Cermin Dunia Kedokteran
Vol 49, No 5 (2022): Jantung dan Saraf

Socio-demographic Profiles of Cervical Cancer Patients at Cipto Mangunkusumo Hospital - 2009-2019 and Its Association with Cancer Stages at Diagnosis

Fitriyadi Kusuma (1Department of Obstetrics and Gynecology, Faculty of Medicine, University of Indonesia - dr. Cipto Mangunkusumo General Hospital. 2Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, University of Indonesia.)
Kemal Akbar Suryoadji (Undergraduate Medical Program, Faculty of Medicine, University of Indonesia, Jakarta, Indonesia)
Michael Adrian (Undergraduate Medical Program, Faculty of Medicine, University of Indonesia, Jakarta, Indonesia)
Tofan Widya Utami (1Department of Obstetrics and Gynecology, Faculty of Medicine, University of Indonesia - dr. Cipto Mangunkusumo General Hospital. 2Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, University of Indonesia.)
Hariyono Winarto (1Department of Obstetrics and Gynecology, Faculty of Medicine, University of Indonesia - dr. Cipto Mangunkusumo General Hospital. 2Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, University of Indonesia.)
Tricia Dewi Anggraeni (1Department of Obstetrics and Gynecology, Faculty of Medicine, University of Indonesia - dr. Cipto Mangunkusumo General Hospital. 2Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, University of Indonesia.)
Kartiwa Hadi Nuryanto (1Department of Obstetrics and Gynecology, Faculty of Medicine, University of Indonesia - dr. Cipto Mangunkusumo General Hospital. 2Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, University of Indonesia.)
Muhammad Haekal (Department of Obstetrics and Gynecology, Faculty of Medicine, University of Indonesia - dr. Cipto Mangunkusumo General Hospital.)



Article Info

Publish Date
27 Apr 2022

Abstract

Objective: To determine the socio-demographic profile of cervical cancer patients at Cipto Mangunkusumo Hospital in 2009-2019 based on educational level, parity, age, residence, and employment status and their relationship to cervical cancer stage at diagnosis. Methods: Comparative analytical study was conducted retrospectively based on medical records in Cipto Mangunkusumo Hospital. The selection was based on data completeness: cervical cancer stages, sociodemographic profiles consisting of education level, parity, age, Java or non-Java Island resident, and occupation. Multivariate analysis calculated the association between socio-demographic factors and cervical cancer stages. Data were analyzed using SPSS v.22.0 and Microsoft Excel. Results: This study included 4,584 patients with complete data. Only 19.3% patients were in the early stage, 63.3% had less than three parities, 82.8% of patients had formal primary school education or less, 80.9% patients were aged 18-65 years, 88.3% patients resided in Java Island, and 80.5% didn’t have the occupation. There was a significant association (p <0.05) between cervical cancer stage and educational level (aOR= 0.86; 95% CI= 0.78-0.94) and age (aOR= 1.46; 95% CI= 1.18-1.40). There is no significant association (p >0.05) between cervical cancer stage and parity, residence, and employment status. Conclusion: Low education and old age (> 65-year-old) were associated with the advanced stage of cervical cancer at diagnosis. Tujuan: Mengetahui profil sosiodemografi pasien kanker serviks di Rumah Sakit Cipto Mangunkusumo tahun 2009-2019 berdasarkan tingkat pendidikan, jumlah paritas, usia, status kependudukan, pekerjaan, serta hubungannya terhadap stadium kanker serviks saat diagnosis. Metode: Penelitian analitik komparatif retrospektif berdasarkan data rekam medis Rumah Sakit Cipto Mangunkusumo. Pemilihan sesuai kelengkapan data: stadium kanker serviks, profil status sosiodemografi yang terdiri atas tingkat pendidikan, paritas, usia, penduduk pulau Jawa atau non-Jawa, dan status pekerjaan. Hubungan antar variabel dianalisis multivariat untukmencari hubungan berbagai faktor sosiodemografi terhadap stadium kanker serviks. Analisis data menggunakan program SPSS versi 22.0 dan Microsoft Excel.Hasil: Terdapat 4.584 pasien kanker serviks yang memenuhi kriteria inklusi. Sebanyak 19,3% pasien dengan stadium awal. Selanjutnya 82,8% pasien memiliki pendidikan formal sekolah dasar atau kurang, 63,3% pasien memiliki jumlah paritas kurang dari tiga, 80,9% pasien berusia antara 18-65 tahun, 88,3% pasien berdomisili di pulau Jawa, dan 80,5% tidak bekerja. Didapatkan asosiasi bermakna (p<0,05) antara stadium kanker serviks dan tingkat pendidikan (aOR = 0,86; 95% CI= 0,78-0,94) dan usia (aOR= 1,46; 95% CI= 1,18-1,40). Tidak ditemukan asosiasi bermakna (p>0,05) antara stadium kanker serviks dengan paritas, domisilikependudukan, dan status pekerjaan. Simpulan: Tingkat pendidikan rendah dan usia lanjut (>65 tahun) berasosiasi dengan stadium lanjut kanker serviks saat diagnosis. 

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Journal Info

Abbrev

CDK

Publisher

Subject

Health Professions Medicine & Pharmacology Public Health

Description

Cermin Dunia Kedokteran (e-ISSN: 2503-2720, p-ISSN: 0125-913X), merupakan jurnal kedokteran dengan akses terbuka dan review sejawat yang menerbitkan artikel penelitian maupun tinjauan pustaka dari bidang kedokteran dan kesehatan masyarakat baik ilmu dasar, klinis serta epidemiologis yang menyangkut ...