[Survival rate after radical hysterectomy for cervical cancer performed in a central hospital].
BACKGROUND
No recent Danish data exist on survival rate by stage for cervical cancer. Further centralization of cancer treatment is presently being discussed, and this report aims to discuss and broaden the view on the issues of survival, centralization and quality of treatment.


METHODS
During the period 1982-2002, 123 women were diagnosed with cervical cancer and operated on by two gynaecologists in a central hospital in Denmark, using a modification of Okabayashi's operation. Stage 1b cancer was found in 111 women. The hospital charts were reviewed retrospectively, and data on survival rates were drawn from hospital records and registers.


RESULTS
The occurrence of lymph gland metastasis was associated with the stage of the cancer. Relapse of tumor occurred in 29 women, with 21 women subsequently succumbing to the disease. No difference was found in survival rate in stage 1 according to treatment of relapse. The five- and ten-year survival rates in stage 1b were 87% and 82%, respectively.


CONCLUSIONS
Similarly to what has been shown by other studies, the mortality rate was not affected by the decentralized setting and care. The small number of surgeons involved ensured homogeneity of and consistency in operative treatment despite the changes in perioperative care over the 20-year period.
Dupont
Gitte
G
Holstebro Sygehus, Afdeling for Kvindesygdomme og Patologisk Institut, Holstebro.
Lauszus
Finn Friis
FF
Guttorm
Eigil
E
Vetner
Max Ove
MO
D000328:Adult; D000368:Aged; D002497:Centralized Hospital Services / Q000592:standards; D002983:Clinical Competence; D003131:Combined Modality Therapy; D003718:Denmark / Q000453:epidemiology; D005260:Female; D006801:Humans; D007044:Hysterectomy / Q000401:mortality*; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local; D012189:Retrospective Studies; D015996:Survival Rate; D002583:Uterine Cervical Neoplasms / Q000473:pathology / Q000601:surgery*