Cervical cancer in Morocco: A systematic review

Area of Science:

• Oncology
• Public Health
• Epidemiology

Background:

• Cervical cancer remains a significant health concern in Morocco.
• Understanding its epidemiological profile, risk factors, and outcomes is crucial for targeted interventions.

Purpose of the Study:

• To systematically review the current state of cervical cancer knowledge in Morocco.
• To identify gaps in prevention, diagnosis, treatment, and survival data.

Main Methods:

• A comprehensive systematic review was conducted using major scientific databases (PubMed, ScienceDirect, Springer, Web of Science) and grey literature.
• The review followed PRISMA guidelines and was registered in PROSPERO.

Main Results:

• Low participation (11%) in cervical cancer screening programs and poor awareness among Moroccan women were observed.
• Human papillomavirus (HPV) infection prevalence varied (13.30%-76%), notably higher in HIV-positive women.
• Treatment costs were substantial (95.87% of care budget), and five-year survival rates varied (41.3%-73.6%), with earlier diagnosis improving outcomes.

Conclusions:

• Urgent need to improve cervical cancer screening uptake and public awareness in Morocco.
• Further investigation into knowledge, attitudes, and awareness, especially in high-risk populations, is essential.
• Addressing factors impacting quality of life and survival, such as advanced stage and lack of social support, is critical.