Othieno-Abinya NA, Nyabola LO, Abwao HO, Ndege P. Postsurgical management of patients with breast cancer at Kenyatta National Hospital.

Citation:
"Othieno-Abinya NA, Nyabola LO, Abwao HO, Ndege P. Postsurgical management of patients with breast cancer at Kenyatta National Hospital." East Afr Med J. . 2002;79(3):156-62.

Abstract:

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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