CÂNCER DE COLO UTERINO NA PARAÍBA: DESCRIÇÃO DO PERFIL PATOLÓGICO E EPIDEMIOLÓGICO E ANÁLISE COMPARATIVA ENTRE CONDUTA TERAPÊUTICA E SOBREVIDA

Abstract

To describe the epidemiological and clinical profile of women with cervical cancer in Paraíba, their survival and its relationship with the treatment used. METHODS: This was an observational, retrospective and cross-sectional study of 126 medical records of women with cervical cancer treated between 2015 and 2020 at a reference cancer hospital in Paraíba. The data was analyzed with the SPSS program, using descriptive statistics parameters, Relative Risk, survival analysis by the Actuarial method, Kaplan-Meier test, Odds Ratio and Cox Regression, using a significance level of 5%. RESULTS: two thirds of the occupations were housewife and farmer, the majority were brown and had only incomplete primary education or were illiterate. Smokers were 16 times more likely to develop poorly differentiated tumors. The most prevalent FIGO stages were IIB and IIIB. Stages I or II had a median survival of 176 months, with 10.3% of deaths in the period, while in stages III and IV, the median survival was 70 months, totaling 40.4% of deaths. Patients treated for more than 5 months had a 4.6 times greater risk of death and those who used only brachytherapy/radiotherapy had a hazard ratio of 0.11 compared to those who also used chemotherapy and/or surgery. CONCLUSION: lower socioeconomic levels had a greater relationship with cervical cancer. Most diagnoses are still made at more advanced stages of the disease, requiring longer treatment times with a greater therapeutic combination, associated with greater morbidity and mortality.