Survival rates of cervical cancer patients in Sarawak : a single-centre referral study
Abstract Background Cervical cancer represents a significant health challenge in Malaysia, especially in the state of Sarawak which records some of the highest incidence rates across the country. This study evaluates the survival rates of cervical cancer patients in Sarawak, focusing on demograph...
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| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | en |
| Published: |
BioMed Central Ltd.
2025
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| Subjects: | |
| Online Access: | http://ir.unimas.my/id/eprint/49308/1/Lim%20MSH_BMC%20Cancer%202025.pdf http://ir.unimas.my/id/eprint/49308/ https://bmccancer.biomedcentral.com/articles/10.1186/s12885-025-14678-9#:~:text=In%20our%20study%2C%20more%20than,I%20(61.8%25)%20(Fig. https://doi.org/10.1186/s12885-025-14678-9 |
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| Summary: | Abstract
Background Cervical cancer represents a significant health challenge in Malaysia, especially in the state of Sarawak
which records some of the highest incidence rates across the country. This study evaluates the survival rates of
cervical cancer patients in Sarawak, focusing on demographic characteristics, disease stage and survival outcomes to
inform healthcare strategies.
Methods A retrospective case notes review of disease stage, patterns of care and survival outcomes of patients
diagnosed with cervical cancer at Sarawak General Hospital between January 2018 to December 2022 was
conducted. Kaplan-Meier survival analysis and Cox Regression analysis were performed to assess survival outcomes
and factors influencing survival.
Results A total of 555 patients were included in this review. The majority of patients were diagnosed between the
ages of 40 and 59, with a mean age of 53 years. Ibans comprised the largest subgroup by ethnicity. Only 11.2% of
patients were diagnosed with Stage I disease. The majority of patients were diagnosed at advanced stages III and
IV. The overall 5-year survival rate was 59.4%. Factors significantly affecting survival included FIGO cancer stage and ethnicity.
Conclusions Diagnosis at advanced stages of disease lead to poorer clinical outcomes in cervical cancer patients
in Sarawak. This study highlights the critical need for enhanced screening and early diagnosis to improve survival
rates amongst cervical cancer patients Sarawak. Efforts should focus on improving cervical health literacy, expanding access to healthcare services and improving the uptake of HPV vaccination and cervical screening particularly in rural communities. |
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