Department of General Surgery, Penn State College of Medicine, Hershey, Pennsylvania, USA.
Penn State Health Milton S Hershey Medical Center, Hershey, Pennsylvania, USA.
BMJ Open. 2022 Mar 29;12(3):e051741. doi: 10.1136/bmjopen-2021-051741.
To estimate the surgical burden of malignant disease in the Eastern Region of Ghana.
Descriptive cross-sectional study.
Regional hospital in the eastern region of Ghana.
Patients treated by the surgery department at Eastern Regional Hospital in Koforidua, Ghana.
None.
Primary outcome was incidence of malignancy and secondary outcome descriptive differences between patients who had a benign indication for surgery compared with those with a malignant indication for surgery.
A total of 1943 inpatient surgical procedures were performed from 2015 to 2017 with 13.4% (261) of all procedures ultimately performed for malignancy. Of all breast procedures performed, 95.2% of procedures resulted in a malignant diagnosis. The remaining subtypes of procedures had rates ranging from <1% to 41.2% of procedures performed for malignant disease. Additionally, this study found over 13% of patients admitted to the surgical service for breast cancer ultimately did not undergo a surgical procedure.
This is the first study investigating the burden of malignant disease in the Eastern Region of Ghana. We found a substantial prevalence of malignant disease in the surgical population in this region. This information can be used to aid in future medical resource planning in this region.
评估加纳东部地区恶性疾病的手术负担。
描述性横断面研究。
加纳东部地区科福里杜亚的地区医院。
在加纳科福里杜亚的东部地区医院接受外科治疗的患者。
无。
主要结果是恶性肿瘤的发病率，次要结果是良性手术指征患者与恶性手术指征患者之间的描述性差异。
2015 年至 2017 年共进行了 1943 例住院手术，其中 13.4%（261 例）最终因恶性肿瘤而进行手术。所有乳房手术中，95.2%的手术结果为恶性诊断。其余手术类型的恶性疾病手术率从<1%到 41.2%不等。此外，本研究发现，超过 13%的因乳腺癌入院的患者最终未进行手术。
这是第一项调查加纳东部地区恶性疾病负担的研究。我们发现该地区外科患者中恶性疾病的患病率很高。这些信息可用于协助该地区未来的医疗资源规划。
