Clinical and evolving features of women diagnosed with precancerous cervical lesions, screened and treated in the Amazon region of Brazil

Cadernos de Saúde Pública

Patricia Rezende Do Prado¹  Rosalina Jorge Koifman¹  Ilce Ferreira Da Silva¹ 

关键词: Cervical Intraepithelial Neoplasia;    Therapeutics;    Cohort Studies;    Neoplasia Intraepitelial Cervical;    Terapêutica;    Estudos de Coortes;    Neoplasia Intraepitelial del Cuello Uterino;    Terapéutica;    Estudios de Cohortes;   

DOI  :  10.1590/0102-311X00164913

来源: SciELO

【 摘 要 】

The objective of the study was to determine the dynamics of precancerous lesions in women of a cohort treated for cervical intraepithelial neoplasia (CIN) and followed up over the next two years. The conditional probability of failure was calculated using the Kaplan-Meier method, and the raw and adjusted hazard ratios (HR) were determined using Cox regression with a p-value entry of < 0.05. Of the 237 women who were treated, 51.5% were accompanied over 24 months, and treatment failed for 21.9% of those accompanied. Women who had five or more pregnancies (adjusted HR = 3.10, 95%CI: 1.28-7.51) or an initial histological diagnosis of CIN II/III demonstrated an independent risk of treatment failure (adjusted HR = 3.14, 95%CI: 1.20-8.19). Being in a stable relationship was a protective factor against treatment failure (adjusted HR = 0.47, 95%CI: 0.24-0.89). A history of more frequent pregnancies and a histological diagnosis of CIN II/III are directly correlated with risk of CIN treatment failure, whereas being in a stable relationship is inversely correlated with this risk.

【 授权许可】

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