Pola Kasus Onkologi-Ginekologi di Bangsal Ginekologi RSUD Zainoel Abidin 2021-2022
Abstract:
Purpose: This study aimed to determine the pattern of oncological and gynecological cases in the Gynecological Inpatient Room at RSUD Zainoel Abidin for the period June 2021-June 2022..
Methodology: This descriptive retrospective study obtained data from the inpatient register book by identifying age, domicile, diagnosis, action, length of treatment, and outcomes after treatment for the period June 2021-June 2022.
Results: A total of 514 patients met the inclusion criteria, with 139 having oncology and the remaining gynecological issues. The largest age groups for oncology patients were 50-59 years (36.69%) and for gynecology, 40-49 years (42.40%), respectively. Most of the patients were from Aceh Besar (15.56%, 80 patients). Ovarian carcinoma was the most common oncology case (57.55%), whereas uterine myomas were the most common in gynecology (27.73%). Of these, 343 (66.73%) underwent laparotomy. The highest number of admissions occurred in January 2022 (11.48%), with an average hospital stay of 7.39 days for oncology and 6.43 days for gynecology. Of the patients, 87.94% were discharged alive and 1.17% died.
Conclusion: This study found that most gynecological inpatients treated at RSUD Zainoel Abidin had leiomyoma utery (age range–40-49 and underwent laparotomy with an average length of stay of 13.35 days and good outcome.
Limitations: The limitations of this study include the retrospective method, data coverage from only one hospital, and reliance on secondary records that may not always be complete or consistent.
Contribution: This study can contribute to the optimization of hospital policies related to the management of oncology-gynecology patient care.
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AFHSC, A. F. H. S. C. (2011). Uterine fibroids, active component females, US Armed Forces, 2001-2010. MSMR, 18(12), 10–13.
Amin, S., Pujiyani, D., Rusiyana, N. P., & Azzahra, S. M. (2024). Evaluasi Potensi Antikanker Senyawa Daun Kelor melalui Kimia Medisinal. Jurnal Ilmu Medis Indonesia, 4(1), Article 1. https://doi.org/10.35912/jimi.v4i1.4544
Amin, S., Supriatna, G. T., Ardian, M. I., & Abdurrahman, M. I. (2024). Potensi Senyawa Turunan Terpenoid sebagai Agen Anti-Kanker. Jurnal Ilmu Medis Indonesia, 4(1), Article 1. https://doi.org/10.35912/jimi.v4i1.4551
Alfatah, R., Salmah, S., Khalisa, I., & Nora, H. (2025). Pola Kasus Onkologi-Ginekologi di Bangsal Ginekologi RSUD Zainoel Abidin 2021-2022. Jurnal Ilmu Medis Indonesia, 4(2), 101-112. doi:10.35912/jimi.v4i2.4351
Aulia, F. O., & Dewi, P. (2025). Kontribusi Kader Posyandu dalam Intervensi Stunting: Kajian Literatur Tahun 2023–2025. Jurnal Ilmu Medis Indonesia, 4(2), 155-168. doi:10.35912/jimi.v4i2.4687
Barrow, E., Anderson, I. D., Varley, S., Pichel, A. C., Peden, C. J., Saunders, D. I., & Murray, D. (2013). Current UK practice in emergency laparotomy. The Annals of The Royal College of Surgeons of England, 95(8), 599–603.
Bray, F., Ferlay, J., Soerjomataram, I., Siegel, R. L., Torre, L. A., & Jemal, A. (2018). Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA: A Cancer Journal for Clinicians, 68(6), 394–424.
Brustugun, O. T., Møller, B., & Helland, Å. (2014). Years of life lost as a measure of cancer burden on a national level. British Journal of Cancer, 111(5), 1014–1020.
Elly, N., & Asmawati. (2016). Faktor-Faktor yang Mempengaruhi Lama Hari Rawat Pasien Laparotomi di Rumah Sakit DR. M Yunus Bengkulu. Jurnal Ilmu Kesehatan, 8(September), 14–18.
Ervina, L., Berawi, K., Busman, H., Irawan, B., Azizah, N., & Yolanda, J. E. (2025). Laboratory and Clinical Manifestation Correlation of Neonatal Sepsis in Abdul Moeloek Hospital. Jurnal Ilmu Medis Indonesia, 4(2), 145-115. doi:10.35912/jimi.v4i2.4250
Fernandes, A., Viveros-Carreño, D., Hoegl, J., Ávila, M., & Pareja, R. (2022). Human papillomavirus-independent cervical cancer. International Journal of Gynecological Cancer, 32(1), 1–7. https://doi.org/10.1136/ijgc-2021-003014
Franasiak, J. M., & Scott, R. T. (2016). Demographics of Cancer in the Reproductive Age Female. 11–19. https://doi.org/10.1007/978-3-319-27711-0_2
Gouin, J.-P., & Kiecolt-Glaser, J. K. (2011). The impact of psychological stress on wound healing: Methods and mechanisms. Immunology and Allergy Clinics, 31(1), 81–93.
Hanahan, D., & Weinberg, R. A. (2011). Hallmarks of cancer: The next generation. Cell, 144(5), 646–674.
Holdsworth-Carson, S. J., Zaitseva, M., Vollenhoven, B. J., & Rogers, P. A. W. (2014). Clonality of smooth muscle and fibroblast cell populations isolated from human fibroid and myometrial tissues. Molecular Human Reproduction, 20(3), 250–259.
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Marsh, E. E., Al-Hendy, A., Kappus, D., Galitsky, A., Stewart, E. A., & Kerolous, M. (2018). Burden, prevalence, and treatment of uterine fibroids: A survey of US women. Journal of Women’s Health, 27(11), 1359–1367.
Mercy, S. E., & David, L. K. (2021). Prevalence of Uterine Leiomyoma Coexisting with Intrauterine Pregnancy. International Journal of Research and Innovation in Applied Science (IJRIAS) |, VI(Iii), 2454–6194.
Nagase, S., Ohta, T., Takahashi, F., & Enomoto, T. (2019). Annual report of the committee on gynecologic oncology, the Japan Society of Obstetrics and Gynecology: Annual patients report for 2015 and annual treatment report for 2010. Journal of Obstetrics and Gynaecology Research, 45(2), 289–298. https://doi.org/10.1111/jog.13863
Pangribowo, S. (2019). Beban Kanker di Indonesia. Pusat Data Dan Informasi Kesehatan Kementerian Kesehatan RI, 1–16.
Pertiwi, A. A. P. R., Wahyuningsih, M., & Verawati, B. (2017). Hubungan antara paritas dengan kejadian kanker serviks di RSUP Dr. Soeradji Tirtonegoro Klaten tahun 2013. Jurnal Keperawatan Respati Yogyakarta, 4(September), 238–242.
Petersen, Z., Jaca, A., Ginindza, T. G., Maseko, G., Takatshana, S., Ndlovu, P., Zondi, N., Zungu, N., Varghese, C., Hunting, G., Parham, G., Simelela, P., & Moyo, S. (2022). Barriers to uptake of cervical cancer screening services in low-and-middle-income countries: A systematic review. BMC Women’s Health, 22(1), 486. https://doi.org/10.1186/s12905-022-02043-y
Pimple, S., Mishra, G., & Shastri, S. (2016). Global strategies for cervical cancer prevention. Current Opinion in Obstetrics and Gynecology, 28(1), 4–10. https://doi.org/10.1097/GCO.0000000000000241
Ridho, F. M., Algifnita, A. O., Pramaztri, N. N., Laksono, E. P., Allifiah, B. P. N., & Ahmad, M. (2024). Periodontitis as a Risk Factor of Preeclampsia in Pregnancy: A Scoping Review. International Islamic Medical Journal, 5(2), 9–25. https://doi.org/10.33086/iimj.v5i2.5316
Ridho, F. M., Fahrudin, P., Syachputra, A. J., Aruan, I. A., Ulfah, K., & Syahri, A. (2024). Anticancer Activity of Asiatic Acid from Centella Asiatica: A Comprehensive Systematic Review of In Vitro and In Vivo Studies. Keluwih: Jurnal Kesehatan Dan Kedokteran, 6(1), 30–47. https://doi.org/10.24123/kesdok.V6i1.6752
Ridho, F. M., Iqbal, M., Agustina, A. W., & Syachputra, A. J. (2023). Mechanism of Apoptosis Induction in Oral Cancer Cells by Uncaria-derived Flavonoids. Ad-Dawaa’ Journal of Pharmaceutical Sciences, 6(2), 127–144. https://doi.org/10.24252/djps.v6i2.42944
Ridho, F. M., Syachputra, A. J., Fahrudin, P., Nurhuda, A., Nurliana, N., & Latuamury, N. S. (2024). In vitro and in vivo effects of curcumin on oral cancer: A systematic review. Current Biomedicine, 2(2), 101–115. https://doi.org/10.29244/currbiomed.2.2.101-115
Rudiyanti, N., & Imron, R. (2017). Hubungan Usia Menarche Dan Paritas Dengan Mioma Uteri. Jurnal Ilmiah Keperawatan Sai Betik, 12(2), 233–239.
Sankaranarayanan, R., & Ferlay, J. (2006). Worldwide burden of gynaecological cancer: The size of the problem. Best Practice and Research: Clinical Obstetrics and Gynaecology, 20(2), 207–225. https://doi.org/10.1016/j.bpobgyn.2005.10.007
Sparic, R., Mirkovic, L., Malvasi, A., & Tinelli, A. (2017). Epidemiology of Uterine Myomas: A Review. Int J Fertil Steril, 9(4). https://doi.org/10.22074/ijfs.2015.4599
Stewart, C., Ralyea, C., & Lockwood, S. (2019). Ovarian Cancer: An Integrated Review. Seminars in Oncology Nursing, 35(2), 151–156. https://doi.org/10.1016/j.soncn.2019.02.001
Sumule, J. G. A., Sihaloho, S., Pangaribuan, I. S., & Fathurohman, O. (2025). Tinjauan Literatur: Penerapan Nilai Islam pada Makanan dalam Ilmu Kesehatan. Jurnal Ilmu Medis Indonesia, 4(2), 129-143. doi:10.35912/jimi.v4i2.4188
Sung, H., Ferlay, J., Siegel, R. L., Laversanne, M., Soerjomataram, I., Jemal, A., & Bray, F. (2021). Global cancer statistics 2020: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA: A Cancer Journal for Clinicians, 71(3), 209–249.
Trasia, R. F., Anggraeni, I. D., & Putra, N. E. (2025). Analisis Faktor yang Berhubungan dengan Perdarahan Postpartum RSUD Banten Tahun 2019-2023. Jurnal Ilmu Medis Indonesia, 4(2), 113-128. doi:10.35912/jimi.v4i2.4408
Vijg, J., & Suh, Y. (2013). Genome instability and aging. Annual Review of Physiology, 75, 645–668.
Wallach, E. E., & Vlahos, N. F. (2004). Uterine Myomas: An Overview of Development, Clinical Features, and Management: Obstetrics & Gynecology, 104(2), 393–406. https://doi.org/10.1097/01.AOG.0000136079.62513.39
Wang, F., Zhang, W., Cheng, W., Huo, N., & Zhang, S. (2021). Preeclampsia and cancer risk in women in later life: A systematic review and meta-analysis of cohort studies. Menopause, 28(9), 1070–1078. https://doi.org/10.1097/GME.0000000000001806
White, M. C., Holman, D. M., Boehm, J. E., Peipins, L. A., Grossman, M., & Henley, S. J. (2014). Age and cancer risk: A potentially modifiable relationship. American Journal of Preventive Medicine, 46(3), S7–S15.
Wilailak, S., Kengsakul, M., & Kehoe, S. (2021). Worldwide initiatives to eliminate cervical cancer. International Journal of Gynecology & Obstetrics, 155(S1), 102–106. https://doi.org/10.1002/ijgo.13879
Yan, X., Shen, L., Xiao, Y., Wang, Q., Li, F., & Qian, Y. (2021). Prevalence, characteristics, and distribution of HPV genotypes in women from Zhejiang Province, 2016–2020. Virology Journal, 18(1), 1–12.
Yu, O., Scholes, D., Schulze-Rath, R., Grafton, J., Hansen, K., & Reed, S. D. (2018). A US population-based study of uterine fibroid diagnosis incidence, trends, and prevalence: 2005 through 2014. American Journal of Obstetrics and Gynecology, 219(6), 591-e1.
- AFHSC, A. F. H. S. C. (2011). Uterine fibroids, active component females, US Armed Forces, 2001-2010. MSMR, 18(12), 10–13.
- Amin, S., Pujiyani, D., Rusiyana, N. P., & Azzahra, S. M. (2024). Evaluasi Potensi Antikanker Senyawa Daun Kelor melalui Kimia Medisinal. Jurnal Ilmu Medis Indonesia, 4(1), Article 1. https://doi.org/10.35912/jimi.v4i1.4544
- Amin, S., Supriatna, G. T., Ardian, M. I., & Abdurrahman, M. I. (2024). Potensi Senyawa Turunan Terpenoid sebagai Agen Anti-Kanker. Jurnal Ilmu Medis Indonesia, 4(1), Article 1. https://doi.org/10.35912/jimi.v4i1.4551
- Alfatah, R., Salmah, S., Khalisa, I., & Nora, H. (2025). Pola Kasus Onkologi-Ginekologi di Bangsal Ginekologi RSUD Zainoel Abidin 2021-2022. Jurnal Ilmu Medis Indonesia, 4(2), 101-112. doi:10.35912/jimi.v4i2.4351
- Aulia, F. O., & Dewi, P. (2025). Kontribusi Kader Posyandu dalam Intervensi Stunting: Kajian Literatur Tahun 2023–2025. Jurnal Ilmu Medis Indonesia, 4(2), 155-168. doi:10.35912/jimi.v4i2.4687
- Barrow, E., Anderson, I. D., Varley, S., Pichel, A. C., Peden, C. J., Saunders, D. I., & Murray, D. (2013). Current UK practice in emergency laparotomy. The Annals of The Royal College of Surgeons of England, 95(8), 599–603.
- Bray, F., Ferlay, J., Soerjomataram, I., Siegel, R. L., Torre, L. A., & Jemal, A. (2018). Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA: A Cancer Journal for Clinicians, 68(6), 394–424.
- Brustugun, O. T., Møller, B., & Helland, Å. (2014). Years of life lost as a measure of cancer burden on a national level. British Journal of Cancer, 111(5), 1014–1020.
- Elly, N., & Asmawati. (2016). Faktor-Faktor yang Mempengaruhi Lama Hari Rawat Pasien Laparotomi di Rumah Sakit DR. M Yunus Bengkulu. Jurnal Ilmu Kesehatan, 8(September), 14–18.
- Ervina, L., Berawi, K., Busman, H., Irawan, B., Azizah, N., & Yolanda, J. E. (2025). Laboratory and Clinical Manifestation Correlation of Neonatal Sepsis in Abdul Moeloek Hospital. Jurnal Ilmu Medis Indonesia, 4(2), 145-115. doi:10.35912/jimi.v4i2.4250
- Fernandes, A., Viveros-Carreño, D., Hoegl, J., Ávila, M., & Pareja, R. (2022). Human papillomavirus-independent cervical cancer. International Journal of Gynecological Cancer, 32(1), 1–7. https://doi.org/10.1136/ijgc-2021-003014
- Franasiak, J. M., & Scott, R. T. (2016). Demographics of Cancer in the Reproductive Age Female. 11–19. https://doi.org/10.1007/978-3-319-27711-0_2
- Gouin, J.-P., & Kiecolt-Glaser, J. K. (2011). The impact of psychological stress on wound healing: Methods and mechanisms. Immunology and Allergy Clinics, 31(1), 81–93.
- Hanahan, D., & Weinberg, R. A. (2011). Hallmarks of cancer: The next generation. Cell, 144(5), 646–674.
- Holdsworth-Carson, S. J., Zaitseva, M., Vollenhoven, B. J., & Rogers, P. A. W. (2014). Clonality of smooth muscle and fibroblast cell populations isolated from human fibroid and myometrial tissues. Molecular Human Reproduction, 20(3), 250–259.
- Jayson, G. C., Kohn, E. C., Kitchener, H. C., & Ledermann, J. A. (2014). Ovarian cancer. The Lancet, 384(9951), 1376–1388. https://doi.org/10.1016/S0140-6736(13)62146-7
- Kardiyudiani, N. K., Afrida, M., Rahayu, N. W., Indriyani, S., & Quiambao, B. D. (2024). Pengaruh Profil Pasien Kanker yang Mendapat Kemoterapi dengan Chemotherapy Induced Nausea and Vomiting (CINV). Ners Akademika, 3(1), Article 1. https://doi.org/10.35912/nersakademika.v3i1.3905
- Marsh, E. E., Al-Hendy, A., Kappus, D., Galitsky, A., Stewart, E. A., & Kerolous, M. (2018). Burden, prevalence, and treatment of uterine fibroids: A survey of US women. Journal of Women’s Health, 27(11), 1359–1367.
- Mercy, S. E., & David, L. K. (2021). Prevalence of Uterine Leiomyoma Coexisting with Intrauterine Pregnancy. International Journal of Research and Innovation in Applied Science (IJRIAS) |, VI(Iii), 2454–6194.
- Nagase, S., Ohta, T., Takahashi, F., & Enomoto, T. (2019). Annual report of the committee on gynecologic oncology, the Japan Society of Obstetrics and Gynecology: Annual patients report for 2015 and annual treatment report for 2010. Journal of Obstetrics and Gynaecology Research, 45(2), 289–298. https://doi.org/10.1111/jog.13863
- Pangribowo, S. (2019). Beban Kanker di Indonesia. Pusat Data Dan Informasi Kesehatan Kementerian Kesehatan RI, 1–16.
- Pertiwi, A. A. P. R., Wahyuningsih, M., & Verawati, B. (2017). Hubungan antara paritas dengan kejadian kanker serviks di RSUP Dr. Soeradji Tirtonegoro Klaten tahun 2013. Jurnal Keperawatan Respati Yogyakarta, 4(September), 238–242.
- Petersen, Z., Jaca, A., Ginindza, T. G., Maseko, G., Takatshana, S., Ndlovu, P., Zondi, N., Zungu, N., Varghese, C., Hunting, G., Parham, G., Simelela, P., & Moyo, S. (2022). Barriers to uptake of cervical cancer screening services in low-and-middle-income countries: A systematic review. BMC Women’s Health, 22(1), 486. https://doi.org/10.1186/s12905-022-02043-y
- Pimple, S., Mishra, G., & Shastri, S. (2016). Global strategies for cervical cancer prevention. Current Opinion in Obstetrics and Gynecology, 28(1), 4–10. https://doi.org/10.1097/GCO.0000000000000241
- Ridho, F. M., Algifnita, A. O., Pramaztri, N. N., Laksono, E. P., Allifiah, B. P. N., & Ahmad, M. (2024). Periodontitis as a Risk Factor of Preeclampsia in Pregnancy: A Scoping Review. International Islamic Medical Journal, 5(2), 9–25. https://doi.org/10.33086/iimj.v5i2.5316
- Ridho, F. M., Fahrudin, P., Syachputra, A. J., Aruan, I. A., Ulfah, K., & Syahri, A. (2024). Anticancer Activity of Asiatic Acid from Centella Asiatica: A Comprehensive Systematic Review of In Vitro and In Vivo Studies. Keluwih: Jurnal Kesehatan Dan Kedokteran, 6(1), 30–47. https://doi.org/10.24123/kesdok.V6i1.6752
- Ridho, F. M., Iqbal, M., Agustina, A. W., & Syachputra, A. J. (2023). Mechanism of Apoptosis Induction in Oral Cancer Cells by Uncaria-derived Flavonoids. Ad-Dawaa’ Journal of Pharmaceutical Sciences, 6(2), 127–144. https://doi.org/10.24252/djps.v6i2.42944
- Ridho, F. M., Syachputra, A. J., Fahrudin, P., Nurhuda, A., Nurliana, N., & Latuamury, N. S. (2024). In vitro and in vivo effects of curcumin on oral cancer: A systematic review. Current Biomedicine, 2(2), 101–115. https://doi.org/10.29244/currbiomed.2.2.101-115
- Rudiyanti, N., & Imron, R. (2017). Hubungan Usia Menarche Dan Paritas Dengan Mioma Uteri. Jurnal Ilmiah Keperawatan Sai Betik, 12(2), 233–239.
- Sankaranarayanan, R., & Ferlay, J. (2006). Worldwide burden of gynaecological cancer: The size of the problem. Best Practice and Research: Clinical Obstetrics and Gynaecology, 20(2), 207–225. https://doi.org/10.1016/j.bpobgyn.2005.10.007
- Sparic, R., Mirkovic, L., Malvasi, A., & Tinelli, A. (2017). Epidemiology of Uterine Myomas: A Review. Int J Fertil Steril, 9(4). https://doi.org/10.22074/ijfs.2015.4599
- Stewart, C., Ralyea, C., & Lockwood, S. (2019). Ovarian Cancer: An Integrated Review. Seminars in Oncology Nursing, 35(2), 151–156. https://doi.org/10.1016/j.soncn.2019.02.001
- Sumule, J. G. A., Sihaloho, S., Pangaribuan, I. S., & Fathurohman, O. (2025). Tinjauan Literatur: Penerapan Nilai Islam pada Makanan dalam Ilmu Kesehatan. Jurnal Ilmu Medis Indonesia, 4(2), 129-143. doi:10.35912/jimi.v4i2.4188
- Sung, H., Ferlay, J., Siegel, R. L., Laversanne, M., Soerjomataram, I., Jemal, A., & Bray, F. (2021). Global cancer statistics 2020: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA: A Cancer Journal for Clinicians, 71(3), 209–249.
- Trasia, R. F., Anggraeni, I. D., & Putra, N. E. (2025). Analisis Faktor yang Berhubungan dengan Perdarahan Postpartum RSUD Banten Tahun 2019-2023. Jurnal Ilmu Medis Indonesia, 4(2), 113-128. doi:10.35912/jimi.v4i2.4408
- Vijg, J., & Suh, Y. (2013). Genome instability and aging. Annual Review of Physiology, 75, 645–668.
- Wallach, E. E., & Vlahos, N. F. (2004). Uterine Myomas: An Overview of Development, Clinical Features, and Management: Obstetrics & Gynecology, 104(2), 393–406. https://doi.org/10.1097/01.AOG.0000136079.62513.39
- Wang, F., Zhang, W., Cheng, W., Huo, N., & Zhang, S. (2021). Preeclampsia and cancer risk in women in later life: A systematic review and meta-analysis of cohort studies. Menopause, 28(9), 1070–1078. https://doi.org/10.1097/GME.0000000000001806
- White, M. C., Holman, D. M., Boehm, J. E., Peipins, L. A., Grossman, M., & Henley, S. J. (2014). Age and cancer risk: A potentially modifiable relationship. American Journal of Preventive Medicine, 46(3), S7–S15.
- Wilailak, S., Kengsakul, M., & Kehoe, S. (2021). Worldwide initiatives to eliminate cervical cancer. International Journal of Gynecology & Obstetrics, 155(S1), 102–106. https://doi.org/10.1002/ijgo.13879
- Yan, X., Shen, L., Xiao, Y., Wang, Q., Li, F., & Qian, Y. (2021). Prevalence, characteristics, and distribution of HPV genotypes in women from Zhejiang Province, 2016–2020. Virology Journal, 18(1), 1–12.
- Yu, O., Scholes, D., Schulze-Rath, R., Grafton, J., Hansen, K., & Reed, S. D. (2018). A US population-based study of uterine fibroid diagnosis incidence, trends, and prevalence: 2005 through 2014. American Journal of Obstetrics and Gynecology, 219(6), 591-e1.