Declining use of radiotherapy for invasive cervical cancer in Connecticut: 1983-1990.
Data on the use of radiotherapy (i.e., external irradiation and/or intracavitary radioactive implants) in the first course of treatment were examined for all 1286 invasive cervical cancer cases diagnosed between 1983 and 1990 among Connecticut residents. These data, from a population-based cancer registry, reflect actual treatment practices in the geographic area under study. Use of radiotherapy declined from 62% in 1983 to 43% in 1990 (trend test P < 0.001); for "local"-stage cancers, the decline was from 50% in 1983 to 27% in 1990 (P < 0.001). Surveys are needed on physicians' attitudes and decisions regarding alternative treatments for cervical cancer.
Polednak
A P
AP
Connecticut Tumor Registry, Connecticut Department of Public Health and Addiction Services, Hartford 06106, USA.
D000367:Age Factors; D001918:Brachytherapy / Q000706:statistics & numerical data / Q000639:trends; D003131:Combined Modality Therapy; D003237:Connecticut / Q000453:epidemiology; D005260:Female; D006801:Humans; D008875:Middle Aged; D009361:Neoplasm Invasiveness; D011878:Radiotherapy / Q000706:statistics & numerical data* / Q000639:trends; D012042:Registries; D002583:Uterine Cervical Neoplasms / Q000453:epidemiology / Q000532:radiotherapy* / Q000601:surgery