11 research outputs found
Effectiveness of a multicentre nasopharyngeal carcinoma awareness programme in Indonesia
Objective: To evaluate the effectiveness of a
nasopharyngeal carcinoma (NPC) awareness
programme on the short-term and long-term
improvement of knowledge and referral of patients with
NPC by primary healthcare centres (PHCCs) staff in
Indonesia.
Design: The NPC awareness programme consisted of
12 symposia including a Train-The-Trainer component,
containing lectures about early symptoms and risk
factors of NPC, practical examination and the referral
system for NPC suspects. Before and after training
participants completed a questionnaire. The Indonesian
Doctors Association accredited all activities.
Participants: 1 representative general practitioner
(GP) from each PHCC attended an NPC awareness
symposium. On the basis of the Train-The-Trainer
principle, GPs received training material and were
obligated to train their colleagues in the PHCC.
Results: 703 GPs attended the symposia and trained
1349 staff members: 314 other GPs, 685 nurses and
350 midwives. After the training, respondentsβ average
score regarding the knowledge of NPC symptoms
increased from 47 points (of the 100) to 74 points
(p<0.001); this increase was similar between
symposium and Train-The-Trainer component
(p=0.88). At 1Β½ years after the training, this
knowledge remained significantly increased at 59
points (p<0.001).
Conclusions: The initial results of this NPC
awareness programme indicate that the programme
effectively increases NPC knowledge in the short and
long term and therefore should be continued. Effects
of the improved knowledge on the stage at diagnoses
of the patients with NPC will still need to be
scrutinised. This awareness programme can serve as a
blueprint for other cancer types in Indonesia and for
other developing countries
Short-Term Effect of Different Teaching Methods on Nasopharyngeal Carcinoma for General Practitioners in Jakarta, Indonesia
In Indonesia, Nasopharyngeal Carcinoma (NPC) is the most frequent cancer of the head and neck region. At first presentation in the hospital most patients already have advanced NPC. Our previous study showed that general practitioners (GPs) working in Yogyakarta, Indonesia lack the knowledge necessary for early detection of NPC. By providing training on early symptoms of NPC we hope that the diagnosis and referral will occur at an earlier stage. Here we assess the current NPC knowledge levels of GPs in Jakarta, evaluate improvement after training, compare the effectiveness of two training formats, and estimate the loss of recall over a two week period
Delayed diagnosis of nasopharyngeal carcinoma in a patient with early signs of unilateral ear disorder
Nasopharyngeal carcinoma (NPC) is the most frequent head and neck malignancy in Indonesia. Misdiagnosis of NPC is common because of unspecific symptoms as unilateral ear complaint. This case reminds doctors of the early symptoms of NPC and of other factors which lead to misdiagnosis and addresses also patients and their families. Reported is a 44 years old man with unilateral ear disorder that had been treated by otorhinolaryngologists, an ophthalmologist, a neurologist, and dentist first, but diagnosed with nasopharyngeal carcinoma stage IVA (T4N1M0) one year later. NPC has unspecific early symptoms such as unilateral ear disorder. Primarily doctors, but also patients and their families should be aware of unilateral ear complaint.Keywords: misdiagnosis, nasopharyngeal carcinoma, unilateral ear disorders</p
The mean number of incorrect risk factors listed in the pre- and post-training assessments by GPs attending the PHCC and the symposium sessions.
<p>The mean number of incorrect risk factors listed in the pre- and post-training assessments by GPs attending the PHCC and the symposium sessions.</p
The mean number of accurately listed symptoms both pre and post training, by GPs attending the PHCC and the symposium sessions.
<p>The mean number of accurately listed symptoms both pre and post training, by GPs attending the PHCC and the symposium sessions.</p
The mean number of incorrect symptoms listed in the pre- and post-training assessments by GPs attending the PHCC and symposium training sessions.
<p>The mean number of incorrect symptoms listed in the pre- and post-training assessments by GPs attending the PHCC and symposium training sessions.</p
The probability (%) of correctly answering questions concerning youngest age of presentation and peak age of incidence.
<p>The probability (%) of correctly answering questions concerning youngest age of presentation and peak age of incidence.</p
Percentage of correct answers about the symptoms given by the GPs.
<p>a) Percentage of correct symptoms from the four different catagories given by GPs with less than 20 years of work experience. b) Percentage of correct symptoms from the four different catagories given by GPs with more than 20 years of work experience. (1) presence of tumour mass in the nasopharynx; (2) dysfunction of the eustachian tube, associated with the lateroposterior extension of the tumour to the paranasopharyngeal space; (3) skull-base erosion and palsy of the fifth and sixth cranial nerves, associated with the superior extension of the tumour; (4) neck masses.</p
The mean number of correctly identified risk factors listed in the pre- and post-training by GPs attending the PHCC and symposium sessions.
<p>The mean number of correctly identified risk factors listed in the pre- and post-training by GPs attending the PHCC and symposium sessions.</p