TREATMENT OUTCOME AND ASSOCIATED FACTORS AMONG GYNECOLOGIC ONCOLOGY PATIENTS UNDERWENT SURGERY IN HIWOT FANA SPECIALIZED UNIVERSITY HOSPITAL, EASTERN ETHIOPIA

Abstract

Background: Gynecologic cancer is a common malignancy among women worldwide. It is associated with high morbidity and mortality especially in developing countries. Overall, there is no available information on the level of treatment outcome and associated factors among gynecologic oncology patients attending specialized healthcare in eastern Ethiopia in general and the study setting in particular. Objective:To determine treatment outcome and associated factors among gynecologic oncology patients underwent surgery in Hiwot Fana Specialized University Hospital, eastern Ethiopia from 01 July 2021 to 30 October2023. Data was collected from December 4 to 8, 2023 Method: Institution-based retrospective cross-sectional study will be conducted among all 132 gynecologic oncology patients underwent surgery in Hiwot Fana Speciallized University Hospital, eastern Ethiopia. Convenient sampling technique was used to enroll participant. Data was collected on sociodemographic characters, medical comorbidies, and treatement related factorsusing Structured checklists from the medical records of gynecologic oncology patients (patient cards/medical records, available post-surgical cancer follow-up charts and national gynecologic oncology registries. Data was entered using EpiData version 3.1 and analyzed using SPSS 27. Descriptive statistics was conducted to characterize the data/describe the participants and assess treatment outcome of gynecologic oncology patients underwent surgical therapy Result - A total of 133 Women diagnosed with gynecologiccancer who underwent surgery in hiwot fana specialized university hospital included in the study. Majority 75(56.5%) of patient who underwent oncology surgery was with diagnosed ovarian cancer.Forty four (44) 33.1% patient develops intraoperative complications. Hemorrhage requiring transfusion was the most common intraoperative complication accounting for 21.8%of the case. Postoperatively 19(15%) patients developed post-operative complications.majority 81(60.9) of patient have favorable outcome and discharged without intraoperative or post-operative complications, while 52(39.1%) of them developed either intraoperative or post-operative complicationsStage of the disease is associated with intraoperative complication with Pearson chi2 0.004 with advanced disease associated with increased intraoperative complication Conclusion -From this study we can conclude that intraoperative and post-operative morbidity and mortality associated with gynecologic oncology surgery is slightly higher than other low income countries and Capacity to rescue patients from surgical complications is a tangible opportunity for meaningful intervention in this setup