Magnitude and Factors Associated with Late Stage at Diagnosis of Cervical Cancer Patients at Tikur Anbessa Specialized Hospital, Addis Ababa, Ethiopia
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Date
2020-12
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Addis Abeba University
Abstract
Abstract
Back ground:Globally,cervical cancer is the fourth most common cancer in women with most
of the deaths occurring in developing countries, particularly in low- and middle income
countries. In Ethiopia, evidences suggested that many women seek treatment in the advanced
stage of the disease which complicates management and intervention of the disease.Data on
levels and factors associated to late stage of diagnosis are limited.
Objective:To assess the magnitude and factors associated withlate stage at diagnosis of cervical
canceramongcervical cancer patients at Tikur Anbessa Specialized Hospital, Addis Ababa,
Ethiopia from July 22 to October 30, 2020.
Methods: A facility based cross sectional study was conducted among cervical cancer patients
referred to Tikur Anbessa Specialized Hospital, Addis Ababa, Ethiopia. Data was collected using
a structured interviewer administered questionnaire and patient’s medical records were reviewed
to extract relevant information.Every consecutive new case of cervical cancer patient who came
during data collection period were enrolled in the study.Data was codedand entered in to Epidata
4.64 andexported to Stata 14 for cleaning, recoding and analysis. Descriptive statistics were
computed to describe the characteristics of study participants. Those variables with p-value<0.05
at 95%CI in the multivariable binary logistic regression were considered as having a statically
significant association with the outcome variable,late stage at diagnosis.Stage at diagnosis was
determined using the International Federation of Gynecology and Obstetrics (FIGO) staging
system.
Result:A total of 392 women with confirmed cervical cancer were enrolled. The mean age of the
patients was 58 ± 10 years, majority 257(65.56%) were married, more than half (56.63%)came
from rural area and 229 (58.42 %) had no formal education. About 53.8% of patients were
diagnosed with late stage disease. The odds of late stage diagnosis of cervical cancer was more
than two times higher AOR=2.38 [95%CI: 1.03, 5.11] among those patients who had poor
knowledge, about four times higher AOR= 3.41 [95%CI: 1.69, 6.88] among patients who were
residing in rural areas, two times higher AOR=2.03[95%CI: 1.03, 3.99] among patients who had
shared their symptom late with someone.
Conclusion: This study identified that poor knowledge of cervical cancer, women residing in
rural areas and patients who shared their symptom late with someone were more likely to be
diagnosed at late stage of cervical cancer.Providing health education for women on early
detection methods and raising public knowledge in more comprehendible way is needed for early
diagnosis of cervical cancer.
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Keywords
Cervical cancer, late stage diagnosis, knowledge