lesions in women of a cohort treated for cervical intraepithelial neoplasia (CIN) and followed up over the next two years. The conditional probability of failure was calculated using the Kaplan-Meier method, and the raw and adjusted hazard ratios (HR) were determined using Cox regression with a p-value entry of < 0.05. Of the 237 women who were treated, 51.5% were accompanied over 24 months, and treatment failed for 21.9% of those accompanied. Women who had five or more pregnancies (adjusted HR = 3.10, 95%CI: 1.28-7.51) or an initial histological diagnosis of CIN II/III demonstrated an independent risk of treatment failure (adjusted HR = 3.14, 95%CI: 1.20-8.19). Being in a stable relationship was a protective factor against treatment failure (adjusted HR = 0.47, 95%CI: 0.24-0.89). A history of more frequent pregnancies and a histological diagnosis of CIN II/III are directly correlated with risk of CIN treatment failure, whereas being in a stable relationship is inversely correlated with this risk

Amazon rainforest · Biology · Cancer · Cervical cancer · Colposcopy · Gynecology · Cervical Cancer and HPV Research · Dermatology · Global Cancer Incidence and Screening · Internal Medicine · Medicine · Women's cancer prevention and management

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