Clinico-Pathological Findings and Spatial Distributions of Esophageal Cancer in Arsi Zone, Oromia, Central Ethiopia
Received 22 January 2021
Accepted for publication 12 March 2021
Published 23 March 2021 Volume 2021:13 Pages 2755—2762
Checked for plagiarism Yes
Review by Single anonymous peer review
Peer reviewer comments 4
Editor who approved publication: Dr Eileen O'Reilly
Haji Aman Deybasso,1 Kedir Teji Roba,2 Berhanu Nega,3 Tefera Belachew1
1Jimma University, Department of Human Nutrition and Dietetics, Jimma, Ethiopia; 2Haramaya University, College of Health and Medical Sciences, Harar, Ethiopia; 3Addis Ababa University, College of medicine and health sciences, Addis Ababa, Ethiopia
Correspondence: Haji Aman Deybasso Tel +251911386781
Email [email protected]
Purpose: Arsi Zone is one of the esophageal cancer endemic areas and is reported to have a high incidence of esophageal cancer in Ethiopia. This study assessed clinicopathological patterns and spatial distributions of esophageal cancer in Arsi Zone, Oromia, Central Ethiopia.
Methods: A cross-sectional study design was carried out by abstracting data of 403 patients treated from January 2015 to January 2019. Data were collected by using a structured data collection form and Geographical Positioning System software. The collected data were summarized in the form of tables, figures, means, and standard deviations. Statistical data analysis was done using SPSS software version 21.0 while geospatial analysis was conducted using the Arc-GIS 10.1 software.
Results: The disease was prominent among individuals aged 50 to 59 years. The mean age of females and males was 52.2 (SD± 10.41) and 56.94 (SD ± 12.27) years respectively. The vast majority (98.3%) of cases had squamous cell carcinoma. Dysphagia with weight loss accounted for 87.6% of the presenting symptoms. A large proportion (42.9%) of patients had a tumor located at the lower thorax. The majority (62%) of patients were from the eastern and north-eastern parts of the Arsi zone.
Conclusion: Dysphagia with weight loss was the major symptom during the first visit. Squamous cell carcinoma was the predominant histopathological type. Eastern and the northeastern parts of the Zone are the most affected regions. Future studies should focus on the determinants of esophageal cancer and precise areas with high incidences by using the population and/or facility-based cancer registry systems.
Keywords: esophageal cancer, clinical pattern, geographical distribution, Arsi, Ethiopia
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