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Sindy Torreglosa-Hernández1, Hugo Grisales-Romero2, Evangelina Morales-Carmona3
1Instituto Nacional de Salud Pública. Cuernavaca, Morelos, México/Grupo de Investigación Demografía y Salud, Facultad Nacional de Salud Pública, Universidad de Antioquia. Medellín, Colombia. sindytorreglosa@gmail.com.
Salud Publica De Mexico
|April 19, 2022
Summary
Mexican women with cervical cancer funded by the Catastrophic Expenditure Protection Fund (FPGC) had a 68.5% five-year survival rate. Advanced clinical stage and older age were associated with poorer survival outcomes.
Area of Science:
- Oncology
- Public Health
- Epidemiology
Background:
- Cervical cancer remains a significant health concern, particularly in developing nations.
- Access to timely and adequate healthcare financing is crucial for improving patient outcomes.
- The Fondo de Protección contra Gastos Catastróficos (FPGC) aimed to provide financial coverage for catastrophic illnesses in Mexico.
Purpose of the Study:
- To estimate the five-year survival rate for cervical cancer among Mexican patients.
- To identify factors associated with cervical cancer survival.
- To evaluate outcomes for patients whose treatment was financed by the FPGC.
Main Methods:
- Analysis of a database of Mexican patients diagnosed with cervical cancer between 2006 and 2014.
- Linking patient data with the Epidemiological and Statistical System of Deaths.
- Utilizing Kaplan-Meier methods and Cox proportional hazards models for survival analysis.
Main Results:
- The overall five-year survival rate for cervical cancer was 68.5%.
- Advanced clinical stages (locoregional and metastatic) were significantly associated with decreased survival compared to early stages.
- Older age was also identified as a factor associated with reduced survival.
Conclusions:
- Cervical cancer patients in Mexico receiving care funded by the FPGC demonstrated a slightly higher five-year survival rate than reported in other studies.
- Clinical stage at diagnosis and patient age are critical prognostic factors for cervical cancer survival.
- Financial protection mechanisms like the FPGC may play a role in improving cancer patient survival rates.