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
Comparative StudyA pilot study on inducement of smoking cessation by a simple 5A (asking, advice, assess, assist, and arrange) approach at outpatient clinics.
Asking smokers about their smoking status, followed by advice to quit smoking, assessing the intention to quit, assistance with cessation, and arrange of follow-up (5A) is recommended for induction of smoking cessation. To obtain preliminary data on effects of "5A" , we investigated the smoking cessation rate with two modes in the phase I: 1) self-administered questionnaire and 2) doctor's interview at respiratory disease clinics of three general hospitals in Japan, and another mode in phase II: 3) doctor's interview with an additional pamphlet at one of the three hospitals. The interviews for smokers were conducted by doctors in charge of treatment. ⋯ No significant difference in the cessation rate was observed between phase I and phase II (5.8% vs. 8.0%). In conclusion, there were no differences among the three modes of "5A", but 7.7% of the 571 outpatients visiting respiratory divisions quit smoking with this simple "5A". The findings may indicate that this simple practice at clinics is useful for smoking cessation strategy, although randomized trials are now required.
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Asian Pac J Cancer P · Jan 2006
Comparative StudyTrends of head and neck cancers in urban and rural India.
The sub-site predilection of head and neck squamous cell carcinoma (HNSCC) reflects the risk profile of a community and there are suggestions that these are changing over time. ⋯ Overall, incidence of HNSCC is reducing. This may be attributed to the decreased prevalence of tobacco use. The increase in incidence of tongue cancer may suggest factors other than tobacco and alcohol in its genesis.