CHAPTER 5 – DISCUSSION
The chapter entails insight into the aspects associated with the options of treatment
considered for people presented with an advanced stage of cancer. The encompassed systematic
review of succinct and cohesive literature of the published research studies focuses on the
research aspect highlighted earlier, alongside the elaboration of effectiveness resulting from the
utilization of those treatment options at individual level diagnosed with cervical cancer.
5.1 Chapter Overview
For the purpose of systematic review, six research studies have been included, while the
selection of these studies was based on their alignment with the research topic related to the
option of treatment. These studies were conducted specially in the South Asian region, as the
patient population was recruited on the basis of their diagnoses of cervical cancer in the Nepal
and India. In addition to this, a comparison was drawn by the inclusion of the selected articles for
analysing the effectiveness projected by the treatment options available for the cervical cancer.
Simultaneously, the significance posed by the options of cervical cancer treatment were
examined by the aligning with the aspects of survival rate among the patient population. Another
major factors that has been entailed with toxicity caused the treatment for cervical cancer.
5.2 Discussion
Cervical cancer is considered as one of the main concern posed to public health in the
world. As in other regions of the world, cervical cancer prevalence in South Asia is growing.
Advances in technology have improved the cervical cancer treatment of patients in South Asia
(Sreedevi, Javed and Dinesh, 2015). However, cervical cancer mortality in South Asian countries
is quite high. Alone in India, around 122,844 women are presented with the clinical condition
each year. Furthermore, it has been reported that the second most common cause of cancer
among women within the age group of 15 to 44 in South Asia is cervical cancer (Sreedevi et al.
2015). Dutta, Biswas, and Muhkherjee (2013) stated that In India, the most populous country in
South Asia, there is evidence that some (85%) of all cases of cervical cancer are diagnosed in
later stages.
The countries of South Asia are developing countries where the population could have
disagreements on health and inequality (Sreedevi et al. 2015). In South Asia there is no national
screening program, so people living in these countries are likely to have differences in detection,
treatment and survival (Sreedevi et al. 2015). The analysis of opinion polls shows that the
coverage for screening cervical cancer in underdevelopment countries around the world is about
19%, while in developed countries, the screening of cancer screening of the cervix is about 63%
(Sreedevi et al. 2015). Among the countries of South Asia, Bangladesh has the lowest screening
coverage for cervical cancer, while the coverage of cervical cancer screening is only 1%. Among
all women living in South Asia, older women in less favourable socioeconomic conditions are
less likely to be screened for cervical cancer.
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- Spring '19
