RETROSPECTIVE REVIEW OF CANCER PATIENTS IN INDIA- ANALYSIS OF PATIENT CHARACTERISTICS AND TREATMENT METHODS

Author(s)

Abraham PS, Greene M
MCPHS University, Boston, MA, USA

OBJECTIVES: To review the patient characteristics and treatment methods of breast, oral and ovarian cancer patients at a tertiary care hospital in India. METHODS: This study was a retrospective review of electronic medical records from a tertiary care hospital in Mumbai, India. Patients ≥18 years of age hospitalized for breast (BC), oral (OC) and ovarian cancer (OVC) treatment between Jan 2014 and May 2015 were included in the study. Descriptive and inferential statistics were used to analyze and compare differences between patients. RESULTS:  A total of 323 cancer patients met the study criteria (BC=146 patients, OC=132 patients, OVC=45 patients). The mean age for OVC patients was the highest (OVC= 52.17+13.0 years, OC=51.81+12.20 years, BC=51.07+13.34 years). Across all three cancer types, majority of them underwent a surgical procedure at the hospital (BC=120,37.2%; OC=106,32.8%; OVC=33,10.2%). The majority of the patients were subscribed to RGJAY payer scheme (RGJAY=224, 69.3%; no insurance (NI)=53, 16.4%; private insurance (PI)=26, 8%; CGHS=20, 6.2%). Abnormal growth was the most common reason for admission into the hospital among BC and OC patients, while it was pain among OVC patients (BC=106, 32.8%; OC=80, 24.8%; OVC=22, 6.8%). 81 (25.1%) patients with hypertension and 64 (19.8%) patients with diabetes were reported as major comorbidities during hospitalization. Among 120 BC patients that had surgery, majority of them (n=90) underwent a modified radical mastectomy or a breast conservation surgery (n=10). Among 106 OC patients that had surgery, majority of them (n=50) underwent a modified radical neck dissection or a combined mandibulectomy and neck dissection operation (n=30). Among 33 OVC patients that had surgery, majority of them underwent a total abdominal hysterectomy bilateral salpingo oophorectomy (n=14). CONCLUSIONS: Majority of the cancer patients were subscribed to RGJAY scheme. The common reason for hospital admission was abnormal growth and majority of them underwent surgery.

Conference/Value in Health Info

2017-05, ISPOR 2017, Boston, MA, USA

Value in Health, Vol. 20, No. 5 (May 2017)

Code

PCN206

Topic

Health Service Delivery & Process of Care

Topic Subcategory

Prescribing Behavior, Treatment Patterns and Guidelines

Disease

Oncology

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