{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T13:51:49Z","timestamp":1753883509155,"version":"3.41.2"},"reference-count":19,"publisher":"American Society of Clinical Oncology (ASCO)","issue":"11","content-domain":{"domain":["ascopubs.org"],"crossmark-restriction":true},"short-container-title":["JCO Glob Oncol"],"published-print":{"date-parts":[[2025,6]]},"abstract":"<jats:sec>\n            <jats:title>PURPOSE<\/jats:title>\n            <jats:p>Cervical cancer is the most common cancer among women in Mozambique and is a major health burden. Surgery for cervical cancer is currently performed at only one hospital in the country, Maputo Central Hospital. Before 2020, there were no gynecologists in Mozambique trained to care for women with cervical cancer. In 2017, the International Gynecologic Cancer Society (IGCS) started a gynecologic oncology training program in Mozambique, and in 2020, the first three fellows graduated from this program. The main objective of this study was to report the outcomes of patients with cervical cancer who were treated surgically by the three newly trained Mozambican gynecologic oncologists.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>METHODS<\/jats:title>\n            <jats:p>We performed a retrospective chart review of women diagnosed with cervical cancer who underwent surgical treatment by the Mozambican gynecologic oncologists between November 2020 and October 2022. The outcome of interest was survival at 2 years.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>RESULTS<\/jats:title>\n            <jats:p>Thirty-three patients underwent radical hysterectomy with pelvic lymphadenectomy for cervical cancer treatment. The median age at diagnosis was 43 years. After surgery, 15 patients (45%) were dispositioned to surveillance and 18 (55%) were referred for adjuvant treatment with radiotherapy and\/or chemotherapy. All patients had follow-up data available, with a median follow-up time of 19 months (range, 0.2 to 37.5). Only one patient died, and the overall survival is 95.7% (95% CI, 87.7% to 100%) at 12.7 months.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>CONCLUSION<\/jats:title>\n            <jats:p>The IGCS program has provided training to physicians at Maputo Central Hospital, resulting in surgery for cervical cancer being available to patients in Mozambique. This is an important step in the global elimination of cervical cancer.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1200\/go-25-00024","type":"journal-article","created":{"date-parts":[[2025,6,11]],"date-time":"2025-06-11T19:59:31Z","timestamp":1749671971000},"update-policy":"https:\/\/doi.org\/10.1200\/crossmark","source":"Crossref","is-referenced-by-count":0,"title":["Cervical Cancer Outcomes in Mozambique: Impact of an International Gynecologic Oncology Training Program"],"prefix":"10.1200","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3782-8234","authenticated-orcid":true,"given":"Ricardina","family":"Rangeiro","sequence":"first","affiliation":[{"name":"Hospital Central de Maputo, Maputo, Mozambique"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4986-8738","authenticated-orcid":true,"given":"Andre","family":"Lopes","sequence":"additional","affiliation":[{"name":"A. C. Camargo Cancer Center, S\u00e3o Paulo, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9654-4958","authenticated-orcid":true,"given":"Mark F.","family":"Munsell","sequence":"additional","affiliation":[{"name":"The University of Texas MD Anderson Cancer Center, Houston, TX"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-0162-8879","authenticated-orcid":true,"given":"Dercia","family":"Changule","sequence":"additional","affiliation":[{"name":"Hospital Central de Maputo, Maputo, Mozambique"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Siro","family":"Daud","sequence":"additional","affiliation":[{"name":"Hospital Central de Maputo, Maputo, Mozambique"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Calisto","family":"Ferreira","sequence":"additional","affiliation":[{"name":"Universidade Unil\u00fario, Nampula, Mozambique"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Magda","family":"Ribeiro","sequence":"additional","affiliation":[{"name":"Hospital Central de Maputo, Maputo, Mozambique"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Flora","family":"Mabota","sequence":"additional","affiliation":[{"name":"Universidade Eduardo Mondlane (UEM), Maputo, Mozambique"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elvira","family":"Luis","sequence":"additional","affiliation":[{"name":"Hospital Central de Maputo, Maputo, Mozambique"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Agostinho","family":"Daniel","sequence":"additional","affiliation":[{"name":"Hospital Central de Maputo, Maputo, Mozambique"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Edgar","family":"Tsambe","sequence":"additional","affiliation":[{"name":"Hospital Central de Maputo, Maputo, Mozambique"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Celso","family":"Bila","sequence":"additional","affiliation":[{"name":"Hospital Central de Maputo, Maputo, Mozambique"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6463-7268","authenticated-orcid":true,"given":"Georgia","family":"Fontes-Cintra","sequence":"additional","affiliation":[{"name":"Instituto Brasileiro de Controle do Cancer, S\u00e3o Paulo, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9997-6668","authenticated-orcid":true,"given":"Renato","family":"Moretti-Marques","sequence":"additional","affiliation":[{"name":"Hospital Israelita Albert Einstein, S\u00e3o Paulo, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marcelo","family":"Vieira","sequence":"additional","affiliation":[{"name":"Benefic\u00eancia Portuguesa, S\u00e3o Paulo, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2436-5939","authenticated-orcid":true,"given":"Vanessa","family":"Alvarenga-Bezerra","sequence":"additional","affiliation":[{"name":"Hospital Israelita Albert Einstein, S\u00e3o Paulo, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0208-7309","authenticated-orcid":true,"given":"Carla","family":"Carrilho","sequence":"additional","affiliation":[{"name":"Hospital Central de Maputo, Maputo, Mozambique"},{"name":"Universidade Eduardo Mondlane (UEM), Maputo, Mozambique"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ellen","family":"Baker","sequence":"additional","affiliation":[{"name":"The University of Texas MD Anderson Cancer Center, Houston, TX"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cesaltina","family":"Lorenzoni","sequence":"additional","affiliation":[{"name":"Hospital Central de Maputo, Maputo, Mozambique"},{"name":"Universidade Eduardo Mondlane (UEM), Maputo, Mozambique"},{"name":"Minist\u00e9rio da Sa\u00fade de Mo\u00e7ambique (MISAU), Maputo, Mozambique"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9670-4189","authenticated-orcid":true,"given":"Kathleen M.","family":"Schmeler","sequence":"additional","affiliation":[{"name":"The University of Texas MD Anderson Cancer Center, Houston, TX"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6375-0736","authenticated-orcid":true,"given":"Mila P.","family":"Salcedo","sequence":"additional","affiliation":[{"name":"The University of Texas MD Anderson Cancer Center, Houston, TX"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"233","reference":[{"key":"e_1_3_5_2_2","doi-asserted-by":"publisher","DOI":"10.3322\/caac.21834"},{"key":"e_1_3_5_3_2","volume-title":"Human Papillomavirus and Related Cancers, Fact Sheet 2023. Fact Sheet","author":"Mozambique","year":"2023","unstructured":"Mozambique: Human Papillomavirus and Related Cancers, Fact Sheet 2023. Fact Sheet, 2023. ICO\/IARC Information Centre on HPV and Cancer. https:\/\/hpvcentre.net\/statistics\/reports\/MOZ_FS.pdf"},{"key":"e_1_3_5_4_2","doi-asserted-by":"publisher","DOI":"10.1002\/ijgo.12611"},{"key":"e_1_3_5_5_2","doi-asserted-by":"publisher","DOI":"10.1136\/ijgc-2019-000653"},{"volume-title":"Global Gynecologic Oncology Fellowship Program","key":"e_1_3_5_6_2","unstructured":"Global Gynecologic Oncology Fellowship Program. IGCS https:\/\/igcs.org\/mentorship-and-training\/global-curriculum\/"},{"key":"e_1_3_5_7_2","doi-asserted-by":"publisher","DOI":"10.1136\/ijgc-2021-002480"},{"key":"e_1_3_5_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbi.2008.08.010"},{"key":"e_1_3_5_9_2","doi-asserted-by":"publisher","DOI":"10.1093\/biomet\/26.4.404"},{"key":"e_1_3_5_10_2","doi-asserted-by":"publisher","DOI":"10.1080\/00401706.1965.10490252"},{"key":"e_1_3_5_11_2","doi-asserted-by":"publisher","DOI":"10.1080\/01621459.1958.10501452"},{"volume-title":"R: The R Project for Statistical Computing","key":"e_1_3_5_12_2","unstructured":"R: The R Project for Statistical Computing. https:\/\/www.r-project.org\/"},{"key":"e_1_3_5_13_2","doi-asserted-by":"publisher","DOI":"10.1136\/ijgc-2020-001643"},{"key":"e_1_3_5_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/S2214-109X(20)30459-9"},{"key":"e_1_3_5_15_2","doi-asserted-by":"publisher","DOI":"10.1136\/ijgc-2023-004958"},{"key":"e_1_3_5_16_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10461-015-1140-9"},{"key":"e_1_3_5_17_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00404-018-4953-8"},{"key":"e_1_3_5_18_2","doi-asserted-by":"publisher","DOI":"10.3390\/cancers15041163"},{"key":"e_1_3_5_19_2","doi-asserted-by":"publisher","unstructured":"Batman S Rangeiro R Monteiro E et al: Expanding cervical cancer screening in Mozambique: Challenges associated with diagnosing and treating cervical cancer. JCO Glob Oncol 10.1200\/GO.23.00139","DOI":"10.1200\/GO.23.00139"},{"key":"e_1_3_5_20_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12885-022-09966-7"}],"container-title":["JCO Global Oncology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/ascopubs.org\/doi\/pdfdirect\/10.1200\/GO-25-00024","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,6,11]],"date-time":"2025-06-11T19:59:43Z","timestamp":1749671983000},"score":1,"resource":{"primary":{"URL":"https:\/\/ascopubs.org\/doi\/10.1200\/GO-25-00024"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,6]]},"references-count":19,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2025,6]]}},"alternative-id":["10.1200\/GO-25-00024"],"URL":"https:\/\/doi.org\/10.1200\/go-25-00024","relation":{},"ISSN":["2687-8941"],"issn-type":[{"type":"electronic","value":"2687-8941"}],"subject":[],"published":{"date-parts":[[2025,6]]},"assertion":[{"value":"2025-01-11","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-04-08","order":1,"name":"revised","label":"Revised","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-04-24","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-06-11","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e2500024"}}