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All Journal Indonesian Journal of Cancer The Indonesian Journal of Public Health Paediatrica Indonesiana JPKMI (Jurnal Publikasi Kesehatan Masyarakat Indonesia) Belitung Nursing Journal Syntax Literate: Jurnal Ilmiah Indonesia Media Medika Muda Jurnal Epidemiologi Kesehatan Komunitas Jurnal Dunia Kesmas Jurnal Respirologi Indonesia Journal of the Indonesian Medical Association : Majalah Kedokteran Indonesia PREPOTIF : Jurnal Kesehatan Masyarakat Indonesian Journal of Anesthesiology and Reanimation (IJAR) Indonesian Journal of Global Health research Indonesian Journal of Cancer Makara Journal of Health Research Berita Kedokteran Masyarakat Proceeding Muhammadiyah International Public Health and Medicine Conference Tarumanagara Medical Journal Pro Health Jurnal Ilmiah Kesehatan Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal) Jurnal Epidemiologi Kesehatan Indonesia
Asri C. Adisasmita
Departemen Epidemiologi FKM UI
Humanities Biochemistry, Genetics & Molecular Biology Dentistry Education Environmental Science Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Other

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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
Co-Authors Abioso Wicaksono Adelina Fitri Adisasmito, Wiku Bakti Bawono Amelia, Dwirani Ana Maina Rezky Anjani, Sonia Miyajima Arief Wicaksono, Arief Arwinda Nugraheni Ascobat, Purwantyastuti Bambang Dwipoyono, Bambang Betera, Same Bramantyo, Dion Firli Chandrayani Simanjorang Clement Drew DENNI JOKO PURWANTO, DENNI JOKO Desinta Ayu Lestari Detty Siti Nurdiati Djajuli, Hidayat Nuh Ghazali EDI TEHUTERU, EDI Erlina Burhan Evlina Suzanna Febriyanti, Nooridha Fidya Rumiati Gayatri, Maria Grace Shalmont Gunarsih, Arum Hadayna, Saila Harijanto, Eddy Hatma, Ratna Djuwita Heryana, Ade Ihsan, Maulidiah Imam Subekti Indriyati, Titi Irwan, Hermansyah JAUHARI OKA REUWPASSA, JAUHARI OKA Johanes Edy Siswanto, Johanes Edy Kemal N. Siregar Lhuri Dwianti Rahmartani Lila Kesuma Hairani Lubis, Pika Novriani Manggala, Sidharta Kusuma Marthino Robinson MARYANI, DINI Muchtar, Zahra Zetira Muhammad Agus Muljanto Muhammad Hidayat Sahid Mulyadi M Djer, Mulyadi M Murtiani, Farida Nadhila Beladina Nadjib, Mardiati Nasdaldy -, Nasdaldy Nurhakiki, Syifa Nurjannah Nurjannah Nyamukondiwa, Melisa Pradnya Sri Rahayu Prasetyo, Rachma Wenidayanti Putra, Andika Chandra Putri, Murti Utami RA. Koestoer Rachellina, Miranda Rahmah, Herlina Rahmartani, Lhuri Dwianti Ratna Djuwita Renti Mahkota Retno Asti Werdhani Rezky, Ana Maina Rizky Ramadantie Rosdiana, Prita Saefina, Isnani Dewi Safanta, Nurzalia Safitri, Meirica Rosaline Septyana Choirunisa Septyana Choirunisa Shalzaviera Azniatinesa Shela Rachmayanti Siti Sopiatun Sjahrul Sjamsuddin, Sjahrul Soemanadi -, Soemanadi Soewarta Kosen Sofi Mardiah Sudarto Ronoatmodjo Sugiarto, Adhrie Susianti, Yanti Talib, Suprohaita Rusdi Taufiqurahman, Khobir Abdul Karim Telly Purnamasari Tika Dwi Tama Tubagus Ferdi Fadilah, Tubagus Ferdi Virmandiani, Virmandiani Woro Riyadina Yoga Yunadi Zahrina, Fadiah Zhara Juliane