Changes in surgical treatments: The example of hysterectomy versus conization for cervical carcinoma in situ

James S. Goodwin, William C. Hunt, Charles R. Key, Jonathan M. Samet

Research output: Contribution to journalArticle

6 Scopus citations

Abstract

From 1969 through 1985, 4584 women in the state of New Mexico were diagnosed with carcinoma in situ of the cervix. Of these women, 65.5% underwent hysterectomy while 31.1% had a conservative therapy (primarily conization). Over the 17-year period, there was a steady increase in the percentage of women receiving conservative therapies, from 11.8% in 1969 to 50.3% in 1985. Younger women, unmarried women and American Indian women were more likely to receive conservative therapy. This marked shift in therapeutic approach occurred during a time of apparent controversy as to the optimal treatment for cervical carcinoma in situ, and illustrates a rapid change in surgical practice in the absence of any controlled trials comparing the two major treatment modalities.

Original languageEnglish (US)
Pages (from-to)977-982
Number of pages6
JournalJournal of Clinical Epidemiology
Volume43
Issue number9
DOIs
StatePublished - 1990
Externally publishedYes

Keywords

  • Cancer therapy
  • Carcinoma of the cervix
  • Cone biopsy of the cervix
  • Epidemiology of cancer
  • Evaluation of surgical practice
  • Hysterectomy
  • Surgical practice

ASJC Scopus subject areas

  • Epidemiology

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