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DC Field | Value | Language |
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dc.contributor.author | Shaffi, Afrin F. | - |
dc.contributor.author | Odongo, Elly B. | - |
dc.contributor.author | Itsura, Peter M. | - |
dc.contributor.author | Tonui, Phillip K. | - |
dc.contributor.author | Mburu, Anisa W. | - |
dc.contributor.author | Hassan, Amina R. | - |
dc.contributor.author | Rosen, Barry P. | - |
dc.contributor.author | Covens, Allan L. | - |
dc.date.accessioned | 2024-04-17T08:17:53Z | - |
dc.date.available | 2024-04-17T08:17:53Z | - |
dc.date.issued | 2024-02-09 | - |
dc.identifier.uri | https://doi.org/10.1016/j.gore.2024.101331 | - |
dc.identifier.uri | http://ir.mu.ac.ke:8080/jspui/handle/123456789/9008 | - |
dc.description.abstract | Background: Cervical cancer is one of the leading causes of cancer mortality among women in Kenya due to late presentations, poor access to health care, and limited resources. Across many low- and middle-income countries infrastructure and human resources for cervical cancer management are currently insufficient to meet the high population needs therefore patients are not able to get appropriate treatment. Objective: This study aimed to describe the clinicopathological characteristics and the treatment profiles of cervical cancer cases seen at Moi Teaching and Referral Hospital (MTRH) Methods: This was a retrospective cross-sectional study conducted at MTRH involving the review of the electronic database and medical charts of 1541 patients with a histologically confirmed diagnosis of cervical cancer be- tween January 2012 and December 2021. Results: Of the 1541 cases analyzed, 91% were squamous cell carcinomas, 8% were adenocarcinomas, and 1% were other histological types. Thirty-eight percent of the patients were HIV infected and less than 30% of the women had health insurance. A majority (75%) of the patients presented with advanced-stage disease (stage IIB- IV). Only 13.9% received chemoradiotherapy with curative intent; of which 33.8% received suboptimal treat- ment. Of the 13% who received surgical treatment, 45.3% required adjuvant therapy, of which only 27.5% received treatment. Over 40% of the women were lost to follow-up. Conclusion: Most of the patients with cervical cancer in Kenya present at advanced stages with only a third receiving the necessary treatment while the majority receive only palliative treatment or supportive care. | en_US |
dc.language.iso | en | en_US |
dc.publisher | Elsevier | en_US |
dc.subject | Cervical cancer | en_US |
dc.subject | Radical hysterectomy | en_US |
dc.subject | Radiotherapy | en_US |
dc.subject | Low- and - middle-income countries | en_US |
dc.title | Cervical cancer management in a low resource setting: A 10-year review in a tertiary care hospital in Kenya | en_US |
dc.type | Article | en_US |
Appears in Collections: | School of Medicine |
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