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FOLLOW UP OF OESOPHAGEAL CANCER THERAPY AT THE KENYATTA NATIONAL HOSPITAL, NAIROBI
Abstract
Objective: To determine the pattern of follow-up for oesophageal cancer patients following
hospital discharge and reviewing followup results of the differctnt treatment modalities with
emphasis on oesophagectomies.
Design: A retrospective hospital based study covering the per od January 1987 to January
2001.
Setting: Surgical outpatient clinic, Kenyatta National Hospital, Nairobi.
Main outcome measures: Determination and the comparison of the one, two and three-year
followup rates for the different treatment modalities and theil. median follow-up period in
addition to reviewing the common variables associated with fc~llow-up.
Results: The median followup for patients managed by oesopha gectomy was 9.5 months with
a 43%, 22% and 10% one-. two- and three-year followup rates respectively. This compared
to a median of two months and a 7% and 3% one-, and two- yeir follow-up rate for patients
managed by intubation, and a 3-month median followup with a one- and two- year followup
rate of 12% and 4% respectively for radiotherapy treatetl patients. Oesophagectomy
patients had a better followup compared to intubations and radiotherapy (pc.00001).
Oesophagectomy for stage T4 tumours had an apparently better follow-up compared to both
stage TI-3 tumours and patients managed with intubations (p =.002 and .02 respectively).
hospital discharge and reviewing followup results of the differctnt treatment modalities with
emphasis on oesophagectomies.
Design: A retrospective hospital based study covering the per od January 1987 to January
2001.
Setting: Surgical outpatient clinic, Kenyatta National Hospital, Nairobi.
Main outcome measures: Determination and the comparison of the one, two and three-year
followup rates for the different treatment modalities and theil. median follow-up period in
addition to reviewing the common variables associated with fc~llow-up.
Results: The median followup for patients managed by oesopha gectomy was 9.5 months with
a 43%, 22% and 10% one-. two- and three-year followup rates respectively. This compared
to a median of two months and a 7% and 3% one-, and two- yeir follow-up rate for patients
managed by intubation, and a 3-month median followup with a one- and two- year followup
rate of 12% and 4% respectively for radiotherapy treatetl patients. Oesophagectomy
patients had a better followup compared to intubations and radiotherapy (pc.00001).
Oesophagectomy for stage T4 tumours had an apparently better follow-up compared to both
stage TI-3 tumours and patients managed with intubations (p =.002 and .02 respectively).
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