Asian Pac J Cancer P
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Asian Pac J Cancer P · Oct 2007
Lack of effect of perioperative blood transfusion during radical hysterectomy with lymph node dissection on the prognosis of cervical cancer stage Ib.
The aim of this retrospective study was to analyze the effects of perioperative blood transfusion during radical hysterectomy with lymph node dissection on the prognosis of cervical cancer stage Ib. A total of 295 patients who had undergone surgery from 1987-2002 were included. Forty seven patients underwent conization before definite surgery, and 2 patients were subsequently lost to follow up. ⋯ In multivariate analyses, only age (P = 0.046), size of lesion (P = 0.024) and histology (P = 0.046) were statistically significantly associated with DFS, whereas transfusion status was not. In conclusion, there is no evidence that perioperative blood transfusion affects DFS of patients undergoing radical hysterectomy and pelvic lymphadenectomy. Only age, size of lesion and histology were statistically significantly associated with DFS.
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Asian Pac J Cancer P · Jul 2007
Knowledge and attitudes of physicians in Iran with regard to chronic cancer pain.
The knowledge and attitudes of health care professionals with regard to pain and its impact on the patient are among identified barriers that prevent health care professionals from providing effective treatment for pain. The purpose of the present study was to evaluate knowledge about and attitudes towards cancer pain and its management in Iranian physicians with patient care responsibilities. ⋯ The most significant barrier to the effective management of pain in cancer patients in Iran is deficit in knowledge as identified in this survey. A combination of an active continuing education program on both the international guidelines with routine professional education and dissemination of guidelines is needed to bring about significant improvement in cancer pain control.
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Asian Pac J Cancer P · Jul 2006
ReviewRole of the cancer registries in determining cancer mortality in Asia?
Data on incidence, prevalence, and disease specific mortality are frequently incomplete, not very reliable or are lacking in many countries particularly in Asia and Africa. In the absence of dependable data from the Civil Registration System (CRS), many countries have developed their own Sample Registration System (SRS). Due to several socio-economic constraints cause is not adequately noted in the death certificates. ⋯ There are also a number of reasons for under-registration of cancer deaths in cancer registries but they nevertheless give a more accurate picture. Many registries collect follow-up information for survival studies, which is also helpful to improve cancer mortality data. Tumour registries also represent important resources for rapid identification of cancer survivors for research studies.
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Asian Pac J Cancer P · Jan 2006
Review Comparative StudyOverview of existing networks--is there a rationale for an Asian Cancer Registry Network?
Cancer registration is the base for our understanding of the burden of neoplastic disease in our populations at the local level. Comparability of data is essential for interpretation and this in turn depends on standardization of methodology and diagnostic and other criteria applied. ⋯ The present commentary focuses on the contributions made by the International Agency for Research on Cancer (IARC), the International Association of Cancer Registries (IACR), the European Network of Cancer Registries (ENCR), the North American Association of Central Cancer Registries (NAACCR) and individual country-based or region-based associations already active in Asia. An argument is presented here that there is a rationale for an Asian Network of Cancer Registries, working alongside and learning from the existing international organizations to promote effective cancer registration and disease prevention in Asia.
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Asian Pac J Cancer P · Jan 2006
Comparative StudyChewing of betel, areca and tobacco: perceptions and knowledge regarding their role in head and neck cancers in an urban squatter settlement in Pakistan.
The link of betel, areca and chewable tobacco with head and neck cancers is clearly established. Fifty eight percent of the global head and neck cancers occur in South and Southeast Asia, where chewing of betel, areca and tobacco are common. This study was carried out to establish the pattern of use of Paan, Chaalia, Gutka, Niswar, Tumbaku and Naas among population of squatter settlement of Karachi and to determine the perceptions and knowledge regarding their role in the etiology of head and neck cancers. ⋯ In conclusion, prevalence of chewing of betel, areca and tobacco among adults and adolescents is high. Deficiency in knowledge and wrong perception of favorable effect of chewing products is common. Besides curtailing the availability of chewing products, correct knowledge regarding its ill-effects should be inculcated among population to decrease the burden of head and neck cancers.