Determining the catchment area of Þiþli Etfal Training and Research Hospital the department of radiation oncology

Objective: Being the main death cause and medico-social problems of the disease makes statistics of cancer have become more important.
Study Design: We aimed to participate with this study to the cancer statistics of our country by doing a retrospective research of the patients who applied to The Department of Radiation Oncology of Þiþli Etfal Training and Research Hospital to determine catchment area by sorting them to their dwelling, sex, age, diagnosis and social guarantee.
Results: 20.467 patients have applied to our clinic between 17.09.1984 and 24.10.2001. Ratio of women/men was 0.59. Frequently seen age group was between 61 and 70. The first 3 countries of which the most the patients came from: Istanbul (n=2307,15,7%), Kastamonu (n=670,4,5%) and Sivas (n=654, 4,4%).
Conclusions: After 1984 the increase of clinics reputation, using new radiation instruments, increase in the quality of equipment and number, multidiciplinary work rised the patient numbers. Being a goverment hospital and applying surgery, radiotheraphy and chemotherapy without a fee to all social security associations patients who have cancer is an important factor.

Þiþli Etfal Eðitim ve Araþtýrma Hastanesi Radyasyon Onkolojisi Kliniði’nin hasta çekim alanýnýn belirlenmesi

Amaç: Kanser baþlýca ölüm nedeni olmasý ve medikososyal problemleri açýsýndan; kanser istatistiðinin üzerinde önemle durulmasýna yol açmýþtýr.
Gereç ve Yöntem: Bu çalýþma ile Þiþli Etfal Eðitim ve Araþtýrma Hastanesi Radyasyon Onkolojisi Kliniði‘ne baþvuran hastalarý ikamet yerleri, cins, yaþ, tanýlarý ve sosyal güvencelerine göre retrospektif inceleyerek hastanemizin çekim alanýný (catchment area) belirleyip; ülkemizin kanser istatistiklerine katkýda bulunmayý amaçladýk.
Bulgular: Kliniðimize 17.09.1984-24.10.2001 tarihleri arasýnda 20.467 hasta baþvurmuþtur. Kadýn/erkek oraný: 0.59’dur. En sýk görülen yaþ grubu 61-70’dir. En fazla hastanýn geldiði ilk 3 il Ýstanbul (n=2307,%15.7), Kastamonu (n=670,%4.5) ve Sivas (n=654,%4.4)’týr.
Sonuçlar: 1984 yýlýndan itibaren imkanlarýn artýþý, kliniðin tanýnmasý, radyoterapi ekipmanlarý, cihaz niteliklerinde ve sayýsýnda artýþ, multidisipliner çalýþmanýn artmasý nedeniyle hasta sayýsýnda artýþ meydana gelmiþtir. Hastanemizin devlet hastanesi olmasý, tüm sosyal güvence kurumlarýna baðlý kanser hastalarýna cerrahi, radyoterapi ve kemoterapi tedavilerinin tümünü ücretsiz uygulayabilmesi diðer en büyük etkenlerdir.