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Cancer Profile in North Jakarta and Kepulauan Seribu : A 5-year descriptive study Gondhowiardjo, Soehartati Argadikoesoema; Bramantyo, Dion Firli; Octavianus, Steven; Priharto, R Koesmedi; Yekti, Widyastuti Endro
Radioterapi & Onkologi Indonesia Vol 9, No 2 (2018): Volume 9 No.2 Juli 2018
Publisher : Perhimpunan Dokter Spesialis Onkologi Radiasi Indonesia (PORI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (610.026 KB) | DOI: 10.32532/jori.v9i2.86

Abstract

Background: Cancer is the leading causes of death with a comparable number of mortality rate to coronary heart disease and stroke. The burden of cancer will continue to increase, especially in developing countries including Indonesia. This study reports the profile of cancer patients domiciled in the administrative area of North Jakarta and Kepulauan Seribu in 2008 ? 2012.Materials and Methods: This was a descriptive study. Patients data were collected from cancer registries all hospitals located in administrative area of North Jakarta and Kepulauan Seribu. This data was pooled and extracted from DKI Jakarta Cancer Registry Control Center at RSCM. The primary site and histology of malignancies were verified and coded based on the International Classification of Diseases for Oncology (ICD-O). Data were analyzed using descriptive statistics in SPSS 20.0Results: There are 2185 cases or around 14.8% of all cases of cancer patients verified in the database. Of those, 740 were male and 1445 female. The most prevalent age group was 45 - 54 years old, which was 29%. The highest distribution of cancer stage was in stage 3, which is 21.1%. The most common cancer in all sex groups were breast cancer, cervical cancer, nasopharyngeal cancer, hematopoietic system malignancy, and ovarian cancer. In men, the top five most cancers were nasopharyngeal cancer, lung cancer, hematopoietic system, lymphoma, and liver cancer. Whereas in women, most cancer sequences were breast cancer, cervical cancer, ovarian cancer, thyroid cancer, and hematopoietic system.
Gambaran Faktor Risiko Waktu Terapi Radiasi yang Berkepanjangan pada Pasein kanker Payudara: Studi Cross-sectional di RSUP Dr. Kariadi Tahun 2023 Muchtar, Zahra Zetira; Adisasmita, Asri C.; Bramantyo, Dion Firli
Jurnal Epidemiologi Kesehatan Indonesia Vol. 9, No. 2
Publisher : UI Scholars Hub

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Abstract

In Indonesia, there were more than 58,000 new breast cancer cases with nearly 23,000 deaths in 2020. Radiotherapy is one of the adjuvant therapy modalities for breast cancer. Interruptions of more than five days increase the risk of local recurrence. This study aimed to describe the risk factors associated with prolonged overall treatment time (OTT) in breast cancer patients at Dr. Kariadi General Hospital during 2023. This was a cross-sectional study using bivariate logistic regression analysis to examine the association between national holidays, deterioration of general condition, age, residence, and type of surgery prior to radiation therapy with prolonged OTT. Data were obtained from electronic medical records, and a total population sampling method was applied, resulting in 261 post-surgical breast cancer patients who met the inclusion criteria, namely newly diagnosed breast cancer patients who had undergone breast-conserving surgery (BCS) or modified radical mastectomy (MRM) followed by adjuvant radiotherapy. Patients were considered to have prolonged OTT if the interruption exceeded the number of recorded national holidays. Among the 261 patients, 21.8% (n = 57) experienced prolonged OTT. The highest proportion of prolonged OTT occurred in patients aged 50–59 years (43.9%), residing outside Semarang City/Regency (64.9%), undergoing MRM (77.2%), affected by national holidays (78.9%), and without deterioration of general condition (82.5%). Bivariate analysis showed that only national holidays and machine maintenance were statistically significantly associated with prolonged OTT (p < 0.001). As an effort to improve treatment outcomes, hospitals need to implement strategies to prevent prolonged OTT, including ensuring continuous access to radiotherapy without interruption due to machine maintenance. Keywords : Breast Cancer, Overall Treatment Time (OTT), Radiotherapy Interruption