Stage at Presentation and Factors Associated with Late Diagnosis of Head and Neck Malignancies at Bugando Medical Centre, Mwanza, Tanzania (Record no. 27949)
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| fixed length control field | 03228nam a22002657a 4500 |
| 001 - CONTROL NUMBER | |
| control field | 20240606194655.0 |
| 003 - CONTROL NUMBER IDENTIFIER | |
| control field | 20240606194655.0 |
| 005 - DATE AND TIME OF LATEST TRANSACTION | |
| control field | 20240606195517.0 |
| 008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION | |
| fixed length control field | 240606b |||||||| |||| 00| 0 eng d |
| 022 ## - INTERNATIONAL STANDARD SERIAL NUMBER | |
| International Standard Serial Number | ISSN: 2663-1857 (Print) |
| International Standard Serial Number | ISSN: 2663-7332 (Online) |
| 040 ## - CATALOGING SOURCE | |
| Transcribing agency | ddc |
| 041 ## - LANGUAGE CODE | |
| Language code of text/sound track or separate title | English |
| 100 ## - MAIN ENTRY--PERSONAL NAME | |
| Fuller form of name | Alex Donasiano |
| 245 ## - TITLE STATEMENT | |
| Title | Stage at Presentation and Factors Associated with Late Diagnosis of Head and Neck Malignancies at Bugando Medical Centre, Mwanza, Tanzania |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. | |
| Place of publication, distribution, etc. | Mwanza, Tanzania : |
| Name of publisher, distributor, etc. | Catholic University of Health and Allied Sciences [CUHAS – Bugando] : |
| Date of publication, distribution, etc. | 2023 |
| 490 ## - SERIES STATEMENT | |
| Series statement | East African Scholars Journal of Medicine and Surgery |
| Volume/sequential designation | Volume-5 | Issue-10 | Nov-2023 |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | Abstract: <br/><br/>Background: Head and neck malignancies are often diagnosed at a late stage in sub-Saharan Africa including Tanzania, thus resulting in a generally poor prognosis. The reason for this sad experience is not known. This study was undertaken in our local setting, to describe the stage at presentation and factors associated with late diagnosis of head and neck malignancies at Bugando Medical Centre, Mwanza, Tanzania.<br/><br/>Methods: This was analytical cross sectional study involving all patients confirmed to have head and neck malignances at Bugando Medical Center from February to June 2019. <br/><br/>Results: Out of 60 patients enrolled in the study, 35(58.3%)were males and 25(41.7%) were female making a male to female of 1.4:1. The mean age was 56 [range, 12-89] years. Majority of patients, 44(73.3%) presented with advanced (late) stage of the disease, with stage III been the most prevalent stage accounting for 49.3% of cases. Only one (1.7%) patient had stage I tumor involving the oral cavity. Distant metastasis was documented in only 16.7% of cases. The oropharynx was the most common anatomical site for head and neck malignancies (n=18, 30%). Patients with oropharyngeal malignancies were associated with late-stage presentation whereas those with laryngeal malignancies were associated with early-stage presentation. Patient-related factors such as rural residence (p-value = 0.048) and use of local herbs (p-value = 0.001) were significantly associated with advanced (late) tumor stage at presentation. The level of health care facility first visited (p-value = 0.876) and the number of referrals (p-value =0.579) were not significantly associated with late stage at presentation. <br/><br/>Conclusion: This study demonstrated that the head and neck malignancies are not uncommon at Bugando Medical Center and the majority of patients present late with advanced stage cancer. Therefore, increasing awareness among rural residence regarding head and neck malignancies and their symptoms, and training primary healthcare workers to pick up on early symptoms and signs of head and neck malignancies can help address the problem of head and neck malignancies. |
| 600 ## - SUBJECT ADDED ENTRY--PERSONAL NAME | |
| General subdivision | Head and neck malignancies, stage at presentation, associated factors, Tanzania. |
| 700 ## - ADDED ENTRY--PERSONAL NAME | |
| Fuller form of name | Cecilia Protas |
| Fuller form of name | Peter Rambau |
| Fuller form of name | Beda Likonda |
| 856 ## - ELECTRONIC LOCATION AND ACCESS | |
| Uniform Resource Identifier | <a href="DOI: 10.36349/easjms.2023.v05i10.006">DOI: 10.36349/easjms.2023.v05i10.006</a> |
| Link text | DOI: 10.36349/easjms.2023.v05i10.006 |
| 942 ## - ADDED ENTRY ELEMENTS (KOHA) | |
| Source of classification or shelving scheme | ddc |
| Koha item type | RESEARCH ARTICLES |
| Suppress in OPAC | |
| Withdrawn status | Lost status | Source of classification or shelving scheme | Damaged status | Not for loan | Home library | Current library | Date acquired | Total checkouts | Barcode | Date last seen | Price effective from | Koha item type |
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| MWALIMU NYERERE LEARNING RESOURCES CENTRE-CUHAS BUGANDO | MWALIMU NYERERE LEARNING RESOURCES CENTRE-CUHAS BUGANDO | 06/06/2024 | 20240606194655.0 | 06/06/2024 | 06/06/2024 | RESEARCH ARTICLES |