Gachani W, Bal I.S., Oburra H. Distant metastasis from nasopharyngeal carcinoma at Kenyatta National Hospital.

Citation:
O PROFOBURRAHERBERT. "Gachani W, Bal I.S., Oburra H. Distant metastasis from nasopharyngeal carcinoma at Kenyatta National Hospital.". In: East African Medical Journal, 2001; 78: 678-682. also published in Metastases in Head and Neck Cancer Edited by Lippert BM and Werner JA Proceedings of 2nd International Symposium January 25-27, 2001, Marburg, Germany. Tectum Verlag, Marburg 2001). MEDICOM; 2001.

Abstract:

BACKGROUND: In the time of evidence based medicine the analysis of the influence of demographic parameters and different environmental factors on the treatment concepts in a country is often neglected. This is also true for Otorhinolaryngology. METHOD: An evaluation of the situation concerning distribution of physicians, diagnostic procedures and epidemiology in Kenya has been performed. These factors are discussed in consideration of their effect on the incidence of different diseases and their treatment under the specific socio-economic conditions for the otolaryngological situation in Kenya. RESULTS: In Kenya 28 otolaryngologists are registered that concentrate on few urban regions. Chronic otitis media, malignant tumors in the head and neck region and AIDS associated diseases have meanwhile increased dramatically. Numerous instruments and equipment for diagnosis are missing. Bigger equipment for CT scans are nearly exclusively used by private hospitals. PERSPECTIVE: Beside a better provision with different equipment for diagnosis it is especially the organization of certain training programmes where local physicians are further educated that may lead to an optimised medical care in Kenya.

Notes:

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