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Profiles of Cancer Patients at Surgical Oncology Outpatient Clinic at Dharmais Cancer Hospital as National Referral Hospital in Indonesia from 2017 to 2021 Sofyan, Rian Fabian; Ramadhan, Ramadhan; Purwanto, Denni Joko; Gautama, Walta; Dien, Alban W; Brahma, Bayu; Iskandar, Bob Andinata; Kurniawan, Febriyanto; Husein, Abdul Muhaimin; Sabatini, Nafilla Nesantya; Ginawang, Asto
Indonesian Journal of Cancer Vol 18, No 2 (2024): June
Publisher : http://dharmais.co.id/

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33371/ijoc.v18i2.1090

Abstract

Background: Cancer is one of the leading causes of death in the world. Dharmais Cancer Hospital is set to be the National Cancer Center with an obligation to support all hospitals throughout the country that specialize in cancer. Surgical Oncology is one of the departments that handles the most cases in Dharmais Cancer Hospital. The types of cancers that are managed in Surgical Oncology Departments are breast cancer, head and neck cancer, thyroid cancer, skin cancer, and soft tissue cancer. Objective: This paper aims to find the newly diagnosed cancer patients’ characteristics and socioeconomic features in Dharmais National Cancer Center from 2017 to 2021. Methods: The study was a cross-sectional descriptive study using the medical record database of outpatients at Dharmais Cancer Hospital as a data collection method from 2017 until 2021. The sample size includes all new cancer patients in Dharmais Cancer Hospital that have been recorded. Result: Over 500,000 patients visited Dharmais Cancer Hospital in the last 5 years with an average of over 100,000 visits per year. Over 90% of the patients have solid tumors, and over eight thousand patients were admitted to the Surgical Oncology Outpatient Clinic, it was concluded that the most frequently diagnosed type of cancer is breast cancer (66.7%) of all types of cancer in the past 5 years. Most of the new patients are female (88.1%) with the most common age group of 40 to 55 years old (50.7%). Most of the patients are senior high school graduates (42.8%). Conclusions: The general characteristic of cancer patients is dominated by breast cancer patients, most patients are female, in the age group between 40 to 55 years old, and senior high school graduates. Further studies need to be done on each type of cancer to have a better understanding of the profiles and characteristics of solid cancer patients in Dharmais Cancer Hospital. 
Inter- and intra-rater reliability of modified near-infrared camera to assess superficial lymphatic system in breast cancer-related lymphedema Brahma, Bayu; Yusuf, Prasandhya Astagiri; Priambodo, Purnomo Sidi; Harimurti, Kuntjoro; Haryono, Samuel Johny; Harlim; Suryadi; Paskahenru, Mahesa; Lesmana, Rika; Manangka, Rumuat Semuel Wullul; Taher, Akmal; Panigoro, Sonar Soni
Medical Journal of Indonesia Online First
Publisher : Faculty of Medicine Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.13181/mji.oa.258234

Abstract

BACKGROUND Near-infrared (NIR) fluorescence imaging is one of the most useful diagnostic methods for breast cancer-related lymphedema (BCRL). It utilizes indocyanine green (ICG) lymphography, which requires a commercial camera that is not widely available. This study aimed to qualitatively assess the reliability of the modified NIR camera in diagnosing BCRL. METHODS This prospective cross-sectional study was conducted between December 2023 and December 2024 in breast cancer (BC) patients with BCRL. A commercial mirrorless digital camera was modified by incorporating an excitation light source and spectral filters to enable NIR imaging. To evaluate the camera reliability, intra- and inter-observer agreements were assessed using Kappa analysis. Three independent observers evaluated dermal backflow patterns of lymphatic flow: linear, splash, stardust, and diffuse patterns. RESULTS 60 BC patients with BCRL resulting in 280 images were included. The mean (standard deviation) age was 54.7 (10.1) years and body mass index were 27.1 (4.5) kg/m². Most patients had stage IIA BC (40%) and stage IV ICG lymphography (38%). Intra-observer analysis showed observers 1 and 2 of had a Kappa of 1.00 (95% confidence interval [CI]: 1.00–1.00), while observer 3 had Kappa of 0.99 (95% CI: 0.97–1.00). Inter-observer analysis between observers 1 and 2 showed Kappa 1.00 (95% CI: 1.00–1.00), while observers 1–3 and 2–3 had Kappa of 0.99 (95% CI: 0.97–1.00). Observer 3 misinterpreted 3 linear as splash patterns. CONCLUSIONS This study showed a high inter- and intra-observer agreements making it reliable for BCRL diagnosis.