Pola Kasus Onkologi-Ginekologi di Bangsal Ginekologi RSUD Zainoel Abidin 2021-2022

Published: Mar 3, 2025

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.

Keywords:
1. Cervical Cancer
2. Gynecology
3. Laparotomy
4. Leiomyoma Uterine
5. Length Of Stay
6. Oncology
Authors:
1 . Ridwan Alfatah
https://orcid.org/0009-0004-1940-5216
2 . Salmah Salmah
3 . Ighra Khalisa
4 . Hilwah Nora
How to Cite
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. https://doi.org/10.35912/jimi.v4i2.4351

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References

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    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.

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    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

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    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.

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    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

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    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

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    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.

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  2. 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
  3. 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
  4. 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
  5. 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
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  7. 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.
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  11. 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
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  15. 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.
  16. 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
  17. 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
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  20. 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
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  22. 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.
  23. 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
  24. 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
  25. 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
  26. 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
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  28. 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
  29. Rudiyanti, N., & Imron, R. (2017). Hubungan Usia Menarche Dan Paritas Dengan Mioma Uteri. Jurnal Ilmiah Keperawatan Sai Betik, 12(2), 233–239.
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  31. 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
  32. 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
  33. 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
  34. 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.
  35. 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
  36. Vijg, J., & Suh, Y. (2013). Genome instability and aging. Annual Review of Physiology, 75, 645–668.
  37. 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
  38. 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
  39. 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.
  40. 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
  41. 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.
  42. 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.