Role of age of incidence, parity, body mass index and socioeconomic class in endometrial carcinoma
DOI:
https://doi.org/10.18203/2320-1770.ijrcog20200373Keywords:
Age, Body mass index, Carcinoma endometrium, Demographical factors, Parity, Socioecomic classAbstract
Background: Endometrial carcinoma is the most common gynecologial malignancy in world. The main aim is to study epidemiological factors of Ca body uterus in our hospital. The present study was designed to evaluate the age of incidence of carcinoma body uterus and study role of parity, body mass index and socioeconomic class in carcinoma body.
Methods: This is a prospective study of 50 cases of endometrial carcinoma who were treated in a single unit of the hospital from April 2010 to March 2012 (2 years) conducted at the department of gynaecological oncology G. C. R. I., Ahmedabad. Observational study was done. All these data were combined and tabulated in frequency table simple percentage analysis is used for frequency and percentage analysis is applied to create a contingency table from the frequency distribution and represent the collected data for better understanding. Descriptive statistics were obtained for all variable.
Results: Maximum number of patients were in age group of 50-59 years. Mean age was 58 years. Maximum patients were multiparous (54%). 4 patients were nulligravida (9%). 70% were overweight and obese. Majority of patients (72%) belong to middle and higher socio-economic class.
Conclusions: It was noted that the incidence for ca endometrium is related to age, parity, BMI and socioeconomic class at our centre.
References
Indian Council of Medical Research: consensus document for the management of uterine cancer, 2018. Available at: https://www.icmr.nic.in/sites/default/files/whats_new/Draft_Document_of_Uterine_Cancer.docx.
Purdie DM, Green AC. Epidemiology of endometrial cancer. Best Pract Res Clin Obstet Gynaecol. 2001;15(3):341-54.
Howlader N, Noone AM, Krapcho M, Neyman N, Aminou R, Waldron W, et al. SEER Cancer Statistics Review, 1975-2008. National Cancer Institute.
Siegel R. Cancer statistics. The impact of eliminating socioeconomic and racial disparities on premature cancer deaths. A Cancer J Clin. 2011;61(4):212-36.
Hachisuga T, Fukuda K, Hirakawa T, Kawarabayashi T. The effect of nulliparity on survival in endometrial cancer at different ages. Gynecol Oncol. 2001;82(1):122-6.
Perez-Medina T, Engels V, Salazar F, Bueno B, Sanfrutos L, de la Fuente J. Anatomopathologic subtypes of endometrial carcinoma: case-control study of 122 cases. Epidemiol Ultrasound Clin Med Oncol. 2007;1:CMO-S367.
Madison T, Schottenfeld D, James SA, Schwartz AG, Gruber SB. Endometrial cancer: socioeconomic status and racial/ethnic differences in stage at diagnosis, treatment, and survival. Am J Public Health. 2004;94(12):2104-11.
Elia G, Garfinkel DA, Goldberg GL, Davidson S, Runowicz CD. Surgical management of patients with endometrial cancer and cervical involvement. Eur J Gynaecol Oncol. 1995;16(3):169-73.
Balasubramaniam G, Sushama S, Rasika B, Mahantshetty U. Hospital-based study of endometrial cancer survival in Mumbai, India. Asian Pacific J Cancer Prevent. 2013;14(2):977-80.
Friedenreich C, Cust A, Lahmann PH, Steindorf K. Anthropometric factors and risk of endometrial cancer: the European prospective investigation into cancer and nutrition. Cancer Causes Control. 2007;18(4):399-413.
Parkin DM, Boyd L. Cancers attributable to overweight and obesity in the UK in 2010. Br J Cancer. 2011;105 Suppl 2(Suppl 2):S34-S37.
Pearson-Stuttard J, Zhou B, Kontis V, Bentham J, Gunter MJ, Ezzati M. Worldwide burden of cancer attributable to diabetes and high body-mass index: a comparative risk assessment. Lancet Diabet Endocrinol. 2018;6:e6-e15.
Zhang Y, Liu H, Yang S, Zhang J, Qian L, Chen X. Overweight, obesity and endometrial cancer risk: results from a systematic review and meta-analysis. Int J Biol Markers. 2014;29:21-9.
Khazaei Z, Hasanpour Dehkordi A, Amiri M, Adineh HA. The incidence and mortality of endometrial cancer and its association with body mass index and human development index in Asian population. WCRJ. 2018;5(4):e1174.