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ISLAMIC MEDICAL EDUCATION RESOURCES-03

0103-NON-CLINICAL FACTORS INFLUENCING TREATMENT CHOICES IN CANCER

Tahir Azhar, Omar H Kasule, Syed Hassan Al-Mashour, Aziz Baba, Gerard Lim, Fuad Ismail, Hooi Lai Ngoh, Zarihah Md Zain. Abstract written for the Bahrain Cancer Society Second Conference ‘Facing Cancer in the Millenium: Prevention and Cure’ held in Bahrain 20-22 March 2001 by Prof Omar Hasan Kasule MB ChB (MUK), MPH, DrPH (Harvard), Faculty of Medicine, UIA, Kuantan Malaysia EM: omarkasule@yahoo.com

ABSTRACT

The paper presents results of analysis of 1077 cancer cases detected in one year in a cancer registration project covering a population of 1.4 million. The distribution of treatment modalities was as follows: palliative/symptomatic only 38.7%, chemotherapy 5.5%, surgery 25.0%, radiotherapy 11.6%, chemotherapy and surgery 6.2%, chemotherapy and radiotherapy 3.4%, radiotherapy and surgery 5.8%, radiotherapy + chemotherapy + surgery 3.5%. It was observed that treatment choices varied by socio-demographic variables. A multivariate analysis using logistic regression was carried out to investigate the independent effects of the following socio-demographic variables on treatment choices: age, gender, race, religion, and district of residence on treatment choices while controlling for site, histological type, stage and lymph-node involvement. The results of the analysis suggested that there are non-clinical factors in treatment choices that must be acknowledged and considered in a systematic way in clinical decision making.

Professor Omar Hasan Kasule March 2001