Morbidity Patterns in Oncology Patients at FMRI, Gurgaon:A Hospital Based Study at a New Tertiary Care Institute

Objective: This study aims to analyze the patterns of morbidity amongst cancer patients attending a tertiary care hospital.Materials and Methods: Data were collected from various departments dealing in cancer care. Patient’s data were categorized according to diagnosis and place of residence.Results: A total of 1490 new cancer patients were registered. Out of these 1140 were Indians from 22 different states {males= 609 (53.4%) and females= 531 (46.6%)} and remaining 350 patients were from 27 different countries {males= 223 (63.7%) and females=127 (36.3%)}. The five most common cancer site groups amongst all males (n=832) were digestive organs (18.6%) followed by lymphoid, hematopoietic and related tissue (16.8%);  respiratory intrathoracic organs (14.1%); then eye, brain and other parts of central nervous system (11.4%) and lip, oral cavity and  pharynx (9.5%)  and in all females (n=658) the most common cancer site were breast (31.5%) followed by  genital organs (17.3%); digestive organs (11.2%); lymphoid, hematopoietic and related tissue (9.3%) and eye, brain and other parts of nervous system (9.0%).Conclusions:  The present study highlights the pattern of cancer among patients in a corporate tertiary health care institute. There is therefore an inherent bias, the leading sites of malignancies amongst Indian males and females varied from that in the Western population; this could be attributed to various cultural, environmental factors, life style, genetic factors etc. in different regions of India and different nations of the world.

A Study on Morbidity Patterns amongst Hospitalized Patients Attending a New Tertiary Care Institute, India

Background: The pattern of morbidity reflects the burden of disease in a particular community. This pattern showsgeographic variations between communities and countries. The knowledge of the pattern of diseases in a given country is very important in evaluating its health care delivery system. Such knowledge is important for health planning and for improving the healthcare services in that particular nation. We set out to study the morbidity pattern in our medical wards. Materials and methods: This is a retrospective study that reviewed the causes of morbidity amongst admitted cases from January 2014 to December 2014. The data were obtained from the medical record section. Data were analyzed using software Statistical Package for Social Sciences (SPSS) version 16. Results: A total of 19,609 patients were admitted during the study period. Of these males were 10,556 (53.8%) and females were 9,053 (46.2%). Out of the total cases, 19203 patients (97.9%) were discharged or relieved as cured, 210 patients (1.1%) had expired. The sex ratio was 858 females to 1,000 males. Of the most common causes of morbidities/system involved (ICD.10) in males, chronic ischemic heart disease (4.7%) was the leading cause followed by live born infants (3.8%), hypertension (3.7%), lymphoid leukemia (2.7%) and malignant neoplasm of brain (2.1%). In females, malignant neoplasm of breast (6.2%) was the leading cause followed by delivery by caesarean section (4.9%), live born infants (3.8%), secondary malignant neoplasm of other and unspecified sites (3.1%) and hypertension (2.4%). Overall bed occupancy rate (BOR) for all patients was 66.8 percent. Conclusion: Morbidity in the medical wards reflects the emerging trend of mixed disease spectrum burden comprising communicable and non-communicable diseases. Public health education, raising the socio-economic status of our people and as well as improving the standards of our health care facilities and personnel can contribute towards bringing down morbidity and mortality rates from medical wards