2024-03-28T21:49:02Z
https://nagoya.repo.nii.ac.jp/oai
oai:nagoya.repo.nii.ac.jp:02001917
2023-01-16T04:42:22Z
499:500:501
The current situation of health services for hydatidiform mole in Cambodia
Yamamoto, Eiko
Kanal, Koum
Soeung, Sann Chan
Fujita, Noriko
Krang, Sidonn
Long‐Hay, Puthik
Nishino, Kimihiro
Niimi, Kaoru
Hamajima, Nobuyuki
open access
CC BY 4.0
Aim: Management of hydatidiform mole is important to reduce the mortality and morbidity of choriocarcinoma. This study aims to understand the existing health services for hydatidiform mole and to estimate the incidence of gestational trophoblastic disease (GTD) in Cambodia. Methods: A questionnaire was used to collect information on the existing health services for pregnancy and hydatidiform mole at health facilities from attendants of the 16th Annual Conference of the Cambodian Society of Gynecology and Obstetrics in 2017. The incidence of GTD in 2014–2017 was estimated using Health Information System data. Results: A total of 126 attendants, who were from all provinces except three provinces, answered the questionnaire. The work places were national hospitals (n = 29), provincial hospitals (n = 42), district hospitals (n = 20), health centers (n = 6), and others (n = 29). The answers of participants from the public sector suggested the following: Ultrasonography is available at all hospitals but not health centers; Human chorionic gonadotropin (hCG) measurement is only available at national hospitals; Treatment of hydatidiform mole is performed at national hospitals and provincial hospitals; and Treatment of gestational trophoblastic neoplasia (GTN) is provided at national hospitals. The incidence of hydatidiform mole and GTN at health facilities in the public sector in 2014–2017 was 0.95 per 1000 deliveries and 6.58 per 100 000 deliveries, respectively. Conclusions: The results suggest that provincial hospitals are important to detect suspected invasive mole and refer to national hospitals for diagnosis and treatment. Further studies on the management of GTD and development of the guidelines of GTD are needed.
Wiley
2022-01-13
2021-10
eng
journal article
VoR
http://hdl.handle.net/2237/0002001917
https://nagoya.repo.nii.ac.jp/records/2001917
https://doi.org/10.1111/jog.14955
1341-8076
Journal of Obstetrics and Gynaecology Research
47
10
3652
3660
https://nagoya.repo.nii.ac.jp/record/2001917/files/J_of_Obstet_and_Gynaecol_2021_Yamamoto.pdf
application/pdf
489 KB
2022-01-13