Evidence map›Paper›PMID 40866851›Full record

ArticleBMC cancer2025

Survival rates of cervical cancer patients in Sarawak: a single-centre referral study.

Melissa Siaw Han Lim, Shirley Siang Ning Tan, Izzati Binti Wan Maharuddin, Pei Jye Voon, Nur Khairiyah Binti Abdul Rahim, Xun Ting Tiong, Cassandra Sheau Mei Chee, Adam Malik Ismail, Yolanda Augustin

Abstract read
In one paragraph

Article in BMC cancer, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Melissa Siaw Han Lim *Faculty of Medicine and Health Sciences, UNIMAS, Kota Samarahan, Malaysia. lshmelissa@unimas.my.
Shirley Siang Ning Tan *Clinical Research Centre, Institute for Clinical Research, Sarawak General Hospital, National Institutes of Health, Ministry of Health, Kuching, Malaysia.
Izzati Binti Wan Maharuddin *Department of Radiotherapy, Oncology and Palliative Care, Sarawak General Hospital, Ministry of Health, Kuching, Malaysia.
Pei Jye VoonDepartment of Radiotherapy, Oncology and Palliative Care, Sarawak General Hospital, Ministry of Health, Kuching, Malaysia.
Nur Khairiyah Binti Abdul RahimDepartment of Gynaecology, Sarawak General Hospital, Ministry of Health, Kuching, Malaysia.
Xun Ting TiongClinical Research Centre, Institute for Clinical Research, Sarawak General Hospital, National Institutes of Health, Ministry of Health, Kuching, Malaysia.
Cassandra Sheau Mei CheeFaculty of Medicine and Health Sciences, UNIMAS, Kota Samarahan, Malaysia.
Adam Malik IsmailDepartment of Pathology, Sarawak General Hospital, Ministry of Health, Kuching, Malaysia.
Yolanda AugustinSchool of Health and Medical Sciences, Institute of Infection and Immunity, City St George's University of London, London, UK.

Funding

Roche (Malaysia) Sdn Bhd IRG/F05/ROCHE/86395/2024Society for Cancer Advocacy and Awareness (SCAN) Kuching SCANVC High Impact Grant UNIMAS UNI/F05/VC-HIRG/85521/P13-03/2022
6 · The paper itself

Abstract

backgroundCervical cancer represents a significant health challenge in Malaysia, especially in the state of Sarawak which records some of the highest incidence rates across the country. This study evaluates the survival rates of cervical cancer patients in Sarawak, focusing on demographic characteristics, disease stage and survival outcomes to inform healthcare strategies.

methodsA retrospective case notes review of disease stage, patterns of care and survival outcomes of patients diagnosed with cervical cancer at Sarawak General Hospital between January 2018 to December 2022 was conducted. Kaplan-Meier survival analysis and Cox Regression analysis were performed to assess survival outcomes and factors influencing survival.

resultsA total of 555 patients were included in this review. The majority of patients were diagnosed between the ages of 40 and 59, with a mean age of 53 years. Ibans comprised the largest subgroup by ethnicity. Only 11.2% of patients were diagnosed with Stage I disease. The majority of patients were diagnosed at advanced stages III and IV. The overall 5-year survival rate was 59.4%. Factors significantly affecting survival included FIGO cancer stage and ethnicity.

conclusionsDiagnosis at advanced stages of disease lead to poorer clinical outcomes in cervical cancer patients in Sarawak. This study highlights the critical need for enhanced screening and early diagnosis to improve survival rates amongst cervical cancer patients Sarawak. Efforts should focus on improving cervical health literacy, expanding access to healthcare services and improving the uptake of HPV vaccination and cervical screening particularly in rural communities.

Indexed as

Uterine Cervical NeoplasmsAdultAgedFemaleHumansKaplan-Meier EstimateMalaysiaMiddle AgedNeoplasm StagingReferral and ConsultationRetrospective StudiesSurvival RateCervical cancerEpidemiologySarawakSurvival analysis

Identifiers

PMID40866851
PMCPMC12382113

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.