Stage At Diagnosis and Factors Contributing For Delay In Diagnosis And Treatment of Cervical Cancer Patients
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Date
2025
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Addis Ababa Universtity
Abstract
Cervical cancer is still the fourth most frequent disease worldwide and one of the
most common cancers in women, with over 604,000 new cases reported and 342 000 deaths
annually. It is the third most prevalent cancer among women in low- and middle-income countries
(LMICs), where it accounts 85% and 90% of morbidity and mortality respectively. It is the primary
cause of death for females among all gynecologic malignancies.
Objective – To assess the factors contributing for delayed diagnosis and treatment of cervical
cancer patients at TASH and determine stage at diagnosis
Method – An institutional cross-sectional study was conducted in the gynecology and oncology
inpatient and outpatient departments of Tikur Anbessa Specialized Hospital. With 195 patients
participating in the research out of the 202 intended participants, a response rate of 96.5% was
achieved. Study participants were added using the consecutive sampling procedure until the
necessary sample size was reached. SPSS Version -25 was used to analyze the data that had been
gathered. An independent variable was deemed significant if its p-value was less than 0.05.
Result: - In this investigation 22% and 29% of the study participants were delayed in the diagnosis
and treatment of cervical cancer respectively. The predictor variables for delay in the diagnosis
were Age>55 years have 8.2 folds increase its DID compared to those of age 25-35 years
(AOR=8.2), Education level of unable to read and write (AOR=2.6), first visit of private health
facility were 9.4 folds increase its DID (AOR=9.4) and those not heard about cervical cancer were
16.2 times increase in DID (AOR=16.2). Conversely, though the statistically significant predictor
of delay in treatment of cervical cancer were age of >55 years have 5.1 folds increase its DIT
(AOR=5.1), residency of out of Addis Ababa were 1.5 folds increase its DIT (AOR=1.5), monthly
income of <5000 birr was 2.4 folds increase its DIT (AOR=2.4), Those having 1-4 children had
80% less likely of having DIT (AOR=0.20) and didn’t ever heard about cervical cancer were 5.3
times increase in DIT (AOR=5.3).
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Keywords
Cervical cancer, Diagnosis, treatment delay, TASH, Ethiopia.