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All Journal International Journal of Public Health Science (IJPHS) Jurnal Kesehatan Masyarakat Medical Journal of Indonesia Proceeding Seminar LPPM UMP Tahun 2014 Biomedika The Indonesian Biomedical Journal Public Health of Indonesia Paediatrica Indonesiana AcTion: Aceh Nutrition Journal Jurnal Ilmu Kesehatan Al-sihah: The Public Health Science Journal Journal of Epidemiology and Public Health Indonesian Journal of Medicine Journal of Health Promotion and Behavior Journal of Maternal and Child Health Jurnal Surya Masyarakat Jurnal Keperawatan Terpadu (Integrated Nursing Journal) Jurnal Respirasi (JR) Jurnal Surya Masyarakat Nusantara Science and Technology Proceedings Epidemiology and Society Health Review (ESHR) Narra J Proceedings of the International Conference on Nursing and Health Sciences JRKN Journal of Health and Nutrition Research Proceeding ISETH (International Summit on Science, Technology, and Humanity) Prosiding University Research Colloquium The Indonesian Journal of Gastroenterology, Hepatology and Digestive Endoscopy Amal Ilmiah: Jurnal Pengabdian Kepada Masyarakat ICONESTH Journal of Safety, Health, and Environmental Engineering International Journal of Health Literacy and Science Media Penelitian dan Pengembangan Kesehatan

Vitri Widyaningsih

Department Of Statistics, Faculty Of Medicine, Universitas Sebelas Maret, Surakarta

Author-ID : 416506

Religion Agriculture, Biological Sciences & Forestry Arts Humanities Biochemistry, Genetics & Molecular Biology Chemical Engineering, Chemistry & Bioengineering Computer Science & IT Decision Sciences, Operations Research & Management Dentistry Economics, Econometrics & Finance Education Engineering Environmental Science Health Professions Immunology & microbiology Industrial & Manufacturing Engineering Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Materials Science & Nanotechnology Mathematics Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Other

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Indeks Prediktif Under-reporting Case TBC Rumah Sakit Di Kudus, Jawa Tengah R Rusnoto; Bhisma Murti; R Reviono; Vitri Widyaningsih; Eti Poncorini Pamungkasari; Chatarina Umbul Wahyuni
Prosiding University Research Colloquium Proceeding of The 13th University Research Colloquium 2021: Kesehatan dan MIPA
Publisher : Konsorsium Lembaga Penelitian dan Pengabdian kepada Masyarakat Perguruan Tinggi Muhammadiyah 'Aisyiyah (PTMA) Koordinator Wilayah Jawa Tengah - DIY

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (202.283 KB)

Kasus tuberkulosis yang tidak dilaporkan adalah pasien yang tidak dilaporkan ke sistem surveilans TB nasional setelah diagnosis sehingga perkiraan beban TB tidak akurat. Penelitian ini mengkaji beberapa indikator (indeks) penyebab kasus TB kurang terlapor di RSUD Kota Kudus. Penelitian ini menggunakan desain metode campuran Explanatory. Dalam studi kuantitatif menilai sembilan indikator kasus tuberkulosis yang tidak terlapor untuk mengetahui berapa indikator yang berkaitan dengan kasus yang tidak terlapor. Sedangkan pada studi kualitatif menggali persepsi dan informasi dari tenaga medis dan dokter rumah sakit mengenai alasan pemilihan indikator kasus under-reporting. Analisis regresi logistik bertingkat dilakukan untuk data kuantitatif, dan analisis konten untuk data kualitatif. Temuan dari bagian studi kuantitatif dan kualitatif dicampur pada interpretasi. Hasil penelitian menunjukkan bahwa beberapa indikator yang berhubungan dengan kasus TB yang kurang terlapor dalam analisis multilevel adalah: 1) kompetensi dokter (OR = 0,09; CI95% = 0,05 hingga \ 0,17; p <001), 2. Kompetensi perawat (OR = 0,05) ; CI95% = 0.02 hingga 0.09; p <001), 3. Komitmen perawat (OR = 0.13; CI95% = 0.07 hingga 0.24; p <001), 4. Smear negative (OR = 0.35; CI95% = 0.18 hingga 0.67; p = 0,002), 5. TB paru ekstra (OR = 15,45; CI95% = 8,08 sampai 29,51; p <0,001), dan 6) manajemen rumah sakit (ICC = 11,24%; CI95% = 2,20% sampai 41,62%). . Dapat disimpulkan bahwa terdapat enam indeks yang berhubungan dengan kasus under-reporting TB di RSUD Kudus.

Associations between Smoking, Intrauterine Device Uptake, and Ectopic Pregnancy: A Meta Analysis Yanuari, Ridha Rossela; Pamungkasari, Eti Poncorini; Widyaningsih, Vitri
Journal of Maternal and Child Health Vol. 6 No. 4 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Ectopic pregnancy is an important cause of maternal morbidity and mortality, estimated to occur in approximately 1-2% of pregnancies worldwide. Smoking and history of using intrauterine devices are risk factors for ectopic pregnancy. This study aims to estimate the magnitude of the relationship between smoking and a history of using intrauterine devices on the incidence of ectopic pregnancy based on a number of previous primary studies. Subjects and Method: This study is a systematic review and meta-analysis. The articles used in this study were obtained from several databases, including: PubMed, Google Scholar, and Science Direct which were published from 2000-2020. The inclusion criteria used are full text articles with Case Control design. The keywords used to search for articles were as follows: smoking AND "ectopic pregnancy" AND multivariate; "use of intrauterine device" AND "ectopic pregnancy" AND multivariate; smoking OR cigarette AND “use of intrauterine device” AND “ectopic pregnancy” OR “tubal pregnancy” AND multivariate. Articles were collected using PRISMA flow diagrams and analyzed using the Review Manager 5.3. Results: A meta-analysis of 7 articles showed that women of reproductive age who smoked had a 2.20 times risk of ectopic pregnancy compared to women of reproductive age who did not smoke (aOR= 2.20; 95% CI= 1.45 to 3.34; p= 0.002). A meta-analysis of 9 articles showed that women of reproductive age with a history of using intrauterine devices had a 2.28 times risk of ectopic pregnancy compared to women of reproductive age who did not use intrauterine devices (aOR= 2.28; 95% CI= 1.74 to 2.98; p<0.001). Conclusion: Smoking and a history of using intrauterine devices increase the risk of ectopic pregnancy.

Effect of Urinary Tract Infection on Premature Birth: A Meta Analysis Palupi, Raras Indung; Widyaningsih, Vitri; Murti, Bhisma
Journal of Maternal and Child Health Vol. 7 No. 5 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Neonatal mortality in the world is mostly caused by premature birth (43%), and in Indonesia the biggest cause of neonatal death is premature birth (45%). One of the causes of pregnant women experiencing premature labor, namely urinary tract infections due to changes in the urinary tract system during pregnancy. This study aims to analyze the primary study of the effect of urinary tract infections in pregnant women on preterm delivery with a meta-analysis. Subjects and Method: This study is a meta-analysis with the following PICO, population: pregnant women. Intervention: Having a urinary tract infection. Comparison: No urinary tract infection. Outcome: Premature delivery. The articles used in this study were obtained from three databases, namely Google Scholar, Pubmed, and Science Direct. Keywords to search for articles (“urinary tract infection” AND “preterm labor” OR “premature birth” OR “premature labor”). The included article is full text in English with a case-control study design from 2006 to 2022 and reports the adjusted odds ratio in a multivariate analysis. The selection of articles is done by using PRISMA flow diagram. Articles were analyzed using the Review Manager 5.3 aplikasi application. Results: A total of 10 case-control studies from Iran, Iraq, India, Tanzania, Ethiopia, and Peru were selected for the meta-analysis. The data collected showed that pregnant women with urinary tract infections increased the occurrence of preterm labor by 2.19 times compared to pregnant women who did not experience urinary tract infections (aOR= 2.19; 95% CI= 1.80 to 2.66; p<0.001). Conclusion: Urinary tract infection during pregnancy increases the incidence of preterm labor. Keywords: urinary tract infection, premature delivery, meta-analysis. Correspondence: Raras Indung Palupi. Master’s Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: Palupiraras05@gmail.com. Mobile: +6285337540058.

Correlations between Obesity, Polycystic Ovary Syndrome, and Sleep Apnea: A Meta-Analysis Jayanti, Saktryana Endang Ragil; Widyaningsih, Vitri; Budihastuti, Uki Retno
Journal of Maternal and Child Health Vol. 7 No. 4 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Obesity is one of the biggest public health problems in the world. Obesity is associated with various health problems, decreased quality of life and death. Obesity is known to have an impact on women's lives, namely Polycystic Ovary Syndrome (PCOS) which if not treated immediately can cause sleep apnea. This study aims to analyze the relationship between obesity and PCOS and sleep apnea. Subjects and Method: This research is a systematic review and meta-analysis. Population = women, Intervention = obesity, Comparison = not obese, Outcomes = PCOS and sleep apnea. Article searches through journal databases include: PubMed, Science Direct, Google Scholar, and Springerlink. The keywords used are obesity OR obese AND PCOS OR “Polycystic Ovary Syn- drome” AND “sleep apnea” OR “Poor Sleep” OR “obstructive sleep apnea”. Articles were selected with the help of PRISMA flow diagrams. Inclusion criteria include full-text articles with obser- vational studies, multivariate analysis results in the form of aOR values and published from 2012- 2021. Eligible articles were analyzed using the Revman 5.3 application. Results: Eighteen articles from the United States, Brazil, China, Turkey, Iraq, Pakistan, Sri Lanka, Korea, West Africa, East Africa, Nigeria and the United Kingdom were included in the meta- analysis. A meta-analysis of the results of the case-control study design subgroup (4 articles) and the cross-sectional study (4 articles) showed that obese women had a 1.14-fold increased risk of developing PCOS compared to non-obese women (aOR = 1.14; 95% CI = 1.03 to 1.26; p= 0.010). A meta-analysis of 10 cross-sectional studies showed that obese women increased the risk of developing sleep apnea 4.66 times than non-obese women (aOR = 4.66; 95% CI = 3.23 to 6.71; p = <0.001). Conclusion: Obesity is a risk factor for PCOS (Polycystic Ovary Syndrome) and sleep apnea in women. Keywords: obesity, PCOS, sleep apnea, meta-analysis. Correspondence: Saktryana Endang Ragil Jayanti. Master’s Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: Saktryana.agil@gmail.com. Mobile: 082242154117.

Meta-Analysis the Effect of Oral Combination Contraceptive on Hypertension and Stroke Zuhaira, Ulul Azmi; Pamungkasari, Eti Poncorini; Widyaningsih, Vitri
Journal of Maternal and Child Health Vol. 7 No. 5 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Combined oral contraceptives are a form of contraception that are considered safe and effective for some women, but this does not rule out the possibility that combined oral contraceptives contribute to adverse health effects. Several epidemiological studies have shown that oral contraceptives have adverse effects on women's health. The use of contraceptive pills containing the hormones estrogen and progesterone can cause an increase in blood pressure and also stroke if used continuously. The purpose of this study was to estimate the magnitude of the risk of using combined oral contraceptives on the incidence of hypertension and stroke with a meta-analysis study. Subjects and Method: This was a systematic review and meta-analysis using PRISMA flowchart diagram guidelines. The article search process was carried out between 2007-2022 using 3 databases, including Google Scholar, PubMed, and Science Direct. The keywords used in the database search were “oral contraceptive” OR “contraceptive pills” OR “combined oral contraceptive” AND “hypertension” OR “blood pressure” AND “stroke” AND “women of reproductive age”. The inclusion criteria for full text articles using case control observational methods, articles using English, and articles using multivariate analysis with adjusted Odds Ratio results. Articles that have met the requirements are analyzed using the RevMan 5.3 application. Results: A total of 14 articles with case-control study designs originating from China, Ethiopia, the United States, Italy, and the Netherlands were carried out in a meta-analysis in this study. Meta-analysis of 7 articles showed that the effect of using combined oral contraceptives was to increase the incidence of hypertension 1.44 times compared to those who did not use combined oral contraceptives (aOR= 1.44; 95% CI= 1.12 to 1.84; p= 0.004). Meanwhile, 7 articles showed that the effect of using combined oral contraceptives was to increase the incidence of stroke by 2.08 times compared to those who did not use combined oral contraceptives (aOR= 2.08; 95% CI= 1.48 to 2.92; p < 0.001). Conclusion: Combined oral contraceptives increase the risk of hypertension and stroke. Keywords: combined oral contraceptives, hypertension, stroke, meta-analysis Correspondence:Ulul Azmi Zuhaira. Master’s Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: ululazmizuhaira@gmail.com. Mobile: +6282245012258.

Overweight and Obesity as Risk Factors of Breast Cancer in Premenopausal and Postmenopausal Women: Meta-Analysis Fadhila, Shofia Nur; Murti, Bhisma; Widyaningsih, Vitri
Journal of Maternal and Child Health Vol. 6 No. 6 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: A woman has an increased risk of breast cancer due to increased exposure to the hormone estrogen during her life due to early menarche, late menopause, and/or the absence of childbearing. Epidemiological data show that menopausal status has a risk factor for breast cancer. The aim of this study was to investigate overweight and obesity as risk factors for premenopausal and postmenopausal breast cancer. Subjects and Method: A systematic review and meta-analysis study was conducted by systematically reviewing articles published from 2010-2021 in the PubMed, Google Scholar, SpringerLink and Science Direct databases with the keywords overweight AND obesity AND "breast cancer" OR "breast carcinoma" AND "premenopausal women", overweight AND obesity AND "breast cancer" OR "breast carcinoma" AND "postmenopausal women". Inclusion criteria included articles in English, full text, using an observational study design, and displaying adjusted odds ratios. Articles were reviewed using PRISMA diagrams and analyzed using Revman 5.3. Results: A meta-analysis of 10 articles concluded that overweight women were 1.35 times more likely to develop premenopausal breast cancer than women with a normal BMI (aOR= 1.35; 95% CI= 0.98 to 1.86; p= 0.070). A meta-analysis of 10 articles concluded that obese women were 1.27 times more likely to develop premenopausal breast cancer than women with normal BMI (aOR= 1.27; 95% CI= 0.95 to 1.69; p= 0.110). A meta-analysis of 9 articles concluded that overweight women had a 1.28 times risk of developing postmenopausal breast cancer compared with women with a normal BMI (aOR= 1.28; 95% CI= 1.00 to 1.63; p= 0.050). A meta-analysis of 11 articles concluded that obese women were 1.52 times more likely to develop postmenopausal breast cancer than women with normal BMI (aOR= 1.52; 95% CI= 1.17 to 1.98; p= 0.002). Conclusion: Overweight and obesity increase the risk of pre-menopausal and postmenopausal breast cancer.

Meta-Analysis: Effect of Endometriosis and Intrauterine Device Contraceptive on Ectopic Pregnancy Habibatullah, Afifa Intifadha; Budihastuti, Uki Retno; Widyaningsih, Vitri
Journal of Maternal and Child Health Vol. 7 No. 4 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Ectopic pregnancy is an early complication of pregnancy with high morbidity and mortality. Several studies have examined a history of endometriosis and Intrauterine Device Contraceptive (IUD) use as risk factors for ectopic pregnancy, but have shown mixed results. This study aims to analyze the influence of a history of endometriosis and IUD use on the incidence of ectopic pregnancy based on previous primary studies. Subjects and Method: This was a systematic review and meta-analysis conducted with the PRISMA flow diagram guidelines. The article search process was carried out on the PubMed, Google Scholar, Science Direct, SAGE, JSTOR, and Scopus databases, for articles published from 2005 to 2022. The keywords used were: “Endometriosis” AND “Intrauterine Contraceptive Device” OR “Intrauterine Device” OR “IUD” OR “IUCD” AND “Ectopic Pregnancy” OR “Extrauterine Pregnancy” OR “Tubal Pregnancy” OR “Pregnancy Outcomes” OR “Pregnancy Complications” AND “Multivariate” OR “Multivariable” OR “Adjusted Odds Ratio” OR “aOR ". Analysis was performed with RevMan 5.3 software. Population: pregnant women of reproductive age. Intervention: endometriosis, using the IUD. Comparison: no endometriosis, no IUD use. Outcome: ectopic pregnancy. Inclusion criteria were full-text observational study articles in English and Indonesian, with ectopic pregnancy as the outcome, analyzed multivariately by including adjusted Odds Ratio/aOR. The analysis was carried out using Review Manager 5.3 software. Results: A total of 11 articles from Asia, Europe, Africa, Australia, and North America were found to meet the criteria and were included in the meta-analysis. The results of the overall analysis of 4 articles consisting of 2 cohort studies and 2 case-control studies were that endometriosis increased the risk of ectopic pregnancy 1.39 times higher than without endometriosis (aOR = 1.39, 95% CI = 1.16-1.68; p < 0.001). The results of the analysis of 7 case-control study articles showed that the use of IUDs increased the risk of ectopic pregnancy 1.35 times compared to not using the IUD and was not statistically significant (aOR = 1.35, 95% CI = 0.45-4.03; p = 0.590). Conclusion: Endometriosis is a risk factor for ectopic pregnancy. IUD use increased the risk of ectopic pregnancy but was not statistically significant. Keywords: endometriosis, intrauterine device contraceptive, ectopic pregnancy, meta-analysis. Correspondence: Afifa Intifadha Habibatullah. Master’s Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: alfimakrifatulazizahh@gmail.com. Mobile: +6285375335480.

Relationship Between Energy, Fat, and Carbohydrate Consumption Habits in Pregnant Women Chronic Energy Deficiency during the COVID-19 Pandemic: A Systematic Review Wahyu Trecy Indriani; Vitri Widyaningsih; Anik Lestari
Epidemiology and Society Health Review (ESHR) Vol. 5 No. 2 (2023)
Publisher : Universitas Ahmad Dahlan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26555/eshr.v5i2.7301

Background: Chronic Energy Deficiency (CED) during the COVID-19 pandemic affects the nutritional status of pregnant women. CED is indicated by the size of LiLA < 23.5 cm. This study aims to improve the nutritional status of pregnant women with chronic energy deficiency. Method: The study used a systematic review of relevant articles from databases (Pubmed, ScienceDirect, and Google Scholar) using keywords in Indonesian and English. Nine articles were selected based on the following inclusion criteria: publication from 2017 to 2021, discussing food consumption habits in pregnant women, articles in English or Indonesian, full text, open access, and scientific journals.Â Results: The results of this study can evaluate the consumption habits of pregnant women CED caused by inadequate food intake and less diverse food. Less food consumption habits in pregnant women are caused by low family income, human resources, education, and lack of family support to consume nutritional food. Conclusion: The study concludes that adequate food intake and good human resource consumption habits can affect pregnant women's nutritional status.

EFEKTIVITAS TERAPI AKUPUKTUR TERHADAP KUALITAS HIDUP PASIEN RHINITIS ALERGIKA: META ANALISIS I Gusti Bagus Panji Widiatmaja Widiatmaja; Setyo Sri Raharjo; Vitri Widyaningsih; Kadek Buja Harditya
Jurnal Riset Kesehatan Nasional Vol. 7 No. 2 (2023)
Publisher : Institute Teknologi dan Kesehatan (ITEKES) Bali

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37294/jrkn.v7i2.503

Abstrak Rhinitis alergika (RA) adalah salah satu gangguan kesehatan sebagai kelainan pada hidung disertai gejala bersin-bersin, hidung berair, rasa gatal dan tersumbat pada hidung setelah mukosa hidung terpapar alergen yang diperantarai oleh imunoglobulin E (IgE). Banyak penelitian yang membuktikan dampak akupunktur pada sistem imun. Penelitian ini merupakan sistematic review dan meta-analisis, dengan PICO, yaitu Population: pasien rhinitis alergika. Intervention: terapi akupunktur. Comparison: sham/placebo akupunktur. Outcome: kualitas hidup. Artikel yang digunakan dalam penelitian ini diperoleh dari beberapa database antara lain Google Scholar, MEDLINE/PubMed, Science Direct, Hindawi, Europe PMC dan Springer Link. Artikel-artikel ini dikumpulkan selama 1 bulan. Kata kunci untuk mencari artikel adalah sebagai berikut: â€œacupuncture for allergic rhinitisâ€ OR â€œacupuncture for seasonal allergic rhinitisâ€ OR â€œacupuncture for parenial allergic rhinitisâ€ AND â€œquality of lifeâ€ AND â€œrandomized controlled trialâ€. Artikel yang termasuk dalam penelitian ini adalah artikel full text dengan desain studi randomized controlled trial (RCT). Kualitas hidup diukur dengan menggunakan Rhinitis Quality of Life Quissioner (RQLQ). Meta analisis ditulis menggunakan PRISMA flow diagram dan dianalisis dengan menggunakan aplikasi Review Manager 5.4. menunjukkan terdapat pengaruh terapi akupunktur terhadap kualitas hidup pasien rhinitis alergika. Akupunktur mampu menurunkan skor RQLQ (meningkatkan kualitas hidup), meskipun secara statistik tidak signifikan. Pasien rhinitis alergika yang mendapatkan akupunktur rata-rata memiliki kualitas hidup dengan skor RQLQ 0.17 unit lebih baik daripada mendapatkan sham akupunktur/akupunktur palsu (SMD = -0.17; CI 95% = -0,40 hingga 0.05; p = 0.120). Terdapat pengaruh akupunktur terhadap kualitas hidup pasien rhinitis alergika. Kata Kunci: Acupuncture, Allergic rhinitis, Kualitas Hidup, RQLQ, Randomized Controlled Trial, Meta-analisis

Survival and prognostic factors in pediatric osteosarcoma: A 5-year single-center experience in Central Java, Indonesia Riza, Muhammad; Salimo, Harsono; Wasita, Brian; Idulhaq, Mujaddid; Saputra, Rhyan Darma; Widyaningsih, Vitri; Soestrisno, Soestrisno; Zahidah, Fairuz; Wayanshakty, Janur
Paediatrica Indonesiana Vol. 64 No. 1 (2024): January 2024
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi64.1.2024.10-6

Background The advent of chemotherapy with multimodal treatment has improved the survival rate of osteosarcoma. However, the survival rate of patients with osteosarcoma in low- and middle-income countries (LMICs) remains lower than in high-income countries (HICs). Objective To assess prognostic factors associated with survival rate of pediatric patients with osteosarcoma in Moewardi Hospital, Surakarta. Methods This retrospective study was performed in pediatric osteosarcoma patients at Moewardi Hospital, Surakarta from 2018 to 2022. We described patients’ clinical presentations and assessed prognostic factors. Survival rate was calculated using Kaplan–Meier survival analysis. Prognostic factors were analyzed using univariate and multivariate Cox regression methods. Results Of the 82 patients included in the study, 40 (48.8%) were male and 42 (51.2%) were female. Most subjects (75.6%) were diagnosed with osteosarcoma at the age of >10 years, 45 patients (54.9%) had primary tumors in the femur, and 16 patients (19.5%) had limb salvage surgery. The mean event-free survival duration was 13.6 (95%CI 9.7 to 17.5) months. The mean duration of overall survival was 22.7 (95%CI 17.3 to 28.1) months, with a 44.1% survival probability. Type of surgery was a significant prognostic factor (P=0.018), with limb salvage having better survival probability (93.3%) than amputation (19.8%). Conclusion The overall survival rate of osteosarcoma patients at our center is still lower than in other regional centers. Limb salvage surgery was a significant prognostic factor for survival, while gender, location of primary tumor, histological subtype, and metastasis at the time of diagnosis were not.

Co-Authors . Muthmainah Abd. Rasyid Syamsuri Achmad Arman Subijanto, Achmad Arman Afif Avicenna Ghufron Agus Kristiyanto Agus Kristiyanto Ahadiyati, Dyah Mubarokah Al Biruni, Nada Alamanda Murasmita Alfia Rusfianti Ali, Agni Shalha Anik Lestari Anik Lestari Anshari, Shafira Yasmine Ardina, Safira Cindra Ari Natalia Probandari Ari Probandari Arsita Eka Prasetyawati Asaduddin, Aiman Hilmi Asrial, An A. Ayu Setyani, Rizka Bachnas, Muhammad Adrianes Bambang Purwanto Bambang Purwanto Bayu Putra Dewantara Bening Rahimi Titisari Berek, Maria Imakulata Bhisma Murti Bhisma Murti Bima Kusuma Jati Brian Wasita Brian Wasita Brigitte Rina Aninda Sidharta Budianto, Pepi Budiyanti Wiboworini Burhannudin Ichsan Cahyani, Mey Ditaputri Chatarina Umbul Wahyuni Cut Cahaya Rani Saifa Alhajd Quraisy Diah Kurnia Mirawati Dian Atnantomi Wiliyanto Didik Gunawan Tamtomo Didik Gunawan Tamtomo Dono Indarto Dwi Tour Kumalasari Endang Surani Endang Sutisna Sulaeman Erin Rizkiana Eti Poncorini Pamungkasari Eti Poncorini Pamungkasari Fadhila, Shofia Nur Fadjri Kirana Anggarani Fajar Yunita Sari Fardhiasih Dwi Astuti Farida Farida Firnanda, Sani Widya Fitri Febrianti Ramadhan, Fitri Febrianti Habibatullah, Afifa Intifadha Hambarsari, Yetty Hamidi, Baarid Luqman Haris Setyawan, Haris Harjanti, Anis Harsono Salimo Hartanti, Ainurrizma Tri Hartono Hema Dewi Anggraheny Heni Hastuti Hutabarat, Ervina Arta Jayanti I Gusti Bagus Panji Widiatmaja Widiatmaja Ida Nurwati Idulhaq, Mujaddid Imam Setya Arifian, Imam Setya Indarta, Ardhia Fefrine Ipop Sjarifah Ira Ristinawati Istiqomah Risa Wahyuningsih Ita Fijanah Puspita Jati, Bima Kusuma Jayanti, Saktryana Endang Ragil Joko Yuwono Juanda Dewi Bambang Bangun Wibowo, Shaviera Kadek Buja Harditya Ketaren, Enge Surabina Khotijah Khotijah Kumalasari, Dwi Tour Kurniatri, Maniek indah kusnandar kusnandar Leli Saptawati Lukman Aryoseto Lusi Ismayenti, Lusi Mahardika Supratiwi Mahardika Yudianti, Manda Talitha Mahendra, Putu Gede Oka Maingu, Bertha Sylvester Maki Zamzam Maki Zamzam Maria Galuh Kamenyangan Sari Maria Imakulata Berek Mashuri, Yusuf Ari MB, Reyhana Meirina Mulia Wardani Merry Tiyas Anggraini Ms Khotijah, Ms Muchsin Doewes Muhammad Riza Muhammad, Faizal Muvida Muvida Muvida Muvida Najlah Amalia Nanda Agustian Simatupang Nawanindha, Natasha Nazmin binti Abdullah Niken Kartika Sari Ningrum, Fiki Cahya NINGRUM, TYAS SARI RATNA Novelia Qothrunnada nugroho wisnu murti Nur Hafidha Hikmayani Nur Hafidha Hikmayani Palupi, Raras Indung Paulus Kusnanto Prabaningtyas, Hanindia Riani Prasetya, Hanung Pravitasari, Ines Ratni Primaningtyas, Widana Pudjiastuti, Anggit Puspitasari, Yunita Dwi Quraisy, Cut Cahaya Rani Saifa Alhajd R Reviono R Rusnoto Rachmawati, Nur Cahya Rahardjo, Setyo Sri Rahardjo, Setyo Sri Rahmawati Ratih Puspita Febrinasari Ratih Puspita Febrinasari Reni Wijayanti Reviana, Prita Alvina Reviono Reviono Reviono, R Rico Januar Sitorus Ristaning Belawati, Yeny Risya Cilmiaty, Risya Rivan Danuaji Riyadi, Slamet Rosyida, Rufaida Rusfianti, Alfia Rusnoto, R Saputra, Rhyan Darma Saputri, Nurul Aini Suria Sari, Niken Kartika Selfi Handayani Selvi Sumardin Setianto, Budi Y. Setyo Sri Rahardjo Setyo Sri Raharjo Setyo Sri Raharjo Sholihah, Imrok Atus Simatupang, Nanda Agustian Siti Nur Hidayati Slamet Riyadi Soestrisno, Soestrisno Soetrisno Soetrisno Soetrisno Soetrisno Soetrisno Sri Mulyani Sri Mulyani Sri Mulyani Sri Widarti, Sri Suhanantyo, . Sukamto, Ika Sumiyarsi Sumardiyono Sumardiyono Sumardiyono Sumardiyono SUROTO Tedjo, Raden Andi Ario Tejomukti, Teddy Titisari, Bening Rahimi Tri Nugraha Susilawati Triatmi Andri Yanuarini Uki Retno Budihastuti Uki Retno Budihastuti Uki Retno Budihastuti Ulul Azmi Zuhaira Wahyu Gito Putro Wahyu Trecy Indriani Wayanshakty, Janur Wibawa, Lathifa Diyang Widayati, Purwika Widiatmaja, I Gusti Bagus Panji Windhy Monica Wulansari, Galuh Yanri Wijayanti Subronto Yanuari, Ridha Rossela yulia lanti retno dewi Zahidah, Fairuz Zaidah, Lailatuz

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