- Volume 16 Issue 18
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Breast Cancer Survival at a Leading Cancer Centre in Malaysia
- Abdullah, Matin Mellor (Cancer & Radiosurgery Centre, Subang Jaya Medical Centre) ;
- Mohamed, Ahmad Kamal (Cancer & Radiosurgery Centre, Subang Jaya Medical Centre) ;
- Foo, Yoke Ching (Cancer & Radiosurgery Centre, Subang Jaya Medical Centre) ;
- Lee, Catherine May Ling (Cancer & Radiosurgery Centre, Subang Jaya Medical Centre) ;
- Chua, Chin Teong (Medical Services, Subang Jaya Medical Centre) ;
- Wu, Chin Huei (Management Services, Subang Jaya Medical Centre) ;
- Hoo, LP (ClinResearch SB) ;
- Lim, Teck Onn (ClinResearch SB) ;
- Yen, Sze Whey (Quality & Patient Safety, Subang Jaya Medical Centre)
- Published : 2016.01.11
Background: GLOBOCAN12 recently reported high cancer mortality in Malaysia suggesting its cancer health services are under-performing. Cancer survival is a key index of the overall effectiveness of health services in the management of patients. This report focuses on Subang Jaya Medical Centre (SJMC) care performance as measured by patient survival outcome for up to 5 years. Materials and Methods: All women with breast cancer treated at SJMC between 2008 and 2012 were enrolled for this observational cohort study. Mortality outcome was ascertained through record linkage with national death register, linkage with hospital registration system and finally through direct contact by phone or home visits. Results: A total of 675 patients treated between 2008 and 2012 were included in the present survival analysis, 65% with early breast cancer, 20% with locally advanced breast cancer (LABC) and 4% with metastatic breast cancer (MBC). The overall relative survival (RS) at 5 years was 88%. RS for stage I was 100% and for stage II, III and IV disease was 95%, 69% and 36% respectively. Conclusions: SJMC is among the first hospitals in Malaysia to embark on routine measurement of the performance of its cancer care services and its results are comparable to any leading centers in developed countries.
Breast cancer;cancer survival;cancer performance measurement;cohort study
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