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dc.rights.licenseopenen_US
dc.contributor.authorCOMPAORE, Zoewendtale Cyrille
dc.contributor.authorMONNET, Elisabeth
dc.contributor.authorGERAZIME, Aurelie
dc.contributor.authorMOLINIE, Florence
dc.contributor.authorGUIZARD, Anne-Valerie
dc.contributor.authorDELAFOSSE, Patricia
dc.contributor.authorDABAKUYO-YONLI, Tienhan Sandrine
hal.structure.identifierBordeaux population health [BPH]
dc.contributor.authorCOUREAU, Gaelle
dc.contributor.authorHAMMAS, Karima
dc.contributor.authorPLOUVIER, Sandrine
dc.contributor.authorBARA, Simona
dc.contributor.authorDEFOSSEZ, Gautier
dc.contributor.authorLAPOTRE-LEDOUX, Benedicte
dc.contributor.authorDAUBISSE-MARLIAC, Laetitia
dc.contributor.authorD'ALMEIDA, Tania
dc.contributor.authorLAUNOY, Guy
dc.contributor.authorMANSI, Laura
dc.contributor.authorTRETARRE, Brigitte
dc.contributor.authorWORONOFF, Anne-Sophie
dc.date.accessioned2022-03-04T13:44:20Z
dc.date.available2022-03-04T13:44:20Z
dc.date.issued2022-01-26
dc.identifier.issn1573-7225 (Electronic) 0957-5243 (Linking)en_US
dc.identifier.urihttps://oskar-bordeaux.fr/handle/20.500.12278/128828
dc.description.abstractEnPURPOSE: In an attempt to understand why cervical cancer (CC) survival is decreasing with diagnosis period among older women in France, this study aimed to estimate the effects of main prognostic factors on net survival in CC according to age. METHODS: French cancer registries databases were used to retrospectively analyze women diagnosed with CC in 2011-2012. Net survival was estimated with the Pohar-Perme method and prognostic factors (socio-demographic, clinical variables, stage at diagnosis, therapeutic management) were analyzed with Lambert and Royston's flexible parametric model. RESULTS: One thousand one hundred fifty three women with CC were identified. 30.4% were < 45, 41.4% 45-64, and 28.3% ≥ 65 years. Older women were diagnosed at a more advanced stage than younger women: 54.8% regional (FIGO IB2-IVA), 33.0% distant (IVB) in women ≥ 65 years vs 33.7% and 8.0%, respectively in women < 45 years. Half of women with regional stage of CC received recommended treatment; this rate decreased with increasing age (< 45: 66.1%, 45-64: 62.7%, ≥ 65: 29.2%). Older age was significantly associated with increased risk of death: hazard ratio 1.89 for age ≥ 65, as were regional stage (2.81), distant stage (15.99), and not receiving recommended treatment (2.26). CONCLUSION: Older women with CC diagnosed at advanced stage who do not receive standard of care are at markedly increased risk of death. Special attention to the management of older women is warranted in France, not only to diagnose cancer at an earlier stage (via gynecological follow-up in these menopaused women who remain at risk of CC), but also to ensure they receive standard of care, taking into account their overall state of health.
dc.language.isoENen_US
dc.subject.enCervical cancer
dc.subject.enNet survival
dc.subject.enPrognostic factors
dc.subject.enOlder women
dc.subject.enStage
dc.subject.enTreatment
dc.title.enTo what extent do age, stage and treatment influence survival after invasive cervical cancer: a French population-based study
dc.typeArticle de revueen_US
dc.identifier.doi10.1007/s10552-021-01536-9en_US
dc.subject.halSciences du Vivant [q-bio]/Santé publique et épidémiologieen_US
dc.identifier.pubmed35079925en_US
bordeaux.journalCancer Causes and Controlen_US
bordeaux.hal.laboratoriesBordeaux Population Health Research Center (BPH) - UMR 1219en_US
bordeaux.institutionUniversité de Bordeauxen_US
bordeaux.institutionINSERMen_US
bordeaux.teamEPICENE_BPHen_US
bordeaux.peerReviewedouien_US
bordeaux.inpressnonen_US
bordeaux.identifier.funderIDInstitut National Du Canceren_US
hal.identifierhal-03597864
hal.version1
hal.date.transferred2022-03-04T13:44:23Z
hal.exporttrue
dc.rights.ccPas de Licence CCen_US
bordeaux.COinSctx_ver=Z39.88-2004&amp;rft_val_fmt=info:ofi/fmt:kev:mtx:journal&amp;rft.jtitle=Cancer%20Causes%20and%20Control&amp;rft.date=2022-01-26&amp;rft.eissn=1573-7225%20(Electronic)%200957-5243%20(Linking)&amp;rft.issn=1573-7225%20(Electronic)%200957-5243%20(Linking)&amp;rft.au=COMPAORE,%20Zoewendtale%20Cyrille&amp;MONNET,%20Elisabeth&amp;GERAZIME,%20Aurelie&amp;MOLINIE,%20Florence&amp;GUIZARD,%20Anne-Valerie&amp;rft.genre=article


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