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  1. Lim KH, Teh CH, Pan S, Ling MY, Yusoff MFM, Ghazali SM, et al.
    Tob Induc Dis, 2018;16.
    DOI: 10.18332/tid/82190
    INTRODUCTION The continuous monitoring of smoking prevalence and its associated factors is an integral part of anti-smoking programmes and valuable for the evaluation of the effectiveness of anti-smoking measures and policies. This study aimed at determining prevalence of smoking and identifying socio-demographic factors associated with smoking among adults in Malaysia aged 15 years and over.
    METHODS This is a cross-sectional study with a representative sample of 21 445 adults in Malaysia, aged 15 years and over, selected via a stratified, two-stage proportionate-to-size sampling method. Data were obtained from face-to-face interviews by trained research assistants, using a standard validated questionnaire. Multivariable logistic regression was performed to determine socio-demographic factors associated with smoking among Malaysians.
    RESULTS The overall prevalence of smoking was 22.8% (95% CI: 21.9–23.8%), with males having a significantly higher prevalence compared to females (43.0%, 95% CI: 41.1–44.6 vs 1.4%, 95% CI: 1.1–1.7). The highest smoking prevalence was observed among other ethnicities (35.7%), those aged 25–44 years (59.3%), and low educational attainment (25.2%). Males, those with lower educational attainment and Malays were significantly associated with smoking.
    CONCLUSIONS The prevalence of smoking among Malaysians, aged 15 years and over, remains high despite the implementation of several anti-smoking measures over the past decades. Specially tailored anti-smoking policies or measures, particularly targeting males, the Malays, younger adults and those with lower educational attainment, are greatly warranted to reduce the prevalence of smoking in Malaysia.
    Study name: National Health and Morbidity Survey (NHMS-2015)
    Matched MeSH terms: Prevalence
  2. Citation: National Health Morbidity Survey 1986. Kuala Lumpur: Ministry of Health, Malaysia, 1987
    Study name: National Health and Morbidity Survey (NHMS-1986)

    National Health and Morbidity Survey (NHMS) was first initiated in 1986. Its objectives were to supplement existing data on the pattern of health problems, health needs and expenditure on health in the community to enable the Ministry of Health to review priorities and activities of programmes, plan future allocation of resources and evaluate the impact of strategies.
    The scopes covered in the survey were morbidity rates, health service utilizations and their barriers, health expenditure and their sources, immunization coverage, acute respiratory illness, hypertension, angina, smoking, diabetes, astma and injuries. The survey only focused in Peninsular Malaysia with response rate in different modules ranging from 92 to 100%. The survey was spearheaded by the Institute for Public Health (IPH) and partially supported by the World Health Organisation (WHO) Grant.
    The scopes covered in this survey were load of illness, health seeking behaviour, health care consumption cost, health related behaviours (exercise, breast-feeding practices, pap-smear examination, breast examination, smoking, alcohol consumption, obesity, adolescent risky behaviour: smoking, alcohol consumption, drug abuse, sexual practices), specific health problems (hypertension, ischaemic heart disease, diabetes mellitus, medically diagnosed cancer, injury, physical impairments, astman and acuter respiratory inflections), and blood cholesterol level. The response rate at Living Quarters (LQ) level was 86.9%.
    Matched MeSH terms: Prevalence
  3. Citation: National Health Morbidity Survey 1996. Kuala Lumpur: Ministry of Health, Malaysia, 1997
    Study name: National Health and Morbidity Survey (NHMS-1996)

    The Second National Health and Morbidity Study (NHMS 2) was conducted in 1996 and funded by R&D Funding under the Intensification of Research in Priority Areas Programme, Government of Malaysia and Ministry of Health. The need for this survey was identified during a discussion on research priority areas for the Seventh Malaysia Plan. NHMS 2 was aimed to provide community based data and information for the MOH to review health priorities, programme strategies and activities and planning for allocation of resources.
    The scopes covered in this survey were load of illness, health seeking behaviour, healthcare consumption cost, health related behaviours (exercise, breast-feeding practices, pap-smear behaviour: smoking alcohol consumption, drug abuse, sexual practices), specific health problems (hypertension, ischaemic heart disease, diabetes mellitus, medically diagnosed cancer, injury, physical impairments, astmna and acute respiratory infections), and blood choleterol level. The NHMS 2 covered whole Malaysia including Sabah and Sarawak. The response rate at Living Quarters (LQ) level was 86.9%.
    Matched MeSH terms: Prevalence
  4. Aris T, Abd Ghani AA, Mohd Yusoff MF, Robert TG, Tee GH, Mohd Hasri NH, et al.
    ISBN: 978-983-2387-30-5
    Citation: Aris T, Abd Ghani AA, Mohd Yusoff MF, Robert TG, Tee GH, Mohd Hasri NH, et al. Tobacco & E-cigarette Survey Among Malaysian Adolescent (TECMA) 2016. Kuala Lumpur: Institute for Public Health, National Institutes of Health, Ministry of Health Malaysia; 2016
    Matched MeSH terms: Prevalence
  5. Nazirah H, Daniella M
    Jurnal Psikologi Malaysia, 2018;32:146-164.
    This study investigates bullying and victimisation in juvenile rehabilitation institutions in Malaysia, where research on this phenomenon has been particularly limited. It examines the prevalence of bullying and victimisation in these settings and investigates the role of personal characteristics and aspects of institutional environments, and explores how these factors relate to bullying behaviour. The study comprised a survey completed by 289 male and female young people, aged 12 to 21 years old, in 8 juvenile rehabilitation institutions, using the scale version of Direct and Indirect Prisoner Behaviour Checklist (DIPC-SCALEDr) and the Measuring the Quality of Prison Life (MQPL) instruments. The findings showed that 95 percent of young people reported at least one behaviour indicative of bullying others, and 99 percent reported at least one behaviour indicative of victimisation in a month. Seven predictors were found to underpin bullying behaviour, including three personal characteristics (i.e. time spent in the institution, experiences of punishment inside the institution, and gang membership) and four institutional dimensions (i.e respect; bureaucratic legitimacy; fairness; and family contact). To conclude, bullying behaviour seemed to be normalized in juvenile rehabilitation institutions. As the heart of institution, staff members play an important role to control bullying behaviour amongst young people. The importance of these findings for bullying prevention strategies and directions for future research are discussed.
    Matched MeSH terms: Prevalence
  6. Siti Marziah Z, Nor Shahirah Mat T
    Jurnal Psikologi Malaysia, 2018;32(1):58-71.
    The prevalence of Autism Spectrum Disorder (ASD) cases has been increasing worldwide. There are countless aspects of challenges faced by parents to bring up children with ASD. Parents of children with ASD are often reported to have higher stress in parenting compared to parents with normal children or children with other disabilities such as Down syndrome. Therefore, this study explored the challenges faced by mothers of children with ASD. Mothers whom were selected are the primary guardians and spend a lot of time nurturing these children. This qualitative study involved in-depth interviews with five (5) informants in Selangor. The thematic analysis identified the challenges faced by the mothers of children with ASD, which are the aspects of behavioral, financial and community acceptance. The findings showed that mothers to children with ASD encountered numerous complicated challenges which require the support of all parties to address those challenges. High support and compassionate understanding are really needed from the spouse, normal children, local communities, and government to alleviate their difficulties. Thus, the findings of this study hopefully will help various parties to understand the challenges faced by the mothers of children with ASD. It can also be the guiding principle in designing supportive programs and interventions for children with ASD as well as their parents.
    Matched MeSH terms: Prevalence
  7. S.K. Norshafarina, M.S. Noor Ibrahim, S. Suzana, A. Mohamad Hasnan, M. Zahara, Y. Zaitun
    Sains Malaysiana, 2013;42:1345-1355.
    A cross sectional study was conducted to determine the prevalence of Sarcopenia and its association with health profiles and oxidative stress among multiethnic older adults in an urban area of Malaysia. Sarcopenia was assessed using Bioimpedance analysis (BIA) and the associations between demography, socioeconomic status, lifestyle practices, health risk factors and blood profile were examined on 388 apparently healthy subjects aged 60 years and above. Prevalence of sarcopenia was 89.0% in men and 40.3% in women with the overall prevalence of 59.8%. It was found that prevalence of severe sarcopenia was 13.9% and sarcopenia obese was 23.5%. Binary logistic regression showed that there was no predictor found in men or women. However, a decline in muscle mass was observed in sarcopenic as compared with normal subjects. Sarcopenia is prevalent and there is a need to implement interventional strategies to prevent sarcopenia and its associated comorbidities.
    Matched MeSH terms: Prevalence
  8. Yusof MA, Mohd-Taib FS, Ishak SN, Md-Nor S, Md-Sah SA, Mohamed NZ, et al.
    Ecohealth, 2019 06;16(2):260-274.
    PMID: 31124020 DOI: 10.1007/s10393-019-01419-1
    Leptospirosis, a widespread zoonotic disease, is a public health problem, especially in major urban centres, and is mainly reported to be associated with rats. In Malaysia, focus has been primarily given to the Leptospira prevalence in rodents per se, but there is lack of information on the microhabitat structure of the outbreak areas. We aimed to determine the diversity of small mammal species, microhabitat types, and their prevalence of pathogenic Leptospira spp. in the outbreak areas, which were categorized as urban, semi-urban, and recreational forests. Sampling involved deploying 100 to 300 live traps at each study site. Kidney samples were extracted from selected individuals, for screening of pathogenic Leptospira spp. by PCR. Out of 537 individuals from 15 small mammal species captured, 4 species were recorded from urban, 13 from semi-urban, and 11 from recreational forest sites. From 389 individuals screened, 58 were tested positive for pathogenic Leptospira. Recreational forests recorded the highest prevalence with 19.4% (n = 93), followed by urban, 16.6% (n = 163) and semi-urban sites with 9.8% (n = 133). Seven rodent species were tested positive for pathogenic Leptospira from all areas. R. norvegicus was found to harbour the highest prevalence (66.7%) in urban, R. rattus (53.8%) in semi-urban, whereby M. whiteheadi (44.4%) in recreational forest sites. Microhabitat analysis revealed that rubbish quantity contributed especially strongly to a high prevalence of Leptospira. This study contributes to understanding of the host and microhabitat preferences of Leptospira, which is important in controlling the spread of this disease in human's landscapes.
    Matched MeSH terms: Prevalence
  9. Cheng SH, Shahar S, Lee FS, Ramli A
    Sains Malaysiana, 2012;41:379-385.
    Rising risk of falls has been associated with injury and dysfunction among the elderly. Therefore, this study was conducted to determine the prevalence of falls and association with nutritional status among 143 elderly patients from medical ward and clinic in Hospital Kuala Lumpur. Anthropometric indicators and bone health status using quantitative ultrasound (QUS) were also assessed. History of falls, functional status and dietary intake based on dietary history was assessed
    through questionnaire which was administered by face-to-face interview with the subjects. Data were analyzed using SPSS software version 16.0 and Foodworks. The past-year prevalence of falls (falls at least once in the previous 12 months) in this study was 32.9%. The past year prevalence of falls in women (40.2%) was higher than in men (17.4%) (p<0.01). Women who had calcium intake less than 300 mg/d (adjusted OR = 3.07, 95% CI = 1.02-9.24) and protein intake < 1 g/kg body weight (adjusted OR = 3.68, 95% CI = 0.98-13.84) were more likely to have a higher risk of falls. In conclusion, one third of the subjects, especially women in this study had a history of falls. Elderly people should be assessed for calcium and protein intake and those with calcium intake less than 300 mg/day and protein intake less than 1 g/kg body weight should be given intervention to reduce falls risk factor and subsequent fall-related co-morbidity.
    Keywords: Elderly patients; falls; nutritional status
    Matched MeSH terms: Prevalence
  10. Rohaya Megat Abdul Wahab, Hartini Idris, Habibah Yacob, Shahrul Hisham Zainal Ariffin
    Sains Malaysiana, 2013;42(1):25-32.
    The aims of this study were to assess the skeletal pattern and the malocclusion of Kadazan Dusun ethnic patients who seek for orthodontic treatment. Cephalometric radiographs (248) and 345 study models were collected from four orthodontic clinics in Sabah. The cephalometric mean values (SNA, SNB, ANB, MMA, SNMxP, UIMxP, LIMnP and ALFH) were measured and the study models were analysed for overjet, overbite, incisor and molar relationships. Some morphological or occlusal features such as shovel shape, Talon cusp, peg shape teeth, midline diastema, canine displacement and supernumerary tooth were also noted. The frequency and correlation of cephalometric mean values and prevalence of malocclusion were analysed using SPSS 18. Class I Skeletal pattern was the most common (48%) followed by Class II (33%) and Class III (18%). There was a strong correlation between SNA and SNB values (>0.70). Class II/1 incisor relationship has the highest frequency (41%) followed by Class III (32%), Class I (21%) and Class II/2 (6%). Class II Molar relationship of both right and left showed highest frequency (38%) followed by Class I (33%) and Class III (30%). Increased of overjet (44%) and reduced overbite (41%) and shovel-shaped incisor were the most common occlusal and dental features. The Kadazan Dusun patients who seek for orthodontic treatment in Sabah were mostly presented with Class I Skeletal pattern with high prevalence in Class II/1 incisor relationship, Class II molar relationship, increased overjet and reduced overbite. The orthodontic treatment pertaining to this ethnicity should be in line with the findings that will benefit patient specifically based on their common presented features.
    Matched MeSH terms: Prevalence
  11. Tzar M, Zetti Z, Ramliza R, Sharifah A, Leelavathi M
    Sains Malaysiana, 2014;43:1737-1742.
    Prevalence of dermatomycoses varies from one centre to another due to many factors. Knowledge of local prevalence is useful to aid clinical diagnosis and treatment. Due to lack of data in Malaysia, this study aimed to look at the causes of dermatomycoses in Kuala Lumpur, Malaysia. Dermatological specimens including skin scrapings, hair and nail clippings were collected carefully from clinically suspected cases of dermatomycoses between 2008 and 2010. All cultures of skin, hair and nails that yielded positive fungal growth were included. Any fungal growth outside the streaking area, duplicate and incomplete data were excluded from the study. Three-hundred-fifty-eight patients were included. Male patients were slightly more than females with a ratio of 1.2:1. The median age was 53 years old with interquartile range of 38-64 years. More than half (53.6%) belonged to 20-60 years age group. Rates of culture isolation were 89.0% for nails, 56.2% for hair and 55.6% for skin. Five-hundred-twenty-two fungi were isolated from 358 clinical specimens. Non-dermatophyte moulds (NDMs) represented the largest group (50.5%; mainly Aspergillus species 18.7%), followed by yeasts (41.6%; mainly Candida species 26.8%) and dermatophytes (7.9%; mainly Trichophyton species 7.7%). In conclusion, NDMs and yeasts were more commonly isolated than dermatophytes from dermatological specimens in this centre. Current treatment regime that focuses on dermatophytes may be ineffective to treat dermatomycoses caused by NDMs or yeasts. Antifungal susceptibility study may be needed to guide therapy in recalcitrant cases.
    Matched MeSH terms: Prevalence
  12. Nadzirah Ahmad B, Chen T, Kumagai S, Chen S
    Previous studies demonstrated that perceived overweight has a larger role than actual body weight does in suicidal ideation and attempts. Despite high suicidal rate found among university students, studies have been limited in examining the role of perceived overweight in relation to suicidality in this population. This study aims to examine the relationship between a wish to die with perceived overweight and actual weight, measured by Body Mass Index (BMI) in university students. The sample comprised of 2,000 incoming freshmen in a Japanese university. Multivariate logistic regression was used to determine the association between a wish to die and perceived overweight and actual weight. Results indicated a wish to die prevalence of 5.8% (n=115) and perceived overweight prevalence of 15.8% (n=315) among the freshmen. Perceived overweight significantly increased the odds of a wish to die by two-fold (Odds Ratio (OR) =2.01, 95% Confidence Interval (CI) = 1.20- 3.37), in contrast to actual weight which was not significantly associated with a wish to die. Findings implied the necessity to promote healthy attitudes towards body weight and self-acceptance regardless of weight status among university students that could reduce the potential risk of a wish to die from progressing along the continuum of suicidality in later life.
    Matched MeSH terms: Prevalence
  13. Norhayati Ibrahim, Rafidah Aini Pakri Mohamed, Sharlene Teo, Normah Che In, Abdul Halim Abdul Gafor, Rozmi Ismail, et al.
    Sains Malaysiana, 2016;45(5):753-759.
    The prevalence of chronic kidney disease (CKD) have increased and become one of the major public health concerns
    worldwide including Malaysia. Previous studies on CKD generally focused on patients who were already undergoing
    dialysis treatment; however, studies investigating the stresses experienced by pre-dialysis CKD patients were limited. This
    study aimed to examine the prevalence of psychological distress and their association with the Health Related Quality
    of Life (HRQoL) during the different stages of CKD. This cross-sectional study involved 200 pre-dialysis patients from
    stages 3 to 5, who were recruited from the Nephrology Clinic at the National University of Malaysia Medical Centre
    (UKMMC). The instruments used in this study were the Short Form 36 (measuring HRQoL) and Hospital Anxiety and
    Depression Scale (HADS) to measure the psychological distress. The results showed that the prevalence of depression
    and anxiety increased proportionally with the CKD stages. The HRQoL sub-component scores declined as the CKD stages
    increased except for social functioning. An impaired HRQoL was associated with depression and anxiety in the CKD
    patients. The results suggested that it is very important to manage kidney disease at an early stage and that a healthier
    lifestyle is adopted.
    Matched MeSH terms: Prevalence
  14. Du P, Liu X, Zhong G, Zhou Z, Thomes MW, Lee CW, et al.
    PMID: 32023897 DOI: 10.3390/ijerph17030889
    Southeast Asian countries including Malaysia play a major role in global drug trade and abuse. Use of amphetamine-type stimulants has increased in the past decade in Malaysia. This study aimed to apply wastewater-based epidemiology for the first time in Kuala Lumpur, Malaysia, to estimate the consumption of common illicit drugs in urban population. Influent wastewater samples were collected from two wastewater treatment plants in Kuala Lumpur in the summer of 2017. Concentrations of twenty-four drug biomarkers were analyzed for estimating drug consumption. Fourteen drug residues were detected with concentrations of up to 1640 ng/L. Among the monitored illicit drugs, 3,4-methylenedioxy-methamphetamine (MDMA) or ecstasy had the highest estimated per capita consumptions. Consumption and dose of amphetamine-type stimulants (methamphetamine and MDMA) were both an order of magnitude higher than those of opioids (heroin and codeine, methadone and tramadol). Amphetamine-type stimulants were the most prevalent drugs, replacing opioids in the drug market. The prevalence trend measured by wastewater-based epidemiology data reflected the shift to amphetamine-type stimulants as reported by the Association of Southeast Asian Nations Narcotics Cooperation Center. Most of the undetected drug residues were new psychoactive substances (NPSs), suggesting a low prevalence of NPSs in the drug market.
    Matched MeSH terms: Prevalence
  15. Nam KD, Van NB, Hoang LV, Duc TP, Thi Ha TT, Tuan VT, et al.
    Heliyon, 2020 Feb;6(2):e03383.
    PMID: 32072063 DOI: 10.1016/j.heliyon.2020.e03383
    Background: Hypertension (HTN) significantly contributes to global disease burden, and its prevalence varies amongst different countries and regions. This work is aimed to characterize the hypertensive prevalence and identify risk factors for HTN among the residents in five locations (four communes and one town) of Moc Chau district (Son La province, Vietnam).

    Methods: A cross-sectional study with a cross-sectional methodology was done in selected places from August 2018 to December 2018. We interviewed 197 participants aged equal to or more than 18 years old and measured their blood pressure (BP). Univariate and multivariate logistic regression were applied.

    Results: The overall HTN prevalence of 30.0% was recorded. The differences of HTN prevalence rates were seen by several characters including age groups (p <0.001), accompanying disease (p <0.001) and alcohol drinking (p <0.05). Factors independently associated with hypertension were age (ORs: 3.1 [1.1-9.1]; 6.1 [1.7-22.3]), much salty consumption (OR: 2.6 [1.1-6.6]), alcohol use (OR: 3.1 [1.2-8.1]), HTN familial history (OR: 4.2 [1.3-13.3]) and at least one suffering disease (OR: 5.2 [2.1-12.7]).

    Conclusions: Thus, this study highlighted the high overall HTN prevalence in the Vietnam Northwestern region. Significant differences of HTN rate were observed among several characteristics such as age groups, accompanying disease and alcohol drinking. Age group, much salty consumption, alcohol use, hypertension familial history and at least one suffering disease were risk factors for HTN in study group.

    Matched MeSH terms: Prevalence
  16. Fahim A, Himratul-Aznita WH, Abdul-Rahman PS
    Pak J Med Sci, 2020 2 18;36(2):271-275.
    PMID: 32063973 DOI: 10.12669/pjms.36.2.1457
    Objective: Chlorhexidine mouthrinses are considered a gold standard as an adjunct treatment of oral infections. However, owing to its toxicity, discoloration of tooth surface and the emerging prevalence of drug-resistant species, attention is being given to exploring natural alternatives to the drug.

    Methods: The experiment was carried out in Azra Naheed Center for Research and Development (ANCRD), Superior University, Lahore, Pakistan from September 2018 till May 2019. Biofilms and planktonic cells of C. albicans alone and in combination with streptococci were subjected to chlorhexidine, allium sativum and bakuchiol individually and to allium-bakuchiol combination. Kirby-Bauer test, antifungal susceptibility testing, CFU count and drug synergy assessment was done on planktonic cells. Dynamic biofilms were formed to mimic conditions similar to oral cavity and CFU was determined.

    Results: MIC of all three agents was higher against mixed species when compared to single species planktonic cells and biofilm. Allium sativum and bakuchiol demonstrated synergistic effects. The decrease in CFU count and minimum biofilm reduction to salivary pellicle caused by allium sativum-bakuchiol was comparable to that of chlorhexidine.

    Conclusion: Thus, allium sativum-bakuchiol combination demonstrated antimicrobial effects similar to chlorhexidine against planktonic cells and dynamic biofilm. It could serve as a possible natural, economical alternative to chlorhexidine mouthrinses usually recommended in dental clinics. However, in vivo studies are required to determine the correct dosage of these agents.

    Matched MeSH terms: Prevalence
  17. Mohammadi S, Jalaludin MY, Su TT, Dahlui M, Azmi Mohamed MN, Abdul Majid H
    PMID: 30791423 DOI: 10.3390/ijerph16040603
    The increased prevalence of unhealthy eating habits and sedentary lifestyles among Malaysian adolescents has become a public health concern. The aim of this systematic review was to summarize evidence from observational studies related to diet and physical activity (PA) among Malaysian adolescents (13⁻18 years) and to recognize the associations between determinants of diet and PA and diet and PA behaviours. A systematic search for observational studies published from August 1990 through August 2017 was conducted via PubMed, Science Direct, Cochrane and Web of Science. A total of 18 studies met the inclusion criteria; these were independently extracted by two reviewers. Gender and ethnicity were the most commonly studied correlates of diet and PA; males were more physically active and they tended to have poorer diet quality and higher energy and macronutrient intakes in comparison to females; Malay adolescents had a lower diet quality and Chinese adolescents spent less time in PA compared to other ethnicities. However, the significance of these associations was often small or inconsistent. This review highlights the lack of longitudinal observational studies but summarizes the best available evidence for policymakers and public health practitioners to improve the diet and the level of PA in Malaysian adolescents.
    Matched MeSH terms: Prevalence
  18. Chan SC, Mahmud M
    Family Physician, 2003;12(2&3):19-24.
    Objectives: The objectives of this study were to screen for psychiatric symptomatology in Form 4 students in Ipoh, Perak and to determine demographic characteristics, contributing factors and the key person consulted for psychiatric / emotional problems. Methods: Between December 1997 and March 1998, 84 Form 4 students selected by random sampling from 2 Ipoh schools (one co-educational - S1 and one all boys - S2) were screened using the 30-item Malay version General Health Questionnaire (GHQ-30) and a demographic questionnaire. S1 students were interviewed by a psychiatrist (second author) to assess for anxiety / depression / somatization using DSM IIIR criteria. Results: Eighty three students (98.8%) completed their questionnaires. Twenty four students (28.9%) had high GHQ scores (8 and above). There was no significant association found between GHQ scores and gender, race, parental occupation and marital status / situation, number of siblings, frequency of illness and Penialian Menengah Rendah (PMR) results. A significant association was found between the GHQ scores and the students' birth order and perceived performance in the past 6 months as compared to PMR. Fifty percent consulted their friends for emotional problems, 29.2% their parents, 4.9% their siblings. None consulted their teacher / school counselor. Conclusion: Further studies are recommended to look into the prevalence of psychiatric symptomatology amongst our Malaysian secondary school students and into the possible use of the Malay version GHQ-30 as a screening tool in this age group.
    Matched MeSH terms: Prevalence
  19. Sinnadurai S, Kwong A, Hartman M, Tan EY, Bhoo-Pathy NT, Dahlui M, et al.
    BJS Open, 2019 02;3(1):48-55.
    PMID: 30734015 DOI: 10.1002/bjs5.50111
    Background: Mastectomy rates among women with early breast cancer in Asia have traditionally been high. This study assessed trends in the surgical management of young women with early-stage breast cancer in Asian settings. Survival in women treated with breast-conserving surgery (BCS; lumpectomy with adjuvant radiotherapy) and those undergoing mastectomy was compared.

    Methods: Young women (aged less than 50 years) newly diagnosed with stage I or II (T1-2 N0-1 M0) breast cancer in four hospitals in Malaysia, Singapore and Hong Kong in 1990-2012 were included. Overall survival (OS) was compared for patients treated by BCS and those who had a mastectomy. Propensity score analysis was used to account for differences in demographic, tumour and treatment characteristics between the groups.

    Results: Some 63·5 per cent of 3536 women underwent mastectomy. Over a 15-year period, only a modest increase in rates of BCS was observed. Although BCS was significantly associated with favourable prognostic features, OS was not significantly different for BCS and mastectomy; the 5-year OS rate was 94·9 (95 per cent c.i. 93·5 to 96·3) and 92·9 (91·7 to 94·1) per cent respectively. Inferences remained unchanged following propensity score analysis (hazard ratio for BCS versus mastectomy: 0·81, 95 per cent c.i. 0·64 to 1·03).

    Conclusion: The prevalence of young women with breast cancer treated by mastectomy remains high in Asian countries. Patients treated with BCS appear to survive as well as those undergoing mastectomy.

    Matched MeSH terms: Prevalence
  20. Chow SK, Yew KC, Yeap SS
    Family Physician, 2003;12(1):33-34.
    Musculoskeletal complaints are one of the most common presenting symptoms to primary care physicians. However, in Malaysia, there has been no prospective survey to look at this problem. This was a descriptive study to look at the prevalence of non-traumatic musculoskeletal complaints presenting to the primary care clinic at University Malaya Medical Center, Kuala Lumpur. Over a 3-week period, there were 408/4201 patients (9.7%) with non-traumatic musculoskeletal disorders. The most common regional problem was backache and the most commonly made diagnosis was non-specific musculoskeletal pain. In conclusion, musculoskeletal disorders form a significant proportion of primary care consultations and thus should be included in the curriculum for the primary care physician training. Keywords: musculoskeletal disorders, arthritis, primary care
    Study site: Primary care clinic, University Malaya Medical Centre (UMMC), Kuala Lumpur, Malaysia.
    Matched MeSH terms: Prevalence
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