Admission Pattern and Treatment of Solid Tumors at Tikur Anbessa Specialized Hospital Radiotherapy Center from July 2020 to February 2021.
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Date
2022-02
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Addis Ababa University
Abstract
Background: The incidence of cancer has increased dramatically worldwide in the last two decade. Cancer in sub-Saharan Africa (SSA) is on the rise caused by a rapid population growth, increased life expectancy and adoption of unhealthy lifestyles. In Ethiopia the incidence of cancer is increasing over years with an estimated 67, 573 new cases and over 46, 373 deaths in 2018. At TASH RT center there was no study that tried to evaluate admission pattern and intent of therapy of solid tumors. So this study was conducted to determine admission pattern and treatment intent of solid tumor in TASH radiotherapy (RT) center.
Objective: To assess the admission pattern and treatment intent of Solid Tumors at TASH RT center from July 2020 to February 2021.
Method: A cross sectional study was conducted to assess admission pattern and treatment of solid tumors among patients admitted for chemotherapy in TASH RT wards from July 2020 to February 2021 who fulfilled the inclusion criteria. Data was extracted from the Oncology Patient Registration System, then it was checked for completeness. Descriptive statistic was conducted using SPSS version 23. Association of patient address with cancer stage and intent of therapy was evaluated.
Result: A total of 434 patients were admitted during the study period. Median age was 43.0 years, ranging from 18 years to 80 years. Almost half (50.5%) of the patients were females and most patients (87.6%) had no any known comorbidity and 7.4% had HIV infection. Most of the patients came from Addis Ababa City (44.5%), followed by Oromia region (30%) and Amhara region (11.8%). The most common anatomic sites of the cancers were GIT (37.1%), head and neck (25.6) and genito-urinary (15.0%). Based on histology, adenocarcinoma and SCC accounted for about 38.5% and 36.9% respectively. Most patients were admitted with stage IV (72.1%) and stage III accounts 21%. The treatment intent was palliative in 59.4%, neo-adjuvant in 23.3%, adjuvant in 14.3% and radical in 3%.
Conclusion: Most patients presented with advanced stage and more than half of all the patients were treated with palliative intent.
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Keywords
Treatment pattern, Solid tumors, Tikur Anbesa specialized Hospital