title: Estimating the five-year survival of cervical cancer patients treated in hospital universiti sains malaysia.
abstract: OBJECTIVE
  The objective of this study was to determine the five-year survival among patients with cervical cancer treated in Hospital Universiti Sains Malaysia.
  
  
  METHODS
  One hundred and twenty cervical cancer patients diagnosed between 1st July 1995 and 30th June 2007 were identified. Data were obtained from medical records. The survival probability was determined using the Kaplan-Meier method and the log-rank test was applied to compare the survival distribution between groups.
  
  
  RESULTS
  The overall five-year survival was 39.7% [95%CI (Confidence Interval): 30.7, 51.3] with a median survival time of 40.8 (95%CI: 34.0, 62.0) months. The log-rank test showed that there were survival differences between the groups for the following variables: stage at diagnosis (p=0.005); and primary treatment (p=0.0242). Patients who were diagnosed at the latest stage (III-IV) were found to have the lowest survival, 18.4% (95%CI: 6.75, 50.1), compared to stage I and II where the five-year survival was 54.7% (95%CI: 38.7, 77.2) and 40.8% (95%CI: 27.7, 60.3), respectively. The five-year survival was higher in patients who received surgery [52.6% (95%CI: 37.5, 73.6)] as a primary treatment compared to the non-surgical group [33.3% (95%CI: 22.9, 48.4)].
  
  
  CONCLUSIONS
  The five-year survival of cervical cancer patients in this study was low. The survival of those diagnosed at an advanced stage was low compared to early stages. In addition, those who underwent surgery had higher survival than those who had no surgery for primary treatment.
authors.affiliation: Institute of Graduate Studies, University of Malaya, Kuala Lumpur, Malaysia. yzulina@um.edu.my
authors.forename: Nuradhiathy Abd
authors.initials: NA
authors.lastname: Razak
authors.forename: Khattak
authors.initials: K
authors.lastname: Mn
authors.forename: Yong Zulina
authors.initials: YZ
authors.lastname: Zubairi
authors.forename: Nyi Nyi
authors.initials: NN
authors.lastname: Naing
authors.forename: Nik Mohamed
authors.initials: NM
authors.lastname: Zaki
mesh_terms: D000328:Adult; D002294:Carcinoma, Squamous Cell / Q000401:mortality* / Q000601:surgery / Q000628:therapy; D005260:Female; D006785:Hospitals, University; D006801:Humans; D008296:Malaysia; D008875:Middle Aged; D009367:Neoplasm Staging; D011379:Prognosis; D012189:Retrospective Studies; D013534:Survival; D002583:Uterine Cervical Neoplasms / Q000401:mortality* / Q000601:surgery / Q000628:therapy