{"id":"https://openalex.org/W2043910887","doi":"https://doi.org/10.4314/eamj.v79i3.8897","title":"Post-surgical management of patients with breast cancer at Kenyatta National Hospital","display_name":"Post-surgical management of patients with breast cancer at Kenyatta National Hospital","publication_year":2002,"publication_date":"2002-03-01","ids":{"openalex":"https://openalex.org/W2043910887","doi":"https://doi.org/10.4314/eamj.v79i3.8897","mag":"2043910887","pmid":"https://pubmed.ncbi.nlm.nih.gov/12389963"},"language":"en","primary_location":{"id":"doi:10.4314/eamj.v79i3.8897","doi":"https://doi.org/10.4314/eamj.v79i3.8897","is_oa":true,"landing_page_url":"https://doi.org/10.4314/eamj.v79i3.8897","pdf_url":"https://www.ajol.info/index.php/eamj/article/download/8897/1793","source":{"id":"https://openalex.org/S4140075","display_name":"East African Medical Journal","issn_l":"0012-835X","issn":["0012-835X"],"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":["jpps-1","norway-1","poland-20"],"host_organization":"https://openalex.org/P4310321518","host_organization_name":"African Journals OnLine","host_organization_lineage":["https://openalex.org/P4310321518"],"host_organization_lineage_names":["African Journals OnLine"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"East African Medical Journal","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"https://www.ajol.info/index.php/eamj/article/download/8897/1793","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5108638995","display_name":"Nicolas Anthony Othieno-Abinya","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I12859529","display_name":"University of Nairobi","ror":"https://ror.org/02y9nww90","country_code":"KE","type":"education","lineage":["https://openalex.org/I12859529"]}],"countries":["KE"],"is_corresponding":false,"raw_author_name":"N. A. Othieno-Abinya","raw_affiliation_strings":["Department of Internal Medicine, Faculty of Medicine, College of Health Sciences, University of Nairobi, Kenya"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Internal Medicine, Faculty of Medicine, College of Health Sciences, University of Nairobi, Kenya","institution_ids":["https://openalex.org/I12859529"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5110077983","display_name":"L. O. Nyabola","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"L. O. Nyabola","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5113713941","display_name":"H. O. Abwao","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"H. O. Abwao","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"last","author":{"id":"https://openalex.org/A5078636383","display_name":"P Ndege","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"P. Ndege","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.1257,"has_fulltext":false,"cited_by_count":26,"citation_normalized_percentile":{"value":0.47181136,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":88,"max":98},"biblio":{"volume":"79","issue":"3","first_page":"156","last_page":"62"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10183","display_name":"Breast Cancer Treatment Studies","score":0.9976000189781189,"subfield":{"id":"https://openalex.org/subfields/1306","display_name":"Cancer Research"},"field":{"id":"https://openalex.org/fields/13","display_name":"Biochemistry, Genetics and Molecular Biology"},"domain":{"id":"https://openalex.org/domains/1","display_name":"Life Sciences"}},"topics":[{"id":"https://openalex.org/T10183","display_name":"Breast Cancer Treatment Studies","score":0.9976000189781189,"subfield":{"id":"https://openalex.org/subfields/1306","display_name":"Cancer Research"},"field":{"id":"https://openalex.org/fields/13","display_name":"Biochemistry, Genetics and Molecular Biology"},"domain":{"id":"https://openalex.org/domains/1","display_name":"Life Sciences"}},{"id":"https://openalex.org/T11134","display_name":"Breast Lesions and Carcinomas","score":0.000699999975040555,"subfield":{"id":"https://openalex.org/subfields/2734","display_name":"Pathology and Forensic Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10556","display_name":"Global Cancer Incidence and Screening","score":0.00039999998989515007,"subfield":{"id":"https://openalex.org/subfields/2730","display_name":"Oncology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/breast-cancer","display_name":"breast cancer","score":0.9990000128746033},{"id":"https://openalex.org/keywords/adjuvant-chemotherapy","display_name":"adjuvant chemotherapy","score":0.9900000095367432},{"id":"https://openalex.org/keywords/adjuvant-radiotherapy","display_name":"adjuvant radiotherapy","score":0.9670000076293945},{"id":"https://openalex.org/keywords/tamoxifen","display_name":"tamoxifen","score":0.8159999847412109},{"id":"https://openalex.org/keywords/palliative-radiotherapy","display_name":"palliative radiotherapy","score":0.8420000076293945},{"id":"https://openalex.org/keywords/metastatic-breast-cancer","display_name":"metastatic breast cancer","score":0.8050000071525574},{"id":"https://openalex.org/keywords/follow-up-duration","display_name":"follow-up duration","score":0.7360000014305115},{"id":"https://openalex.org/keywords/survival","display_name":"survival","score":0.6669999957084656},{"id":"https://openalex.org/keywords/treatment-utilization","display_name":"treatment utilization","score":0.4970000088214874},{"id":"https://openalex.org/keywords/kenyatta-national-hospital","display_name":"Kenyatta National Hospital","score":0.9110000133514404}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9770510792732239},{"id":"https://openalex.org/C509974204","wikidata":"https://www.wikidata.org/wiki/Q180507","display_name":"Radiation therapy","level":2,"score":0.7175698280334473},{"id":"https://openalex.org/C530470458","wikidata":"https://www.wikidata.org/wiki/Q128581","display_name":"Breast cancer","level":3,"score":0.6547670960426331},{"id":"https://openalex.org/C2777176818","wikidata":"https://www.wikidata.org/wiki/Q412178","display_name":"Tamoxifen","level":4,"score":0.6002073287963867},{"id":"https://openalex.org/C2778311097","wikidata":"https://www.wikidata.org/wiki/Q5903784","display_name":"Hormonal therapy","level":4,"score":0.5608808398246765},{"id":"https://openalex.org/C2776694085","wikidata":"https://www.wikidata.org/wiki/Q974135","display_name":"Chemotherapy","level":2,"score":0.5457299947738647},{"id":"https://openalex.org/C121608353","wikidata":"https://www.wikidata.org/wiki/Q12078","display_name":"Cancer","level":2,"score":0.5436283349990845},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.4492928385734558},{"id":"https://openalex.org/C2775930923","wikidata":"https://www.wikidata.org/wiki/Q12859063","display_name":"Metastatic breast cancer","level":4,"score":0.43736863136291504},{"id":"https://openalex.org/C2994186709","wikidata":"https://www.wikidata.org/wiki/Q29483","display_name":"Palliative care","level":2,"score":0.4317980408668518},{"id":"https://openalex.org/C61434518","wikidata":"https://www.wikidata.org/wiki/Q932510","display_name":"General surgery","level":1,"score":0.32159292697906494},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.23151662945747375},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.043348848819732666}],"mesh":[{"descriptor_ui":"D000293","descriptor_name":"Adolescent","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D001943","descriptor_name":"Breast Neoplasms","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":true},{"descriptor_ui":"D002277","descriptor_name":"Carcinoma","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":true},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006761","descriptor_name":"Hospitals","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007630","descriptor_name":"Kenya","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011182","descriptor_name":"Postoperative Care","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D018567","descriptor_name":"Breast Neoplasms, Male","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":true}],"locations_count":3,"locations":[{"id":"doi:10.4314/eamj.v79i3.8897","doi":"https://doi.org/10.4314/eamj.v79i3.8897","is_oa":true,"landing_page_url":"https://doi.org/10.4314/eamj.v79i3.8897","pdf_url":"https://www.ajol.info/index.php/eamj/article/download/8897/1793","source":{"id":"https://openalex.org/S4140075","display_name":"East African Medical Journal","issn_l":"0012-835X","issn":["0012-835X"],"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":["jpps-1","norway-1","poland-20"],"host_organization":"https://openalex.org/P4310321518","host_organization_name":"African Journals OnLine","host_organization_lineage":["https://openalex.org/P4310321518"],"host_organization_lineage_names":["African Journals OnLine"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"East African Medical Journal","raw_type":"journal-article"},{"id":"pmid:12389963","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/12389963","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"East African medical journal","raw_type":"Journal Article"},{"id":"pmh:oai:http://erepository.uonbi.ac.ke:11295/16218","doi":null,"is_oa":false,"landing_page_url":"http://www.ajol.info/index.php/eamj/article/view/8897","pdf_url":null,"source":{"id":"https://openalex.org/S4306402107","display_name":"University of Nairobi Research Archive (University of Nairobi)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I12859529","host_organization_name":"University of Nairobi","host_organization_lineage":["https://openalex.org/I12859529"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"","raw_type":"Article"}],"best_oa_location":{"id":"doi:10.4314/eamj.v79i3.8897","doi":"https://doi.org/10.4314/eamj.v79i3.8897","is_oa":true,"landing_page_url":"https://doi.org/10.4314/eamj.v79i3.8897","pdf_url":"https://www.ajol.info/index.php/eamj/article/download/8897/1793","source":{"id":"https://openalex.org/S4140075","display_name":"East African Medical Journal","issn_l":"0012-835X","issn":["0012-835X"],"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":["jpps-1","norway-1","poland-20"],"host_organization":"https://openalex.org/P4310321518","host_organization_name":"African Journals OnLine","host_organization_lineage":["https://openalex.org/P4310321518"],"host_organization_lineage_names":["African Journals OnLine"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"East African Medical Journal","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":1.0}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W2043910887.pdf"},"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W2727100852","https://openalex.org/W2264858812","https://openalex.org/W4403474271","https://openalex.org/W2397799816","https://openalex.org/W1898891256","https://openalex.org/W2041690603","https://openalex.org/W1971391002","https://openalex.org/W4390110794","https://openalex.org/W3006060695","https://openalex.org/W6991293649"],"abstract_inverted_index":{"OBJECTIVE:":[0],"To":[1],"assess":[2],"post-surgical":[3],"management":[4],"of":[5,18,110,123],"patients":[6,19,43,70,76,83,98,157],"with":[7],"breast":[8,22,50,124,155],"cancer":[9,51,125,156],"at":[10,24,52,126,161],"the":[11,53,121,127,162],"Kenyatta":[12,25,35,54,128,163],"National":[13,26,36,55,129,164],"Hospital.":[14,37,56,165],"DESIGN:":[15],"Retrospective":[16],"analysis":[17],"treated":[20],"for":[21,49,62,79,91,102,149,154],"carcinoma":[23],"Hospital":[27],"between":[28],"January":[29,32],"1989":[30],"and":[31,41,74,87,96,104,131,140],"2000.":[33],"SETTING:":[34],"SUBJECTS:":[38],"Three":[39],"hundred":[40,95],"seventy-four":[42],"who":[44],"had":[45,89],"surgery":[46],"or":[47,65],"biopsy":[48],"INTERVENTION:":[57],"Chemo-hormonal":[58],"therapy":[59],"and/or":[60],"radiotherapy":[61,86,90,132],"adjuvant,":[63],"metastatic,":[64],"palliative":[66,92],"purposes.":[67,93,106],"RESULTS:":[68],"Twenty-two":[69],"received":[71,77,84],"adjuvant":[72,85,103],"chemotherapy,":[73],"21":[75],"chemotherapy":[78],"metastatic":[80,105],"disease.":[81],"Forty-six":[82],"53":[88],"One":[94],"twenty-six":[97],"were":[99],"given":[100],"tamoxifen":[101],"The":[107],"median":[108],"duration":[109],"follow-up":[111],"was":[112],"20":[113],"months.":[114],"CONCLUSION:":[115],"Chemotherapy":[116],"is":[117,133,143],"grossly":[118],"underutilized":[119],"in":[120],"treatment":[122],"Hospital,":[130],"also":[134,159],"underutilized.":[135],"Follow-up":[136],"durations":[137,153],"are":[138,158],"dismal":[139,160],"if":[141],"this":[142],"used":[144],"as":[145],"a":[146],"surrogate":[147],"measure":[148],"survival":[150,152],"then":[151]},"counts_by_year":[{"year":2026,"cited_by_count":1},{"year":2025,"cited_by_count":2},{"year":2024,"cited_by_count":1},{"year":2021,"cited_by_count":2},{"year":2020,"cited_by_count":2},{"year":2019,"cited_by_count":2},{"year":2018,"cited_by_count":1},{"year":2017,"cited_by_count":4},{"year":2016,"cited_by_count":1},{"year":2015,"cited_by_count":3},{"year":2014,"cited_by_count":1}],"updated_date":"2026-11-07T11:25:07.637180","created_date":"2016-06-24T00:00:00"}