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کاربرد نوع شرط:
- جایگاه : پژوهشی
- مجله: Asian Pacific Journal of Cancer Prevention
- نوع مقاله: Journal Article
- کلمات کلیدی: Indonesia,multiple myeloma,HRQOL,cross-sectional,Bone metastases
- چکیده:
- چکیده انگلیسی: Objective: Multiple myeloma (MM) with bone metastases causes a skeletal-related event (SRE), and decreases health-related quality of life (HRQoL). HRQoL needs to be evaluated for health technology assessment (HTA). Furthermore, HRQoL is calculated as a health state utility and is used in the Markov Model for HTA. Therefore, this study aimed to describe the HRQoL of MM patients with bone metastases, using The EuroQol five-dimension five levels (EQ -5D-5L) in Indonesia. Methods: a cross-sectional, multicenter study for MM patients with bone metastases (aged over 18 years old) that consulted a physician between November 2018 - May 2019 was conducted. The calculated HRQoL illustrated the health state utility, which was assessed using the EQ-5D-5L questionnaire, with the Indonesian value set. In addition, Mann-Whitney analyses were performed to determine the difference in utility scores at different points within the Durie-Salmon staging system and skeletal condition. Results: in 93 patients who completed the questioner, pain was their major concern with prevalence of over 60% (all levels inclusive). Moreover, the mean utility of patients in stage II and III were 0.735 (SD = 0.205) and 0.383 (SD = 0.555), and those without SRE was 0.753 (SD = 0.213) while patients with SRE was 0.302 (SD = 0.562). Therefore, the lessened values were observed at stage III and SRE condition (p<0.05). Conclusion: MM patients with bone metastases have poor HRQoL, with pain as the most frequently reported challenge, which is associated with an advanced stage of MM and SRE event.
- انتشار مقاله: 23-05-1398
- نویسندگان: Nutrisia Aquariushinta Sayuti,Tri Murti Andayani,Dwi Endarti,Kartika Widayati Taroeno-Hariadi
- مشاهده
- جایگاه : پژوهشی
- مجله: Asian Pacific Journal of Cancer Prevention
- نوع مقاله: Journal Article
- کلمات کلیدی: Indonesia,Obesity,death rate,premature mortality cost
- چکیده:
- چکیده انگلیسی: Obesity is one of the risk factor of non-communicable diseases, one of them is cancer. It may lead to the escalation
of mortality. Indonesia is the top 10 country with the highest prevalence of cancer burden due to obesity. The chance
of cancer caused by obesity is estimated epidemiologic descriptive and prevalence-based estimation with obesity
attributable cancer mortality and Premature Mortality Cost as indicators. Obesity-related cancer mortality is calculated
by multiplying Obesity Attributable Fractions (OAFs) rate by cancer death rate, which OAFs rate obtained by calculating
obesity prevalence data and relative risk of each disease. Premature Mortality Cost was calculated by multiplying
obesity-related cancer mortality, life expectancy, and Indonesian average income. The highest total mortality’s rate
for obesity-related cancer and overweight-related cancer are colon cancer (929 deaths), ovarian cancer (599 deaths),
and pancreatic cancer (190 deaths). The highest value of Premature Mortality Cost are IDR 61,118 million for ovarian
cancer, IDR 56,651 million for colon cancer, and IDR 15,472 million for pancreatic cancer. The estimation of cancer
burden due to obesity shall be done to help the government determines the health programs and decrease the number
of cancer burden due to obesity in Indonesia.- انتشار مقاله: 03-01-1397
- نویسندگان: Bagus Dwiky Riantoro,Susi Ari Kristina,Dwi Endarti
- مشاهده
- جایگاه : پژوهشی
- مجله: Asian Pacific Journal of Cancer Prevention
- نوع مقاله: Journal Article
- کلمات کلیدی: cancer,chemotherapy,real cost,INA-CBG’s,Hospital
- چکیده:
- چکیده انگلیسی: Background: The national health insurance of Indonesia has implemented the Indonesian Case Base Groups
(INA-CBGs) tariff rates for healthcare payment. However, there is still problem of difference between the real cost of
healthcare and the INA-CBGs tariff rates. This study aimed to evaluate the real cost of healthcare in comparison with
the INA-CBG’s tariff rates and to analyze factors associating with the real cost. The study focus on healthcare cost of
non-chemotherapy expenditure among patients of high-incidence cancers having chemotherapy covered by the national
health insurance. Methods: The study was conducted from the perspective of healthcare provider. Costs data was
obtained from hospital billing of Sanglah hospital, a referral hospital in Bali Provincein the period of January – July
2014. The data involved 383, 161, and 152 of in-patient breast cancer cases, cervical cancer cases, and nasopharyngeal
cancer cases, respectively. Descriptive statistic was used to analyze patients characteristics, one sample t-test was used
to analyze the mean difference of healthcare cost based on real cost and INA-CBG’s tariff rates, and finally, bivariate
analysis was used to examine relationship between patients’ characteristics and the real cost. Results: The study shows
there were significant differences of non-chemotherapy expenditures based on the real cost and INA-CBG’s tariff rates,
in which the costs were lower for the real cost. Factors which significantly associated with the real cost were number of
procedure, type of hospitalized room, and length of stay. Conclusions: The study supports the necessary of evaluation
of the INA-CBG’s tariff rates to adjust to the real healthcare expenditure. On the other hand, the hospital needs to
evaluate the service quality of patient treatment by optimizing budget allocated by the health insurance.- انتشار مقاله: 04-02-1397
- نویسندگان: Satibi Satibi,Tri Murti Andayani,Dwi Endarti,I Putu Tangkas Suwantara,Ni Putu Wintariani,Ni Putu Dewi Agustini
- مشاهده
- جایگاه : پژوهشی
- مجله: Asian Pacific Journal of Cancer Prevention
- نوع مقاله: Journal Article
- کلمات کلیدی: cancer,Indonesia,alcohol,treatment cost
- چکیده:
- چکیده انگلیسی: Background: Alcohol consumption has become one of the most common cancer risk factors after smoking.
Nowadays, estimation of the burden of disease attributable to alcohol has become standard in documenting the impact
of health problems, but it has been rarely performed in Indonesia. The aim of this study was to estimate treatment
cost of cancer related to alcohol consumption among the Indonesian population. Methods: This research design was
descriptive with a prevalence-based approach using secondary data. Proportions of cancers were calculated using an
alcohol-attributable fractions (AAF) formula. Treatment costs for eight types of cancer were assessed according to
average treatment cost per patient from the national universal health coverage database for 2016. Result: The top
three AAFs for males were cancers of the pharynx, esophagus and larynx (17.5%, 15.3% and 7.98%, respectively),
while in females they were cancers of the esophagus, pharynx and stomach (2.15%; 1.39%; 0.83%). Among the eight
types of cancer studied, the highest incidence in males was noted for liver cancer (132 cases) while colorectal cancer
was the most common among females (31 cases). Treatment cost for cancers related to alcohol consumption were
highest for colorectak cancer followed by laryngeal and liver cancer (116,083, 98,325 and 93,253 USD, respectively.
Conclusion: The expenditure for treatment of cancers related to alcohol consumption accounts for about 1.71% of
total cancer treatment cost. Since cancers related to alcohol consumption can be considered having an economic
impact in Indonesia, it becomes important for the government to control alcohol consumption so that related healthcare
expenditure can be minimized.- انتشار مقاله: 13-09-1396
- نویسندگان: Susi Ari Kristina,Dwi Endarti,Chairun Wiedyaningsih,Agustina Nila Yuliawati,Suzan Astyamalia
- مشاهده
- جایگاه : پژوهشی
- مجله: Asian Pacific Journal of Cancer Prevention
- نوع مقاله: Journal Article
- کلمات کلیدی: perception,Knowledge,acceptance,HPV vaccination, screening of cervical cancer
- چکیده:
- چکیده انگلیسی: Objective: To determine knowledge, perception, and acceptance related to cervical cancer, HPV vaccination and
screening for cervical cancer among Indonesian women, particularly in Yogyakarta province. Methods: A convenience
sample of 392 women consists of 192 young women, 100 mothers of girls aged 12 – 15 years, and 100 adult women
in Yogyakarta province, Indonesia was participated in this study. A self-administered paper-based questionnaire was
used to determine demographics characteristics of respondents, as well as their knowledge – perception – acceptance
related to cervical cancer, HPV vaccination, and screening for cervical cancer. Data collection were conducted during
December 2013 to March 2014. Descriptive statistics was used to analyze description of demographics characteristics,
knowledge, perception, and acceptance; while crosstab analysis using Chi-Square was used to analyze the relationship
between demographics characteristics versus knowledge, perception, and acceptance. Results: This study found that
knowledge and perception regarding cervical cancer, HPV vaccination, and screening for cervical cancer among women
in Indonesia, particularly in Yogyakarta Province were still insufficient, however the acceptance was good. Among female
young women, 64% had good knowledge, 62% had positive perception of cervical cancer and HPV vaccination, and
92% tended to accept HPV vaccination. Among mothers of girls aged 12 – 15 years, 44% had good knowledge, 46%
had positive perception of cervical cancer and HPV vaccination, and 91% tended to accept HPV vaccination for their
daughters. Among adult women, 68% had good knowledge, 57% had positive perception of cervical cancer and screening
for cervical cancer, and 90% tended to accept cervical cancer screening. In general, demographics characteristics of
having experience and exposure to information had significant relationship with knowledge, perception, and acceptance
of HPV vaccination and screening for cervical cancer. Conclusions: Either knowledge or perception of cervical cancer
and strategies toward it among Indonesian women particularly in Yogyakarta province were still unsatisfied. Efforts
should be improved for supporting cervical cancer prevention and control in Indonesia through such as education on
cervical cancer disease and strategies toward it.- انتشار مقاله: 07-10-1396
- نویسندگان: Dwi Endarti,- Satibi,Susi Ari Kristina,Muhaya Almira Farida,Yuni Rahmawanti,Tika Andriani
- مشاهده