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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
Socio-Demographic Determinants of Hospitalization Severity Among Type 2 Diabetes Mellitus-Related Hospitalization Visits in Indonesia: A Cross-Sectional Analysis of Using BPJS Health Secondary Data, 2023 Putri, Nadia; Adisasmita, Asri C.; Fitria, Fitria; Anggraini, Sely
Jurnal Epidemiologi Kesehatan Indonesia
Publisher : UI Scholars Hub

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Type 2 diabetes mellitus (T2DM) is a chronic disease with high prevalence and contributes significantly to the burden of inpatient care in Indonesia. The severity of T2DM-related hospitalization as classified under the INA-CBGs system, is an important indicator for assessing disparities in access to care and the health system’s response to vulnerable populations. This study aims to analyze the relationship between socio-demographic characteristics and the severity of T2DM-related hospitalization visits based on 2023 Social Security Administering Body for Health (BPJS Health) data. This study employed a cross-sectional design using secondary data from the 2023 BPJS Health Sample Data. The unit of analysis was hospitalization visits. The study included inpatient hospitalization visits with a diagnosis of T2DM (ICD-10: E11). Univariate and bivariate methods were conducted, including chi-square tests and ordinal logistic regression was estimated using cluster-robust standard errors. Hospitalization severity was categorized based on the INACBGs classification (mild, moderate, severe). Among 431 T2DM-related hospitalization visits, age >45 years (OR = 2.17; p = 0.035), divorced status (OR = 2.33; p = 0.021), and lower middle socioeconomic status (OR = 1.54; p = 0.046) were significantly associated with higher INA-CBGs hospitalization severity. Gender, inpatient care class, and type of healthcare facility ownership were not statistically significantly associated with hospitalization severity. These findings highlight the importance of the health system's response to the social determinants reflected in INA-CBGs–based hospitalization severity among T2DM-related visits. Targeted and multisectoral interventions are needed to reduce disparities and improve service quality for socially vulnerable groups. Keywords: Type 2 diabetes mellitus, hospitalization severity, socio-demographics, BPJS Health
Survival Analysis Of COVID-19 Patients With Type 2 Diabetes: Lesson From Pandemic Putri, Nadia; Adisasmita, Asri C.
Jurnal Dunia Kesmas Vol 15, No 1 (2026): Volume 15 Nomor 1
Publisher : Persatuan Dosen Kesehatan Masyarakat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jdk.v15i1.23642

Abstract

Type 2 diabetes mellitus (T2DM) is a common chronic comorbidity that exacerbates the clinical course of COVID-19, leading to higher complication rates and mortality. Patients with T2DM experience impaired immunity, persistent inflammation, and metabolic dysfunction, making them more vulnerable to severe viral infections. Despite extensive global research, evidence from Indonesia remains scarce, highlighting the need for local data to guide public health strategies. This study aimed to analyze the survival of COVID-19 patients with T2DM and identify factors associated with mortality in Padang City. A retrospective cohort study using surveillance data from the Padang City Health Office between March 2020 and March 2021 included 209 randomly selected patients. Survival analysis was conducted using Kaplan–Meier methods, and Cox regression models identified mortality predictors. The study found that 6.7% of patients died, with an incidence rate of 0.0058. T2DM patients had nearly four times the risk of death compared to non-diabetic individuals (HR = 3.9; 95% CI: 1.2–14.2). Other predictors included older age, male sex, multiple comorbidities, symptomatic status, and hospitalization. These findings emphasize the need to prioritize T2DM patients in vaccination, early detection, and integrated diabetes management to strengthen health system resilience.
Co-Authors Abioso Wicaksono Adelina Fitri Adisasmito, Wiku Bakti Bawono Amelia, Dwirani Ana Maina Rezky Anggraini, Sely 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 Fitria Fitria 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 Nadia Putri 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