Abstract:
Background: Gynecologic cancer is a common malignancy among women worldwide. It is
associated with high morbidity and mortality especially in developing countries. Overall,
there is no available information on the level of treatment outcome and associated factors
among gynecologic oncology patients attending specialized healthcare in eastern Ethiopia in
general and the study setting in particular.
Objective:To determine treatment outcome and associated factors among gynecologic oncology
patients underwent surgery in Hiwot Fana Specialized University Hospital, eastern Ethiopia from 01
July 2021 to 30 October2023. Data was collected from December 4 to 8, 2023
Method: Institution-based retrospective cross-sectional study will be conducted among all 132
gynecologic oncology patients underwent surgery in Hiwot Fana Speciallized University Hospital,
eastern Ethiopia. Convenient sampling technique was used to enroll participant. Data was collected
on sociodemographic characters, medical comorbidies, and treatement related factorsusing Structured
checklists from the medical records of gynecologic oncology patients (patient cards/medical records,
available post-surgical cancer follow-up charts and national gynecologic oncology registries. Data
was entered using EpiData version 3.1 and analyzed using SPSS 27. Descriptive statistics was
conducted to characterize the data/describe the participants and assess treatment outcome of
gynecologic oncology patients underwent surgical therapy
Result - A total of 133 Women diagnosed with gynecologiccancer who underwent surgery in hiwot
fana specialized university hospital included in the study. Majority 75(56.5%) of patient who
underwent oncology surgery was with diagnosed ovarian cancer.Forty four (44) 33.1% patient
develops intraoperative complications. Hemorrhage requiring transfusion was the most common
intraoperative complication accounting for 21.8%of the case. Postoperatively 19(15%) patients
developed post-operative complications.majority 81(60.9) of patient have favorable outcome and
discharged without intraoperative or post-operative complications, while 52(39.1%) of them
developed either intraoperative or post-operative complicationsStage of the disease is associated
with intraoperative complication with Pearson chi2 0.004 with advanced disease associated with
increased intraoperative complication
Conclusion -From this study we can conclude that intraoperative and post-operative morbidity and
mortality associated with gynecologic oncology surgery is slightly higher than other low income
countries and Capacity to rescue patients from surgical complications is a tangible opportunity for
meaningful intervention in this setup
