The challenging journey of cervical cancer diagnosis and treatment at the second largest hospital in Indonesia
Objectives: Cervical cancer is a major health concern in developing countries. Access to preventive measures is limited in low- and middle-income countries, and cervical cancer is often identified at an advanced stage of the disease. In this study, we aimed to investigate when patients were first di...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2024-02-01
|
| Series: | Gynecologic Oncology Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2352578924000043 |
| _version_ | 1827345976025677824 |
|---|---|
| author | Brahmana Askandar Tjokroprawiro Khoirunnisa Novitasari Wita Saraswati Indra Yuliati Renata Alya Ulhaq Hanif Ardiansyah Sulistya |
| author_facet | Brahmana Askandar Tjokroprawiro Khoirunnisa Novitasari Wita Saraswati Indra Yuliati Renata Alya Ulhaq Hanif Ardiansyah Sulistya |
| author_sort | Brahmana Askandar Tjokroprawiro |
| collection | DOAJ |
| description | Objectives: Cervical cancer is a major health concern in developing countries. Access to preventive measures is limited in low- and middle-income countries, and cervical cancer is often identified at an advanced stage of the disease. In this study, we aimed to investigate when patients were first diagnosed and received treatment at a large hospital in Indonesia. Methods: Data were collected using a questionnaire from outpatient visits and descriptively analyzed. Totally, 215 cervical cancer patients being treated at the Dr. Soetomo Academic Hospital's gynecological oncology outpatient clinic in Indonesia between August and October 2022 were included. Results: Most patients were 51–60 years old (36.3 %), housewives (87 %), and had an elementary school education level (50 %). Most (88.4 %) admitted they were unaware about cervical cancer prevention, and 85.6 % never underwent screening. Most cervical biopsies were performed at primary hospitals (42.3 %). Fear of cancer treatment was the most frequent reason for patients arriving late at tertiary hospitals (50 %). Treatment delays occurred because patients had to visit two healthcare facilities before visiting a tertiary hospital (47.4 %). Most patients were diagnosed with stage III cancer (38.1 %), and chemotherapy was administered as the first-line therapy (96.3 %). Most patients (51.2 %) received their first therapy >12 months after initial symptom onset. Conclusions: Most cervical cancer patients were diagnosed at a late stage owing to a lack of information regarding early symptoms and irregular screenings. Treatment was delayed owing to social barriers. Therefore, the government should have more strict policies to implement cervical cancer detection and prevention. |
| first_indexed | 2024-03-07T23:21:28Z |
| format | Article |
| id | doaj.art-0170d76e3e1d49f6847d03957b959da6 |
| institution | Directory Open Access Journal |
| issn | 2352-5789 |
| language | English |
| last_indexed | 2024-03-07T23:21:28Z |
| publishDate | 2024-02-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Gynecologic Oncology Reports |
| spelling | doaj.art-0170d76e3e1d49f6847d03957b959da62024-02-21T05:28:49ZengElsevierGynecologic Oncology Reports2352-57892024-02-0151101325The challenging journey of cervical cancer diagnosis and treatment at the second largest hospital in IndonesiaBrahmana Askandar Tjokroprawiro0Khoirunnisa Novitasari1Wita Saraswati2Indra Yuliati3Renata Alya Ulhaq4Hanif Ardiansyah Sulistya5Corresponding author.; Departement of Obstetrics and Gynecology, Faculty of Medicine, Universitas Airlangga, Dr. Soetomo General Academic Hospital, Jl. Prof. Dr. Moestopo 6-8, Surabaya 60286, IndonesiaDepartement of Obstetrics and Gynecology, Faculty of Medicine, Universitas Airlangga, Dr. Soetomo General Academic Hospital, Jl. Prof. Dr. Moestopo 6-8, Surabaya 60286, IndonesiaDepartement of Obstetrics and Gynecology, Faculty of Medicine, Universitas Airlangga, Dr. Soetomo General Academic Hospital, Jl. Prof. Dr. Moestopo 6-8, Surabaya 60286, IndonesiaDepartement of Obstetrics and Gynecology, Faculty of Medicine, Universitas Airlangga, Dr. Soetomo General Academic Hospital, Jl. Prof. Dr. Moestopo 6-8, Surabaya 60286, IndonesiaDepartement of Obstetrics and Gynecology, Faculty of Medicine, Universitas Airlangga, Dr. Soetomo General Academic Hospital, Jl. Prof. Dr. Moestopo 6-8, Surabaya 60286, IndonesiaDepartement of Obstetrics and Gynecology, Faculty of Medicine, Universitas Airlangga, Dr. Soetomo General Academic Hospital, Jl. Prof. Dr. Moestopo 6-8, Surabaya 60286, IndonesiaObjectives: Cervical cancer is a major health concern in developing countries. Access to preventive measures is limited in low- and middle-income countries, and cervical cancer is often identified at an advanced stage of the disease. In this study, we aimed to investigate when patients were first diagnosed and received treatment at a large hospital in Indonesia. Methods: Data were collected using a questionnaire from outpatient visits and descriptively analyzed. Totally, 215 cervical cancer patients being treated at the Dr. Soetomo Academic Hospital's gynecological oncology outpatient clinic in Indonesia between August and October 2022 were included. Results: Most patients were 51–60 years old (36.3 %), housewives (87 %), and had an elementary school education level (50 %). Most (88.4 %) admitted they were unaware about cervical cancer prevention, and 85.6 % never underwent screening. Most cervical biopsies were performed at primary hospitals (42.3 %). Fear of cancer treatment was the most frequent reason for patients arriving late at tertiary hospitals (50 %). Treatment delays occurred because patients had to visit two healthcare facilities before visiting a tertiary hospital (47.4 %). Most patients were diagnosed with stage III cancer (38.1 %), and chemotherapy was administered as the first-line therapy (96.3 %). Most patients (51.2 %) received their first therapy >12 months after initial symptom onset. Conclusions: Most cervical cancer patients were diagnosed at a late stage owing to a lack of information regarding early symptoms and irregular screenings. Treatment was delayed owing to social barriers. Therefore, the government should have more strict policies to implement cervical cancer detection and prevention.http://www.sciencedirect.com/science/article/pii/S2352578924000043Cervical cancerScreeningTreatment |
| spellingShingle | Brahmana Askandar Tjokroprawiro Khoirunnisa Novitasari Wita Saraswati Indra Yuliati Renata Alya Ulhaq Hanif Ardiansyah Sulistya The challenging journey of cervical cancer diagnosis and treatment at the second largest hospital in Indonesia Gynecologic Oncology Reports Cervical cancer Screening Treatment |
| title | The challenging journey of cervical cancer diagnosis and treatment at the second largest hospital in Indonesia |
| title_full | The challenging journey of cervical cancer diagnosis and treatment at the second largest hospital in Indonesia |
| title_fullStr | The challenging journey of cervical cancer diagnosis and treatment at the second largest hospital in Indonesia |
| title_full_unstemmed | The challenging journey of cervical cancer diagnosis and treatment at the second largest hospital in Indonesia |
| title_short | The challenging journey of cervical cancer diagnosis and treatment at the second largest hospital in Indonesia |
| title_sort | challenging journey of cervical cancer diagnosis and treatment at the second largest hospital in indonesia |
| topic | Cervical cancer Screening Treatment |
| url | http://www.sciencedirect.com/science/article/pii/S2352578924000043 |
| work_keys_str_mv | AT brahmanaaskandartjokroprawiro thechallengingjourneyofcervicalcancerdiagnosisandtreatmentatthesecondlargesthospitalinindonesia AT khoirunnisanovitasari thechallengingjourneyofcervicalcancerdiagnosisandtreatmentatthesecondlargesthospitalinindonesia AT witasaraswati thechallengingjourneyofcervicalcancerdiagnosisandtreatmentatthesecondlargesthospitalinindonesia AT indrayuliati thechallengingjourneyofcervicalcancerdiagnosisandtreatmentatthesecondlargesthospitalinindonesia AT renataalyaulhaq thechallengingjourneyofcervicalcancerdiagnosisandtreatmentatthesecondlargesthospitalinindonesia AT hanifardiansyahsulistya thechallengingjourneyofcervicalcancerdiagnosisandtreatmentatthesecondlargesthospitalinindonesia AT brahmanaaskandartjokroprawiro challengingjourneyofcervicalcancerdiagnosisandtreatmentatthesecondlargesthospitalinindonesia AT khoirunnisanovitasari challengingjourneyofcervicalcancerdiagnosisandtreatmentatthesecondlargesthospitalinindonesia AT witasaraswati challengingjourneyofcervicalcancerdiagnosisandtreatmentatthesecondlargesthospitalinindonesia AT indrayuliati challengingjourneyofcervicalcancerdiagnosisandtreatmentatthesecondlargesthospitalinindonesia AT renataalyaulhaq challengingjourneyofcervicalcancerdiagnosisandtreatmentatthesecondlargesthospitalinindonesia AT hanifardiansyahsulistya challengingjourneyofcervicalcancerdiagnosisandtreatmentatthesecondlargesthospitalinindonesia |