Survival Analysis of Cervical Cancer Patients: A Case Study of Bhutan

Cervical cancer is considered one of the most life-threatening diseases and a leading cause of death in the female population worldwide. In 2018, it is estimated that more than half a million new cases are diagnosed each year, with more than half of them dying annually worldwide, placing a huge burden on the economy. Several factors have been reported to influence the survival of cervical cancer patients, including low age at marriage, social and cultural factors, the stage of cervical cancer at diagnosis, and the size and volume of the tumour.

The aim of the study is to identify the risk factors such as age, stage of patients according to the International Federation of Gynaecology and Obstetrics (FIGO ) system and type of treatment, and to investigate their impact on survival of cervical cancer patients treated at Jigme Dorji Wangchuck National Referral Hospital (JDWNRH) in Bhutan between January 2014 and December 2019.

The results show that age group, FIGO stage, treatment and frequency of hospital visits are significant factors influencing the survival of cervical cancer patients in Bhutan.

The five-year survival rate of cervical cancer patients in this study was low. Late diagnosis of cervical cancer appears to be associated primarily with a higher risk of death. The results provide valuable information for further research and policy making in the prevention and treatment of cervical cancer.

Reference: Tshewang U, Satiracoo P*, Lenbury Y. Survival analysis of cervical cancer patients: A case study of Bhutan. Asian Pac J Cancer Preven 2021 Sep;22(9):2987-93.