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Long-term trends of hospital admissions among patients with cancer following the 2015 earthquake: a single institution observational study in Kathmandu, Nepal
OBJECTIVES: Little is known regarding how natural disasters affect patients with cancer in low-income and middle-income countries. The objective of the present study was to assess the impact of the 2015 Nepal earthquake on the admission of patients with cancer at a core medical institution in Kathma...
Autores principales: | , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BMJ Publishing Group
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6609058/ https://www.ncbi.nlm.nih.gov/pubmed/31256023 http://dx.doi.org/10.1136/bmjopen-2018-026746 |
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author | Uprety, Anup Ozaki, Akihiko Higuchi, Asaka Ghimire, Bikal Sawano, Toyoaki Tsuda, Kenji Nomura, Shuhei Leppold, Claire Tsubokura, Masaharu Tanimoto, Tetsuya Singh, Yogendra Prasad |
author_facet | Uprety, Anup Ozaki, Akihiko Higuchi, Asaka Ghimire, Bikal Sawano, Toyoaki Tsuda, Kenji Nomura, Shuhei Leppold, Claire Tsubokura, Masaharu Tanimoto, Tetsuya Singh, Yogendra Prasad |
author_sort | Uprety, Anup |
collection | PubMed |
description | OBJECTIVES: Little is known regarding how natural disasters affect patients with cancer in low-income and middle-income countries. The objective of the present study was to assess the impact of the 2015 Nepal earthquake on the admission of patients with cancer at a core medical institution in Kathmandu. DESIGN, SETTING AND PARTICIPANTS: We considered all 3520 cancer patient admissions to Tribhuvan University Teaching Hospital, from 25 April 2013 to 24 April 2017 (2 years before and 2 years after the earthquake). OUTCOME MEASURES: The number of cancer patient admissions was calculated for each month. Using a negative binomial model, we estimated the incidence rate ratio (IRR) for admission numbers each month after the earthquake compared with the pre-earthquake baseline and investigated chronological change. RESULTS: The total admission number in the first month after the earthquake was decreased compared with that of the predisaster baseline (IRR=0.66, 95% CI 0.43 to 1.00), which largely reflected decreased admissions of patients from outside of the most disaster-affected districts. From the second month, the admission number consistently exceeded the predisaster baseline for the remaining postdisaster period. In contrast to the month of the disaster, the continuation of increased admissions was most prominent among those from outside of the most affected districts. CONCLUSIONS: After a transient decrease immediately following the 2015 Nepal earthquake, there was a long-term increase in cancer patient admissions in a core hospital in Kathmandu. These changes were seen most prominently in patients from outside the most disaster affected areas. |
format | Online Article Text |
id | pubmed-6609058 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | BMJ Publishing Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-66090582019-07-18 Long-term trends of hospital admissions among patients with cancer following the 2015 earthquake: a single institution observational study in Kathmandu, Nepal Uprety, Anup Ozaki, Akihiko Higuchi, Asaka Ghimire, Bikal Sawano, Toyoaki Tsuda, Kenji Nomura, Shuhei Leppold, Claire Tsubokura, Masaharu Tanimoto, Tetsuya Singh, Yogendra Prasad BMJ Open Medical Management OBJECTIVES: Little is known regarding how natural disasters affect patients with cancer in low-income and middle-income countries. The objective of the present study was to assess the impact of the 2015 Nepal earthquake on the admission of patients with cancer at a core medical institution in Kathmandu. DESIGN, SETTING AND PARTICIPANTS: We considered all 3520 cancer patient admissions to Tribhuvan University Teaching Hospital, from 25 April 2013 to 24 April 2017 (2 years before and 2 years after the earthquake). OUTCOME MEASURES: The number of cancer patient admissions was calculated for each month. Using a negative binomial model, we estimated the incidence rate ratio (IRR) for admission numbers each month after the earthquake compared with the pre-earthquake baseline and investigated chronological change. RESULTS: The total admission number in the first month after the earthquake was decreased compared with that of the predisaster baseline (IRR=0.66, 95% CI 0.43 to 1.00), which largely reflected decreased admissions of patients from outside of the most disaster-affected districts. From the second month, the admission number consistently exceeded the predisaster baseline for the remaining postdisaster period. In contrast to the month of the disaster, the continuation of increased admissions was most prominent among those from outside of the most affected districts. CONCLUSIONS: After a transient decrease immediately following the 2015 Nepal earthquake, there was a long-term increase in cancer patient admissions in a core hospital in Kathmandu. These changes were seen most prominently in patients from outside the most disaster affected areas. BMJ Publishing Group 2019-06-28 /pmc/articles/PMC6609058/ /pubmed/31256023 http://dx.doi.org/10.1136/bmjopen-2018-026746 Text en © Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/. |
spellingShingle | Medical Management Uprety, Anup Ozaki, Akihiko Higuchi, Asaka Ghimire, Bikal Sawano, Toyoaki Tsuda, Kenji Nomura, Shuhei Leppold, Claire Tsubokura, Masaharu Tanimoto, Tetsuya Singh, Yogendra Prasad Long-term trends of hospital admissions among patients with cancer following the 2015 earthquake: a single institution observational study in Kathmandu, Nepal |
title | Long-term trends of hospital admissions among patients with cancer following the 2015 earthquake: a single institution observational study in Kathmandu, Nepal |
title_full | Long-term trends of hospital admissions among patients with cancer following the 2015 earthquake: a single institution observational study in Kathmandu, Nepal |
title_fullStr | Long-term trends of hospital admissions among patients with cancer following the 2015 earthquake: a single institution observational study in Kathmandu, Nepal |
title_full_unstemmed | Long-term trends of hospital admissions among patients with cancer following the 2015 earthquake: a single institution observational study in Kathmandu, Nepal |
title_short | Long-term trends of hospital admissions among patients with cancer following the 2015 earthquake: a single institution observational study in Kathmandu, Nepal |
title_sort | long-term trends of hospital admissions among patients with cancer following the 2015 earthquake: a single institution observational study in kathmandu, nepal |
topic | Medical Management |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6609058/ https://www.ncbi.nlm.nih.gov/pubmed/31256023 http://dx.doi.org/10.1136/bmjopen-2018-026746 |
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