%0 Journal Article %T Improved Survival of Cervical Cancer Patients in a Screened Population in Rural India %J Asian Pacific Journal of Cancer Prevention %I West Asia Organization for Cancer Prevention (WAOCP), APOCP's West Asia Chapter. %Z 1513-7368 %A Jayant, Kasturi %A Sankaranarayanan, Rengaswamy %A Thorat, Ranjit %A Muwonge, Richard %A Hingmire, Sanjay J %A Panse, Nandkumar S %A Shastri, Surendra S %A Malvi, Sylla %A Nene, Bhagwan M %D 2016 %\ 11/01/2016 %V 17 %N 11 %P 4837-4844 %! Improved Survival of Cervical Cancer Patients in a Screened Population in Rural India %K survival %K cervical cancer %K Developing countries %R 10.22034/APJCP.2016.17.11.4837 %X   Objectives: To describe the survival experience of cervix cancer patients in a screened rural population in India. Methods: Included 558 cervical cancer patients diagnosed in 2000-2013 in a cohort of 100,258 women invited for screening during 2000-2003. The primary end point was death from cervical cancer. We used the Kaplan-Meier method to estimate cumulative observed survival and Cox proportional hazards regression to assess the effect of patient characteristics on survival after diagnosis. Results: Of the 558 cases included, 143 (26%) and 114 (20%) were diagnosed in stages IA and IB respectively; 252 (45.2%) were dead, and 306 (54.8%) were alive at the last follow-up. The overall 5-year observed survival was 60.5%. The 5-year survival of stage IA patients was 95.1% and 5.3% for stage IV patients. All surgically treated stage IA patients, 94.1% of stage IB patients receiving intracavitary radiotherapy, 62% of stage IIB, 49% of stage III and 25% of stage IV patients receiving radiotherapy survived for 5 years. Conclusion: Higher 5-year survival in our study than elsewhere in India is due to the high proportion of early stage cancers detected by screening combined with adequate treatment, resulting into a favourable prognosis. %U https://journal.waocp.org/article_41296_864a8a3744963674a334a1fd62dad96f.pdf