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Impact of initiating screening programs on referral and management of cervical cancer in Tanzania

Journal of Global Oncology Sep 11, 2019

Sedani A, Soliman AS, Msami K, et al. - Researchers investigated how screening rural patients in Tanzania could influence the referral and management of cervical cancer. They found that the start of rural screening clinics led to an increase in the difference in duration from diagnosis to prescribed treatment from 50.5 to 88 days, and an increase in duration from referral to treatment from 38.6 to 101.3 days. A rise was documented in the proportion of patients who received combination chemoradiotherapy; from 34.3% to 69%. A decline from 94.4% to 72.41% was noted in the completion of treatment. The periods between referral and prescribed treatment were significantly shorter in patients who attended Muhimbili National Hospital vs those who did not use the Muhimbili National Hospital. For those treated at Ocean Road Cancer Institute, significantly shorter periods between diagnosis and referral to treatment were reported. Prescription of complex surgeries that need more visits to treatment centers also appeared as a possible contributor to a decrease in treatment completion.
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