Abstract:
Background: Cancer is a group of diseases characterized by the uncontrolled growth and spread of abnormal cells. If the spread is not
controlled, it can result in death. The objective of this study was to identify factors associated with the survival time of cervical cancer
patients in Black Lion Hospital Addis Ababa, Ethiopia. Subjects and Methods: A retrospective cohort study was conducted in Black Lion
Hospital Addis Ababa, Ethiopia. Information on patients enrolled from December 2014 and had at least one follow-up until January 2017
time period in oncology center was used in this study. Kaplan-Meier survival curves and Log-Rank tests were used to compare the survival
experience of different category of predictors. Semi-Parametric survival models were employed to examine the effect of explanatory
variables on survival times. Results: A total of 518 cervical cancer patients in Black Lion Hospital were included in the study. Out of 518
cervical cancer patients, 49.04% were live in urban area and 50.96 % were live in rural area. The instantaneous risk of death for urban place
of residence is 2.04 times the instantaneous risk of death for rural place of residence. The instantaneous risk of death for patients with
hypertension has 2.15 greater risk of death than those patients without hypertension. Improved the survival of patients was an integral part of
controlling cervical cancer. Conclusion: It has been found that 16% of the considered patients were died and the remaining 84% were
censored at the end of the study. The median survival time of cervical cancer patients was 31months after diagnosis. The covariates those are
more significant for cervical cancer patients are age, place of residence, hypertension, FIGO stage, histological type, and histological grade
and HIV status.
