Association between waiting time for radiotherapy initiation and disease progression among women with cervical cancer in Addis Ababa, Ethiopia

2021 ◽  
Author(s):  
Nebiyu Dereje ◽  
Adamu Addissie ◽  
Alemayehu Worku ◽  
Alem Gebremariam ◽  
Eva Johanna Kantelhardt ◽  
...  
Keyword(s):  
Cervical Cancer ◽  
Disease Progression ◽  
Waiting Time ◽  
Addis Ababa

scholarly journals Human Papillomavirus Cofactors by Disease Progression and Human Papillomavirus Types in the Study to Understand Cervical Cancer Early Endpoints and Determinants

2009 ◽  
Vol 18 (1) ◽  
pp. 113-120 ◽  
Author(s):  
Sophia S. Wang ◽  
Rosemary E. Zuna ◽  
Nicolas Wentzensen ◽  
S. Terence Dunn ◽  
Mark E. Sherman ◽  
...  
Keyword(s):  
Cervical Cancer ◽  
Human Papillomavirus ◽  
Disease Progression

scholarly journals A cross-sectional assessment of symptom burden among patients with advanced cervical cancer

2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Tolcha Kebebew ◽  
Azwihangwisi Helen Mavhandu-Mudzusi ◽  
Annah Mosalo
Keyword(s):  
Cervical Cancer ◽  
Palliative Care ◽  
Addis Ababa ◽  
Symptom Burden ◽  
Advanced Cervical Cancer ◽  
Patient Anxiety ◽  
Emotional Symptoms ◽  
Cross Sectional ◽  
Limited Mobility ◽  
Patient Reported

Abstract Background The increasing burden of chronic non-communicable diseases in developing countries is driving attention to palliative care services. Identification of disease-specific symptoms of concern and their prevalence will guide designing, monitoring, and evaluating palliative care programmes. This study assessed the burden of symptoms and problems among patients with advanced cervical cancer. Methods This research followed a cross-sectional study design to quantitatively review the symptom burden among patients diagnosed with advanced cervical cancer attending treatment at Tikur Anbessa Specialised Hospital, Addis Ababa, Ethiopia from January to July 2019. Symptoms were assessed using a patient-reported, seven-day recall Integrated Palliative Care Outcome Scale (IPOS) version III. Frequency, median and mean scores with a standard deviation were used in the descriptive analysis whereas t-test and one-way analysis of variance were used for comparisons. Results There were 385 patients with advanced cervical cancer, stage IIB-IVB, successfully interviewed. The median age was 50 years, the majority were illiterate (63.1%) and in marital union (62.3%). Over 50% of the patients experienced pain, weakness, poor appetite, constipation, limited mobility, and dry mouth. The burdens of emotional symptoms such as patient anxiety, family anxiety, and patient depression were also prevalent at 79.7%, 82.3%, and 47.0%, respectively. Patients who are illiterate, at a higher stage of the disease, not currently in marriage, and who received palliative radiotherapy bear a higher symptom burden. Conclusion Patients with advanced cervical cancer bear a high symptom burden. Early initiation of palliative care is recommended to alleviate the concerning symptoms, and to improve patients’ quality of life.

scholarly journals Client Satisfaction on Antenatal Care Service by Pregnant Women in Public and Private Hospitals in Addis Ababa, Ethiopia: A Cross-sectional Comparative Descriptive Study

2020 ◽  
Vol 4 (1) ◽  
Keyword(s):  
Antenatal Care ◽  
Pregnant Women ◽  
Waiting Time ◽  
Client Satisfaction ◽  
Addis Ababa ◽  
Care Service ◽  
Public Hospitals ◽  
Private Hospitals ◽  
Public And Private ◽  
Public And Private Hospitals

Background: Antenatal care (ANC) is an important health care service which is intended to potentially reduce maternal morbidity and mortality particularly in areas where the general health status of women is presumed poor, choice of facilities is limited and the service delivery compromised by geography (terrain, transport), socio-demographic factors, financial capability and awareness. Though improving the quality of health care is one of the targeted strategies in the Health Sector Development Program IV (HSDP IV) of Ethiopia, little is known about the quality of antenatal care service and client satisfaction at the different hospitals in Addis Ababa, the capital city of Ethiopia. Objective: To determine satisfaction of ANC services among pregnant women at the public teaching and private hospitals in Addis Ababa, Ethiopia. Methods: Health institution-based comparative cross-sectional study was conducted from February to June, 2019 in public and private hospitals, in Addis Ababa, using sample size determination for comparisons of proportion between the two populations. All participants who fulfilled the inclusion criteria were enrolled based on the flow of pregnant women to the ANC clinics at the selected hospitals. Data were entered and cleaned using EPI-info version 3.5.1 and analysis was performed by SPSS version 21. Association of independent variables with the client satisfaction was done using binary and multivariate logistic regression. Significant association of variables with outcome was determined using adjusted odds ratio (AOR) together with 95 % confidence interval. Level of significance was set at P-value of ≤ 0.05. Results: Five hundred seventy one pregnant women attending Antenatal Care at private (281) and public (290) hospitals were included with response rates of 94.1 and 91.2% for public and private hospitals, respectively. The age distribution of the participants was between 17 and 43 years with a mean age of 27.3±5.1 years. Most of the clients, 249 (88.7%) at private and 276 (95.2%) at public hospitals were between the ages of 20 and 34 years. One hundred fourteen (39.3%) of the clients at public and 113 (40.2%) at private hospitals were nulliparous. The clients overall satisfaction with antenatal care was mostly positive both at the private and public hospitals and two hundred twenty eight (81.1%) of the private and 174 (60%) of the public hospitals were satisfied with the services provided. Having ANC follow up at the private hospitals had statistically significant difference in client satisfaction compared to those in public hospitals with P value of 0.019, (AOR 2.97, 95% CI:1.19 -7.74). Clients’ satisfaction with the cleanliness of the environment was 11.1 times more likely to be satisfied with the general ANC service, P<0.05, (AOR 12.18 95% CI: 7.45-19.91). Having more than 4 ANC visits was positively associated with client overall satisfaction, P= 0.021, (AOR 2.41, 95% CI: 1.12-5.24,) while long waiting time is negatively associated with client satisfaction. Conclusions: The study showed significant difference in client satisfaction rate between the selected private and public facilities. Private facilities outperformed public facilities with regards to structural features (privacy, waiting time, space, and neatness). We recommend concerted effort to improve ANC visits and pay due attention to the privacy, waiting time, and the neatness of the facilities in public hospitals.

ECHOGRAPHIC AND CLINICAL FEATURES OF CERVICAL CANCER

2020 ◽  
Vol 93 (1) ◽  
pp. 46-48
Author(s):  
Dilfuzaxon Mamarasulova ◽  
◽  
Dilnoza Isakova ◽  
Habibaxon Negmatshayeva ◽  
Albina Validova ◽  
...  
Keyword(s):  
Cervical Cancer ◽  
Disease Progression ◽  
Clinical Features ◽  
Malignant Tumors ◽  
Cancer Center ◽  
Optimal Methods ◽  
Ultrasound Monitoring ◽  
Methods Of Treatment

This article discusses the clinical and echodopplerographic features of cervical cancer, which allows to improve the differential, topical and clarifying diagnosis of malignant tumors of the uterus. The material for the study included 115 patients with cervical cancer who applied to the Andijan branch of the cancer center. The revealed clinical and echodopplerographic features of СС made it possible to predict the course, outcome of the disease and to choose the optimal methods of treatment. Ultrasound monitoring of patients with СС, allows to assess the effectiveness of treatment and timely detect metastases and disease progression.

Effect of Treatment Delay on Survival in Patients With Cervical Cancer: A Historical Cohort Study

2014 ◽  
Vol 24 (7) ◽  
pp. 1326-1332 ◽  
Author(s):  
Tamar Perri ◽  
Gal Issakov ◽  
Gilad Ben-Baruch ◽  
Shira Felder ◽  
Mario E. Beiner ◽  
...  
Keyword(s):  
Cervical Cancer ◽  
Cohort Study ◽  
Waiting Time ◽  
Treatment Initiation ◽  
Treatment Delay ◽  
Lymph Node Involvement ◽  
Continuous Variable ◽  
Node Involvement ◽  
Group 3 ◽  
Effect Of Treatment

ObjectiveThe objective of this study was to evaluate the effect of treatment delay on prognosis in patients with cervical cancer.MethodsThe study group of this historic cohort study comprised 321 patients newly diagnosed with cervical cancer between 1999 and 2010. Time from diagnosis to treatment was analyzed both as a continuous variable and as a categorical variable in 3 groups that differed in waiting time between diagnosis and treatment initiation: 30 days or less (group 1, n = 134), 30 to 45 days (group 2, n = 86), and more than 45 days (group 3, n = 101). Associations between waiting time group, patients’ characteristics, and disease outcome were investigated usingttests, analyses of variance and Cox regression analyses, Kaplan-Meier survival analysis, and log-rank (Mantel-Cox) tests.ResultsTime from diagnosis to treatment initiation, when analyzed as a continuous variable, was not a significant factor in survival. There were no between-group differences in age, smoking rate, marital status, gravidity, parity, tumor histology, or lymph node involvement. Early-stage disease and small tumor diameter were diagnosed most frequently in group 3. However, there was no significant between-group difference in 3-year survival rates (74.6%, 82.2%, and 80.8% in groups 1, 2, and 3, respectively;P= 0.38). On multivariate analysis, only stage, histology, and lymph node involvement were significant prognostic factors for survival. Before starting treatment, 28 patients underwent ovarian preservation procedures.ConclusionsLonger waiting time from diagnosis to treatment was not associated with worse survival. Our findings imply that if patients desire fertility or ovarian preservation procedures before starting treatment, it is acceptable to allow time for them.

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