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 language | English (US) |
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Pages (from-to) | 977-982 |
Number of pages | 6 |
Journal | Journal of Clinical Epidemiology |
Volume | 43 |
Issue number | 9 |
DOIs | |
State | Published - 1990 |
Externally published | Yes |
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