Out-patient visits for gastrointestinal cancer at a quaternary South African hospital-trends and geospatial distribution.
Out-patient visits for gastrointestinal cancer at a quaternary South African hospital-trends and geospatial distribution.
复制标题
DOI：
10.4314/ahs.v20i1.41
复制
发表时间：
2020-03
影响因子：
1
通讯作者：
Madiba T
中科院分区：
文献类型：
--
作者：
Moodley Y;Madiba T
本研究旨在确定南非夸祖鲁-纳塔尔（KZN）四级医院胃肠癌（GC）门诊就诊的趋势，并确定该医院GC相关门诊利用率最高的地理区域。从医院的行政数据库中获得了11年期间GC相关的门诊就诊数据。使用简单回归和趋势线分析来分析趋势。从行政数据库的患者住宅邮政编码被用来确定复杂的GC在KZN的地理空间分布。在年龄>65岁（R2=0.8014）、男性（R2 =0.7020）、女性（R2 = 0.7292）、低GC（R2=0.7094）和农村居民（R2 = 0.7008）中，观察到GC相关门诊就诊的强烈增加趋势。在年龄≤65岁（R2=0.6556）、上GC（R2=0.6498）和城市居民（R2 =0.6988）中，观察到GC相关门诊访视的中度增加趋势。城市居民的门诊量增加幅度大于农村居民（p=0.006）。城市中心和KZN南北海岸沿着的一些地区对GC相关的门诊就诊贡献最大。KZN复杂GC的门诊就诊人数正在增加。已经确定了几个区域进行抗癌干预和分散门诊服务。
This study sought to determine trends in out-patient visits for gastrointestinal cancer (GC) at a quaternary hospital in KwaZulu-Natal (KZN), South Africa; and identify geographical regions which contribute most to GC-related out-patient clinic utilization at this hospital. Data for GC-related outpatient visits over an 11-year period was obtained from the hospital's administrative database. Trends were analyzed using simple regression and trend line analyses. Patient residential postal codes from the administrative database were used to determine the geospatial distribution of complex GC in KZN. Strong increasing trends in GC-related out-patient visits were noted for age >65 years old (R2=0.8014), male (R2=0.7020), female (R2=0.7292), lower GC (R2=0.7094), and rural residence (R2=0.7008). Moderate increasing trends in GC-related out-patient visits were noted for age ≤65 years old (R2=0.6556), upper GC (R2=0.6498), and urban residence (R2=0.6988). The magnitude at which the number of out-patient visits increased was greater for urban residence when compared with rural residence (p=0.006). Urban centers and some regions along the North and South coast of KZN contributed the most toward GC-related out-patient visits. Out-patient visits for complex GC in KZN are increasing. Several regions have been identified for anti-cancer interventions and decentralized out-patient services.
登录
查看更多内容
影响因子：
4.5
作者：
Kabudula CW;Houle B;Collinson MA;Kahn K;Gómez-Olivé FX;Clark SJ;Tollman S
通讯作者：
Tollman S
DOI：
10.7196/samj.2018.v108i2.12338
发表时间：
2018-02-01
期刊：
SAMJ: South African Medical Journal
影响因子：
--
作者：
Brand, M;Gaylard, P;Ramos, J
通讯作者：
Ramos, J
影响因子：
--
作者：
Al Chalabi, Hasan;O'Riordan, James M;Mehigan, Brian
通讯作者：
Mehigan, Brian
影响因子：
--
作者：
Campbell, C;Mzaidume, Y
通讯作者：
Mzaidume, Y
影响因子：
2.8
作者：
Lang, Kathleen;Lines, Lisa M.;Menzin, Joseph
通讯作者：
Menzin, Joseph