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Facing problems in radiotherapy for breast cancer patients in Yogyakarta, Indonesia: A cohort retrospective study

BACKGROUND: The aim of this study is to explore problems in radiotherapy for breast cancer patients in Yogyakarta, Indonesia, focusing on overall treatment time (OTT) and completion rate. METHODS: A retrospective cohort study was conducted based on data from the Insurance Unit at a tertiary hospital...

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Autores principales: Suryanegara, Fithria Dyah Ayu, Rokhman, M. Rifqi, Ekaputra, Ericko, de Jong, Lisa Aniek, Setiawan, Didik, de Bock, Geertruida H., Postma, Maarten Jacobus
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10134354/
https://www.ncbi.nlm.nih.gov/pubmed/36680328
http://dx.doi.org/10.1002/cam4.5634
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author Suryanegara, Fithria Dyah Ayu
Rokhman, M. Rifqi
Ekaputra, Ericko
de Jong, Lisa Aniek
Setiawan, Didik
de Bock, Geertruida H.
Postma, Maarten Jacobus
author_facet Suryanegara, Fithria Dyah Ayu
Rokhman, M. Rifqi
Ekaputra, Ericko
de Jong, Lisa Aniek
Setiawan, Didik
de Bock, Geertruida H.
Postma, Maarten Jacobus
author_sort Suryanegara, Fithria Dyah Ayu
collection PubMed
description BACKGROUND: The aim of this study is to explore problems in radiotherapy for breast cancer patients in Yogyakarta, Indonesia, focusing on overall treatment time (OTT) and completion rate. METHODS: A retrospective cohort study was conducted based on data from the Insurance Unit at a tertiary hospital in Yogyakarta, Indonesia. The study included all female outpatients with breast cancer who were treated with radiotherapy from January to December 2017 and met the inclusion criteria. The primary outcomes were OTT and completion rate. The secondary outcomes included the number of radiotherapy fractions, radiotherapy doses, number of radiotherapy interruption days, and reasons for radiotherapy interruption. The chi‐squared and Mann–Whitney U tests were used to assess the differences in outcomes between two insurance schemes (JKN‐PBI (Beneficiaries of Health Insurance Contribution Assistance) and JKN‐NON‐PBI (Non‐Beneficiaries of Health Insurance Contribution Assistance)). RESULTS: The sample included 285 breast cancer patients (mean age: 53 years). The median OTT was 38 days (IQR: 17–48 days), with 123 (43.2%) patients having prolonged OTT. The completion rate was 57.9%. No significant differences in OTT (44.4% vs. 35.7%, p = 0.445) and completion rate (57.2% vs. 61.9%, p = 0.569) were found between the JKN‐NON‐PBI and JKN‐PBI groups, respectively. In all, the data reported 3,022 interrupted days of radiotherapy across a total of 227 patients. The most common reason for radiotherapy interruption was unknown. CONCLUSION: There are problems in timely delivery and low completion rate of radiotherapy among breast cancer patients in Indonesia. There are no significant differences in OTT and completion rate between the insurance schemes.
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spelling pubmed-101343542023-04-28 Facing problems in radiotherapy for breast cancer patients in Yogyakarta, Indonesia: A cohort retrospective study Suryanegara, Fithria Dyah Ayu Rokhman, M. Rifqi Ekaputra, Ericko de Jong, Lisa Aniek Setiawan, Didik de Bock, Geertruida H. Postma, Maarten Jacobus Cancer Med RESEARCH ARTICLES BACKGROUND: The aim of this study is to explore problems in radiotherapy for breast cancer patients in Yogyakarta, Indonesia, focusing on overall treatment time (OTT) and completion rate. METHODS: A retrospective cohort study was conducted based on data from the Insurance Unit at a tertiary hospital in Yogyakarta, Indonesia. The study included all female outpatients with breast cancer who were treated with radiotherapy from January to December 2017 and met the inclusion criteria. The primary outcomes were OTT and completion rate. The secondary outcomes included the number of radiotherapy fractions, radiotherapy doses, number of radiotherapy interruption days, and reasons for radiotherapy interruption. The chi‐squared and Mann–Whitney U tests were used to assess the differences in outcomes between two insurance schemes (JKN‐PBI (Beneficiaries of Health Insurance Contribution Assistance) and JKN‐NON‐PBI (Non‐Beneficiaries of Health Insurance Contribution Assistance)). RESULTS: The sample included 285 breast cancer patients (mean age: 53 years). The median OTT was 38 days (IQR: 17–48 days), with 123 (43.2%) patients having prolonged OTT. The completion rate was 57.9%. No significant differences in OTT (44.4% vs. 35.7%, p = 0.445) and completion rate (57.2% vs. 61.9%, p = 0.569) were found between the JKN‐NON‐PBI and JKN‐PBI groups, respectively. In all, the data reported 3,022 interrupted days of radiotherapy across a total of 227 patients. The most common reason for radiotherapy interruption was unknown. CONCLUSION: There are problems in timely delivery and low completion rate of radiotherapy among breast cancer patients in Indonesia. There are no significant differences in OTT and completion rate between the insurance schemes. John Wiley and Sons Inc. 2023-01-20 /pmc/articles/PMC10134354/ /pubmed/36680328 http://dx.doi.org/10.1002/cam4.5634 Text en © 2023 The Authors. Cancer Medicine published by John Wiley & Sons Ltd. https://creativecommons.org/licenses/by/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
spellingShingle RESEARCH ARTICLES
Suryanegara, Fithria Dyah Ayu
Rokhman, M. Rifqi
Ekaputra, Ericko
de Jong, Lisa Aniek
Setiawan, Didik
de Bock, Geertruida H.
Postma, Maarten Jacobus
Facing problems in radiotherapy for breast cancer patients in Yogyakarta, Indonesia: A cohort retrospective study
title Facing problems in radiotherapy for breast cancer patients in Yogyakarta, Indonesia: A cohort retrospective study
title_full Facing problems in radiotherapy for breast cancer patients in Yogyakarta, Indonesia: A cohort retrospective study
title_fullStr Facing problems in radiotherapy for breast cancer patients in Yogyakarta, Indonesia: A cohort retrospective study
title_full_unstemmed Facing problems in radiotherapy for breast cancer patients in Yogyakarta, Indonesia: A cohort retrospective study
title_short Facing problems in radiotherapy for breast cancer patients in Yogyakarta, Indonesia: A cohort retrospective study
title_sort facing problems in radiotherapy for breast cancer patients in yogyakarta, indonesia: a cohort retrospective study
topic RESEARCH ARTICLES
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10134354/
https://www.ncbi.nlm.nih.gov/pubmed/36680328
http://dx.doi.org/10.1002/cam4.5634
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