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Primary treatment patterns and survival of cervical cancer in Sweden : A population-based Swedish Gynecologic Cancer Group Study
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- Bjurberg, Maria (author)
- Lund University,Lunds universitet,Tumörmikromiljö,Sektion I,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Tumor microenvironment,Section I,Department of Clinical Sciences, Lund,Faculty of Medicine,Skåne University Hospital,Lund Univ, Sweden
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- Holmberg, Erik, 1951 (author)
- Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper, Avdelningen för onkologi,Institute of Clinical Sciences, Department of Oncology
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- Borgfeldt, Christer (author)
- Lund University,Lunds universitet,Obstetrik och gynekologi, Lund,Sektion V,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Obstetrics and Gynaecology (Lund),Section V,Department of Clinical Sciences, Lund,Faculty of Medicine,Skane Univ Hosp, Sweden; Lund Univ, Sweden
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- Flöter-Rådestad, Angelique (author)
- Karolinska Institutet,Karolinska Inst, Sweden
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- Dahm-Kähler, Pernilla (author)
- Sahlgrens Univ Hosp, Dept Obstet & Gynaecol, SE-41345 Gothenburg, Sweden,Sahlgrenska University Hospital
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- Hjerpe, Elisabet (author)
- Visby Hosp, Dept Gynaecol & Obstet, SE-62155 Visby, Sweden,Visby hospital
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- Högberg, Thomas (author)
- Lund University,Lunds universitet,Medicinsk onkologi,Sektion I,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Medical oncology,Section I,Department of Clinical Sciences, Lund,Faculty of Medicine,Lund Univ, Sweden
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- Kjölhede, Preben (author)
- Linköpings universitet,Linköping University,Avdelningen för barns och kvinnors hälsa,Medicinska fakulteten,Region Östergötland, Kvinnokliniken US
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- Marcickiewicz, Janusz (author)
- Reg Canc Ctr West, Reg Vastra Gotaland, SE-41345 Gothenburg, Sweden;Halland Hosp, Dept Obstet & Gynaecol, SE-43281 Varberg, Sweden,Hallands sjukhus, Varberg
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- Rosenberg, Per (author)
- Linköpings universitet,Linköping University,Medicinska fakulteten,Avdelningen för Kirurgi, Ortopedi och Onkologi,Region Östergötland, Onkologiska kliniken US
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- Stålberg, Karin (author)
- Uppsala University,Uppsala universitet,Reproduktiv hälsa,Uppsala Univ, Sweden
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- Tholander, Bengt (author)
- Uppsala universitet,Experimentell och klinisk onkologi,Uppsala University Hospital,Uppsala Univ Hosp, Sweden
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- Hellman, Kristina (author)
- Karolinska Univ Hosp, Dept Gynaecol Canc, Theme Canc, SE-17176 Stockholm, Sweden,Karolinska University Hospital
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- Åvall Lundqvist, Elisabeth (author)
- Linköpings universitet,Linköping University,Avdelningen för Kirurgi, Ortopedi och Onkologi,Medicinska fakulteten,Region Östergötland, Onkologiska kliniken US
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(creator_code:org_t)
- ACADEMIC PRESS INC ELSEVIER SCIENCE, 2019
- 2019
- English.
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In: Gynecologic Oncology. - : ACADEMIC PRESS INC ELSEVIER SCIENCE. - 0090-8258 .- 1095-6859. ; 155:2, s. 229-236
- Related links:
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http://dx.doi.org/10...
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https://urn.kb.se/re...
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https://doi.org/10.1...
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https://lup.lub.lu.s...
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http://kipublication...
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https://urn.kb.se/re...
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https://gup.ub.gu.se...
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Abstract
Subject headings
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- Objective: Survival in cervical cancer has improved little over the last decades. We aimed to elucidate primary treatment patterns and survival. Methods: Population-based study of patients included in the Swedish Quality Registry for Gynecologic Cancer diagnosed 2011-2015. Main outcome was 5-year relative survival (RS). Age-standardised RS (AS-RS) was estimated for the total cohort and for the pooled study population of squamous, adenosquamous-, adenocarcinoma. Results: Median follow-up time was 4.6 years. The study population consisted of 2141 patients; 97% of the 2212 patients in the total cohort and the 5-year AS-RS was 71% and 70%, respectively. RS stage IB1: surgery alone 95% vs. 72% for definitive chemoradiotherapy (CT-RT) (p < 0.001). In stage IIA1 74% had CTRL, and 47% of operated patients received adjuvant (CT)-RT. RS stage IB2: surgically treated 81% (69% received adjuvant (CT)-RT) vs. 76% for (CT)-RT (p = 0.73). RS stage IIB: 77% for CT-RT + brachytherapy BT), 37% for RT + BT (p = 0.045) and 27% for RT-BT (p < 0.001). Stages III-IVA; <40% received CT-RT + BT, RS 45% vs. 18% for RT-BT (RR 4.1, p < 0.001). RS stage IVB 7%. Conclusion: Primary treatment of cervical cancer in Sweden adhered to evidence-based standard of care. Areas of improvement include optimising treatment for stages III-IVA, and avoiding combining surgery and radiotherapy. (C) 2019 Elsevier Inc. All rights reserved.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Cancer och onkologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Cancer and Oncology (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kirurgi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Surgery (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Reproduktionsmedicin och gynekologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Obstetrics, Gynaecology and Reproductive Medicine (hsv//eng)
Keyword
- Cervical cancer
- Survival
- Treatment
- Surgery
- Radiotherapy
- Cervical cancer
- Radiotherapy
- Surgery
- Survival
- Treatment
Publication and Content Type
- ref (subject category)
- art (subject category)
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- By the author/editor
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Bjurberg, Maria
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Holmberg, Erik, ...
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Borgfeldt, Chris ...
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Flöter-Rådestad, ...
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Dahm-Kähler, Per ...
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Hjerpe, Elisabet
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show more...
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Högberg, Thomas
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Kjölhede, Preben
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Marcickiewicz, J ...
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Rosenberg, Per
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Stålberg, Karin
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Tholander, Bengt
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Hellman, Kristin ...
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Åvall Lundqvist, ...
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- About the subject
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
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and Cancer and Oncol ...
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
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and Surgery
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
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and Obstetrics Gynae ...
- Articles in the publication
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Gynecologic Onco ...
- By the university
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Uppsala University
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Lund University
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Karolinska Institutet
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Linköping University
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University of Gothenburg