title: Improved Survival of Cervical Cancer Patients in a Screened Population in Rural India
abstract: 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.
authors.affiliation: Nargis Dutt Memorial Cancer Hospital, Barshi India, India. Email: sankarr@iarc.fr
authors.forename: Kasturi
authors.initials: K
authors.lastname: Jayant
authors.forename: Rengaswamy
authors.initials: R
authors.lastname: Sankaranarayanan
authors.forename: Ranjit V
authors.initials: RV
authors.lastname: Thorat
authors.forename: Richard
authors.initials: R
authors.lastname: Muwonge
authors.forename: Sanjay J
authors.initials: SJ
authors.lastname: Hingmire
authors.forename: Nandkumar S
authors.initials: NS
authors.lastname: Panse
authors.forename: Surendra S
authors.initials: SS
authors.lastname: Shastri
authors.forename: Sylla G
authors.initials: SG
authors.lastname: Malvi
authors.forename: Bhagwan
authors.initials: B
authors.lastname: Nene
keywords: Survival; cervical cancer; developing countries