Post-surgical management of patients with breast cancer at Kenyatta National Hospital
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Date
2002Author
Othieno-Abinya, N. A.
Nyabola, L. O.
Abwao, H. O.
Ndege, P.
Type
ArticleLanguage
enMetadata
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Objective: To assess post-surgical management of patients with breast cancer at the Kenyatta National Hospital.
Design: Retrospective analysis of patients treated for breast carcinoma at Kenyatta National Hospital between January 1989 and January 2000.
Setting: Kenyatta National Hospital.
Subjects: Three hundred and seventy-four patients who had surgery or biopsy for breast cancer at the Kenyatta National Hospital.
Intervention: Chemo-hormonal therapy and/or radiotherapy for adjuvant, metastatic, or palliative purposes.
Results: Twenty-two patients received adjuvant chemotherapy, and 21 patients received chemotherapy for metastatic disease. Forty-six patients received adjuvant radiotherapy and 53 had radiotherapy for palliative purposes. One hundred and twenty-six patients were given tamoxifen for adjuvant and metastatic purposes. The median duration of follow-up was 20 months.
Conclusion: Chemotherapy is grossly underutilized in the treatment of breast cancer at the Kenyatta National Hospital, and radiotherapy is also underutilized. Follow-up durations are dismal and if this is used as a surrogate measure for survival then survival durations for breast cancer patients are also dismal at the Kenyatta National Hospital.
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http://www.ajol.info/index.php/eamj/article/view/8897http://erepository.uonbi.ac.ke:8080/xmlui/handle/123456789/16218
http://www.ncbi.nlm.nih.gov/pubmed/12389963
Citation
(East African Medical JournalPublisher
Department of Medicine. College of Health Sciences. University of Nairobi
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