Ovarian and cervical cancer arkansas statistics
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OVARIAN AND Cervical Cancer: Arkansas Statistics. Nancy Andrews Collins, M.D., MBA Associate Professor Department of Obstetrics and Gynecology College of Medicine University of Arkansas for Medical Sciences (UAMS). Ovarian Cancer. 3 Main Categories with 30 different types 1. Epithelial

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Ovarian and cervical cancer arkansas statistics

OVARIAN AND Cervical Cancer: Arkansas Statistics

Nancy Andrews Collins, M.D., MBA

Associate Professor

Department of Obstetrics and Gynecology

College of Medicine

University of Arkansas for Medical Sciences (UAMS)


Ovarian cancer
Ovarian Cancer

3 Main Categories with 30 different types

1. Epithelial

2. Germ Cell

3. Sex Cord - stromal


Risk factors
Risk factors

  • 1. Age

  • 2. History of infertility

  • 3. Personal history of breast or colon cancer

  • 4. Family history (first degree relative) with ovarian cancer

  • 5. Obesity


Ovarian cancer1
Ovarian Cancer

Incidence Rates by Race and Ethnicity

Death Rates by Race and Ethnicity

CDC 2013


Ovarian cancer statistics
Ovarian Cancer Statistics

  • 9th most common cause of cancer death in women

  • New cases per year:

    • 22,240 in United States 2013 (3% of all new cancer cases in women)

      • 188 were in Arkansas

  • Deaths per year:

    • 14,030 deaths in United States in 2013 (5% of all cancer related deaths in women)

      • 150 of theses deaths were in Arkansas

        American Cancer Society 2013, Survellance Research




Ovarian cancer signs and symptoms
Ovarian Cancer Signs and Symptoms

Vague complaints

Bloating

Loss of appetite

Gas, indigestion and nausea


Cervical cancer
Cervical Cancer

Most common of the Squamous

Easy to detect

Caused by: HPV (90%)


Cervical cancer statistics
Cervical Cancer Statistics

  • New Cases per year

    • 12,340 new cases in the United States in 2013

      • 150 were in Arkansas

        Crude death rate 3.7 and age adjusted rate is 3.3 (per 100,000)

        Arkansas Cancer Registry and

        American Cancer Society, 2013




Cervical cancer1
Cervical Cancer

Incidence Rates by Race and Ethnicity

Death Rates by Race and Ethnicity

CDC, 2013


Papsmear screening
PapSmear Screening

  • From 2006-2010

    • Mortality rates from cervical cancer in women >50 DECREASED by 1.2%/year because of the Pap test

    • National Cancer Institute




Hpv vaccination
HPV vaccination

HPV discovered in 1956

HPV linked as cause of cervical cancer in 1984

First vaccine approved by FDA in 2006

National Vaccination rates in 2012 = 53% in Arkansas = 41% (1 dose) and 18% for all 3 doses


Cervical cancer education and prevention program
Cervical Cancer Education And Prevention Program

  • 1. FY11 – Take Education and vaccine clinic to the community

    • Participants mostly had never heard of HPV

    • Parents stated they were not told to give the participant the vaccine

  • 2. FY12 – ACIP recommendations changed, BOYS were added

  • Consider school based clinics (increase capture per clinic)

  • 3. FY13 – Central High School clinic well established

  • 4. FY 14 –

    i. Survey physicians about vaccinations and documentation

    • Add additional schools with 2-3 schools ready to start by FY 15

      • Pine Bluff High School approval received from Pine Bluff School District

      • Education program held with 619 students participating

      • First vaccination clinic – 96 vaccinated




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