IIUM Medical Journal Malaysia https://journals.iium.edu.my/kom/index.php/imjm <p>IIUM Medical Journal Malaysia (IMJM) formerly known as the International Medical Journal Malaysia (IMJM) is the official journal of the Kulliyyah (Faculty) of Medicine, International Islamic University Malaysia. It serves primarily as a forum for education and intellectual discourse for health professionals namely in clinical medicine but covers diverse issues relating to medical ethics, professionalism as well as medical developments and research in basic medical sciences. It also serves the unique purpose of highlighting issues and research pertaining to the Muslim world. Contributions to the IMJM reflect its international and multidisciplinary readership and include current thinking across a range of specialties, ethnicities and societies.</p> en-US <p>All material submitted for publication is assumed to be submitted exclusively to the IIUM Medical Journal Malaysia (IMJM) unless the contrary is stated. Manuscript decisions are based on a double-blinded peer review process. The Editor retains the right to determine the style and if necessary, edit and shorten any material accepted for publication.</p> <p>IMJM retain copyright to all the articles published in the journal. All final ‘proof’ submissions must be accompanied by a completed&nbsp;Copyright Assignment Form, duly&nbsp;signed by all authors. The author(s) or copyright owner(s) irrevocably grant(s) to any third party, in advance and in perpetuity, the right to use, reproduce or disseminate the research article in its entirety or in part, in any format or medium, provided that no substantive errors are introduced in the process, proper attribution of authorship and correct citation details are given, and that the bibliographic details are not changed. If the article is reproduced or disseminated in part, this must be clearly and unequivocally indicated.</p> imjm@iium.edu.my (Prof. Dr. Nasser Muhammad Amjad, nasser@iium.edu.my) noyu@iium.edu.my (Nurul Afifah Min Hussain, noyu@iium.edu.my) Sun, 01 Jan 2023 15:39:38 +0800 OJS http://blogs.law.harvard.edu/tech/rss 60 Thymoma with Myasthenia Gravis in Pregnancy: A Case Report https://journals.iium.edu.my/kom/index.php/imjm/article/view/1924 <p>Thymoma is the commonest mediastinal tumour but a rare type of thymic tumour of unknown aetiology. The overall incidence of thymoma is 0.13 per 100,000 persons per year which is even rarer in pregnancy. Until this date, the specific link between thymoma and pregnancy has not been identified. Presentations are also variables and includes chest pain, respiratory insufficiency, superior vena cava syndrome or non-specific symptoms like fever and weight loss. An autoimmune paraneoplastic disease which is often linked with thymoma includes myasthenia gravis (MG), hypogammaglobinaemia, aplastic anaemia and systemic lupus erythematosus (SLE). Here we describe a case of thymoma in pregnancy who had successfully delivered and underwent surgical removal postpartum.</p> <p> </p> <p> </p> <p> </p> Rima Anggrena, Nurul Iftida Basri, Amilia Afzan Mohd Jamil , Mohd Nazri Yazid , Vairavan @ Ramesh Velayudham Copyright (c) 2022 IIUM Medical Journal Malaysia https://journals.iium.edu.my/kom/index.php/imjm/article/view/1924 Sun, 01 Jan 2023 00:00:00 +0800 A Huge Ovarian Cyst: Why is it Missed? https://journals.iium.edu.my/kom/index.php/imjm/article/view/1901 <p>A 15-year-old girl presented with progressive abdominal distention for four months duration. An initial assessment by primary care and gynaecological teams concluded that the ascites as the cause based on the clinical and initial ultra sonographic findings. However, an abdominal radiography revealed that a huge mature cystic teratoma as the actual cause of the presenting issue. Despite being a rare incidence, this case report highlighted why a high index of suspicion of ovarian pathology in large abdominal fluid accumulation in the paediatric population should be raised. The case report also highlighted the value of abdominal radiography, particularly in a primary care setting facility in differentiating intra-abdominal mass and ascites, especially when the massive volume of ovarian mass hampered the ultrasound findings. Though it is not specific, it may improve accuracy of initial diagnosis leading to an appropriate investigation with timely referral to the appropriate department. The unusual component of this case was the ‘pseudoascites' presentation and the literature on the detail of distinction between the two conditions from the primary aspect point.</p> <p> </p> Zainab Yudin, Nur Syafiqa Amri, Rosnani Zakaria, Noraini Mohamad, Wan Aireene Wan Ahmed Copyright (c) 2022 IIUM Medical Journal Malaysia https://journals.iium.edu.my/kom/index.php/imjm/article/view/1901 Sun, 01 Jan 2023 00:00:00 +0800 Eruption Cyst of a Newborn and Review of the Management https://journals.iium.edu.my/kom/index.php/imjm/article/view/1907 <p>Eruption cyst is a cyst associated with the unerupted tooth that is rarely found in a newborn or infant. We reported a case of a male infant who presented with an eruption cyst at birth in which has not caused any feeding or airway problem in him. A periodic monitoring was performed and spontaneous regression of the cystic lesion was observed within a month with the presence of a neonatal tooth .</p> <p> </p> Fadzlinda Baharin, Erinna Mohamad Zon Copyright (c) 2022 IIUM Medical Journal Malaysia https://journals.iium.edu.my/kom/index.php/imjm/article/view/1907 Sun, 01 Jan 2023 00:00:00 +0800 Islamic Medical Practice: A Holistic Approach to Patient Care in Sharia-Compliant Hospitals https://journals.iium.edu.my/kom/index.php/imjm/article/view/2306 Nazri Mohd Yusof Copyright (c) 2023 https://journals.iium.edu.my/kom/index.php/imjm/article/view/2306 Sun, 01 Jan 2023 00:00:00 +0800 A Systematic Review of Maternal Dietary Intake and its Association with Childhood Stunting https://journals.iium.edu.my/kom/index.php/imjm/article/view/2141 <p>The first 1,000 days of a child’s life is a critical period of development in preventing childhood stunting. Despite various intervention programs, the global prevalence remains high. Maternal nutrition during pregnancy and exclusive breastfeeding plays an important role in infant development; thus, a systematic review of the relationship between maternal dietary intake and childhood stunting was conducted. The Web of Science, Scopus, PubMed, and Google Scholar electronic databases were used. Articles related to maternal nutrition and supplement intake with children's anthropometry data were included. Eleven studies met the inclusion criteria and seven were included after quality assessment. The studies were reviewed thematically as the statistical analysis was not possible due to data heterogeneity. The Appraisal Tool for Cross-Sectional Studies (AXIS) and Critical Appraisal Skills Program tools were used to assess the quality of the included studies. The findings demonstrated that pregnant women need to eat a diverse diet with the inclusion of at least five food groups to fulfill the nutritional requirement. Daily protein intake between 0.8 and 1.1g/kg body weight is recommended for positive birth weight and height outcomes. Supplementation of vitamin A, vitamin C, iron, zinc, vitamin D, and calcium, was also shown to improve pregnancy outcomes. However, future studies should consider confounding factors such as hygiene level and clean water availability to determine the transparent effect of nutrition on childhood stunting. More longitudinal studies are required to ascertain the relationship between maternal dietary intake and childhood stunting, especially in Malaysia.</p> Nor Azwani Mohd Shukri, Noraishah Mohamed Nor, Norashikin Mustafa, Amira Farhana Azizan, Mohamad Ashraf Rostam, Muhamad Sadry Abu Seman, Mohd Ramadan Ab Hamid, Rahiwan Nazar Romli Copyright (c) 2022 IIUM Medical Journal Malaysia https://journals.iium.edu.my/kom/index.php/imjm/article/view/2141 Sun, 01 Jan 2023 00:00:00 +0800 A Brief Review of the Safe Management of COVID-19 Related Death and Its Control Strategies https://journals.iium.edu.my/kom/index.php/imjm/article/view/2082 <p>Coronavirus disease 2019 (COVID-19) is a disease caused by a virus named Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2). With the increasing COVID-19 associated deaths, the infectivity and handling of the dead bodies associated with COVID-19 has become a worldwide concern in terms of spreading the infection further during handling of these bodies. As precaution, measures should be taken to contain the spread of infection while handling COVID-19 associated deaths. This review article aims to review the current management of COVID-19 associated deaths and control strategies in various countries which can guide medical examiners in handling the bodies including those with autopsy.</p> Kay Ly Chng, Nor Zamzila Abdullah, Puteri Nurin Sabrina Mohamad Sabir, Sharafina Shaharin Copyright (c) 2022 IIUM Medical Journal Malaysia https://journals.iium.edu.my/kom/index.php/imjm/article/view/2082 Sun, 01 Jan 2023 00:00:00 +0800 A Review on the Role of Vascular Endothelial Growth Factor Receptors in Human Papillomavirus-related Oral Squamous Cell Carcinoma https://journals.iium.edu.my/kom/index.php/imjm/article/view/2212 <p>Oral squamous cell carcinoma (OSCC) is a neoplasm at the epithelial lining of the oral cavity that is prevalent worldwide. Smoking tobacco and consumption of alcohol are the main risk factors for OSCC. However, human papillomavirus (HPV) could also be an aetiological factor for OSCC. Transmission through urogenital contact increases the risk of developing OSCC, especially in developed countries. HPV-related cancer displays different pathogenesis and clinical outcomes. HPV through its oncogene E6 and E7 play a critical role in carcinogenesis by disrupting the DNA repair mechanism and cell cycle. Increased expression of VEGF ligand in HPV-related cancer has been reported in numerous studies. In OSCC, VEGFRs, i.e., VEGFR-1, VEGFR-2, and VEGFR-3, are overexpressed, with a higher expression on VEGFR-2. In HPV-infected OSCC, HPV is associated with VEGF expression. However, VEGFRs show no such association. This review highlights the possible role of angiogenesis in the progression of HPV-related OSCC. Also, it discusses how VEGF/VEGFR regulated the angiogenic activity caused by the HPV infection. Data on VEGF/VEGFR associated with HPV status is limited, and their role in OSCC progression remains unclear. Elucidating the mechanism of angiogenesis in HPV-associated OSCC may help develop strategies for OSCC-targeted therapy.</p> Norzaliana Zawawi, Muhammad Zulhilmi Ab Aziz, Siti Norasikin Mohd Nafi, Nurhayu Ab Rahman Copyright (c) 2022 IIUM Medical Journal Malaysia https://journals.iium.edu.my/kom/index.php/imjm/article/view/2212 Sun, 01 Jan 2023 00:00:00 +0800 Holistic Approach to Combating Non-communicable Diseases in Malaysia https://journals.iium.edu.my/kom/index.php/imjm/article/view/2305 Assoc. Prof. Dr. Ailin Razali Copyright (c) 2023 IIUM Medical Journal Malaysia https://journals.iium.edu.my/kom/index.php/imjm/article/view/2305 Sun, 01 Jan 2023 00:00:00 +0800 Prevalence of Anxiety and Depression among Caregivers of Cancer Patients A Case Study in a Public Hospital in Malaysia https://journals.iium.edu.my/kom/index.php/imjm/article/view/2146 <p><strong>INTRODUCTION</strong>: Anxiety and depression are common mental illnesses among cancer caregivers. Most caregivers often sacrifice a lot of time, energy and their own physical and emotional needs. <strong>MATERIALS AND METHOD</strong>: A cross sectional study was conducted among 156 caregivers of cancer patients who were providing treatment and moral support to cancer patients at the Oncology clinic of Sultan Ismail Hospital (SIH), Johor Bahru, Malaysia. The Hospital Anxiety Depression Scale (HADS) was used to assess the depression and anxiety levels among the respondents. Data was analysed using Statistical Package for Social Sciences version 17.0 software. The P value of less than 0.5 was taken a significant. <strong>RESULTS</strong>: In general, there was moderate relationship between cancer caregivers and patients in term of emotional, care and patient treatment, but in some circumstances, caregivers were also exposed to risk during care period of cancer patients. There was a significant relationship with moderate correlation between factors of taking care of emotion of patients (p&lt;0.05, r=0.403), their diseases (p&lt;0.05, r=0.456) and treatment (p&lt;0.05, r=0.600) with the level of anxiety. There was a strong correlation between caring and anxiety in the item of lack of attention on patient demand (p&lt; 0.05, r=0.91) and not angry to patient (p&lt;0.83). <strong>CONCLUSION</strong>: The awareness regarding the anxiety and depression among caregivers need to be increased among health professionals such as physicians and nurses. Although the interventions are aimed to help the patients, but this can also cause anxiety and depression to caregivers.</p> <p> </p> Roslee Ahmad, Azizan Mohd Isa, Mohd Radzniwan A Rashid, Nasir Yusoff, Lokman Mohd Tahir, Miftachul Huda, Rahmiwati Marsinun Copyright (c) 2022 IIUM Medical Journal Malaysia https://journals.iium.edu.my/kom/index.php/imjm/article/view/2146 Sun, 01 Jan 2023 00:00:00 +0800 Validity and Reliability of Malay Language Breast Cancer Awareness Scale for Male-to-Female Transgender https://journals.iium.edu.my/kom/index.php/imjm/article/view/2136 <p><strong>Introduction</strong> The breast cancer risk among female transgender for those using hormonal therapy is emerging. However, most of them also engaged in breast implant procedures resembling female sexual characteristics and satisfaction without realizing the risk of cancer development. Thus, breast cancer risk assessment of female transgender in Malaysia should be further evaluated. This study aims to develop and validate an assessment tool in the Malay version to measure breast cancer awareness among female transgender in Malaysia. <strong>Materials and Methods</strong> A cross-sectional study with a purposive sampling method was conducted among 300 respondents in Pahang, Kedah, and Kelantan. The minimum number of respondents required was 300 persons based on the Nunnally method, with an item ratio of 1:10. All the subjects were given questionnaires on sociodemographic data and breast cancer-related items, consisting of five domains; knowledge of symptoms and clinical features, breast cancer risk factors, breast screening programs, barriers in seeking medical help, and lastly, the confidence, skills and behaviour concerning breast self-examination. Each domain consists of five to seven items. All the responses are recorded as ‘Yes,’ ‘No,’ or ‘Not Sure’ responses. Reliability was determined using Cronbach’s alpha for internal consistency, while construct validity was assessed using exploratory factor analysis.<strong> Results</strong> The reliability of the 28 items for Malay Version of Breast Cancer Awareness scale by Cronbach Alpha is 0.864, suggesting that the constructs are reliable and acceptable. In addition, the construct validity was assessed using exploratory factor analysis highlights five meaningful domain. <strong>Conclusion </strong>This Malay language breast cancer awareness scale is a convenient self-assessment method, inexpensive and understandable which highlights common issues faced male-to-female transgender with targeted domains. In conclusion, this scale is valid and reliable by achievable internal consistency value of 0.864.</p> <p> </p> <p> </p> Hezlin Md Zin, Samsul Draman, Shaiful Ehsan Shalihin, Razman Mohd Rus, Akmal Azim Ahmad Alwi Copyright (c) 2022 IIUM Medical Journal Malaysia https://journals.iium.edu.my/kom/index.php/imjm/article/view/2136 Sun, 01 Jan 2023 00:00:00 +0800 Impact Factors in a Curriculum Vitae for Scholarship Application https://journals.iium.edu.my/kom/index.php/imjm/article/view/1247 <p><strong>Introduction. </strong>Scholarship applicants often receive different advice on what should be included in their Curriculum Vitae (CV). This study aims to investigate what the essential components of a CV being prepared for scholarships are, how to present them, and what their level of impact is. <strong>Materials and Methods. </strong>The authors sent an online structured questionnaire to 7512 corresponding authors of recent published papers in Scopus; 124 completed questionnaires were returned. Recommended elements for a CV were chosen according to the Delphi consensus technique with a threshold of 50%. <strong>Results. </strong>This survey revealed that headings, bullet points and careful error checking were essential parts of the layout. For the content of the CV, besides publications, education and training background, research experience and research interest were also necessary. Moreover, almost all respondents ranked publications as the most important qualification of an academic scholarship candidate. Publications also came first as the most impressive factor, followed by awards and honours. The number of publications, quality of journal, impact factor and total citation should be presented in publication section. The importance of publications in getting academic scholarships is significantly emphasized in this recent study. <strong>Conclusions. </strong>Having research experience and papers in peer review journals, are highly recommended for students seeking academic scholarships.</p> Hoang Thi Nam Giang Copyright (c) 2022 IIUM Medical Journal Malaysia https://journals.iium.edu.my/kom/index.php/imjm/article/view/1247 Sun, 01 Jan 2023 00:00:00 +0800 The Effect of the Topical Application of Eurycoma Longifolia Jack (TA) Root Extract Hydrogel on Vascular Endothelial Growth Factor (VEGF) Expression during Wound Healing in vivo Excisional Wound Model https://journals.iium.edu.my/kom/index.php/imjm/article/view/2228 <p><strong>INTRODUCTION</strong>: Medicinal plants are known for their positive impacts on wound healing by stimulating angiogenesis in the skin. Eurycoma longifolia Jack locally known as Tongkat Ali (TA), is a medicinal plant characterised by anti-inflammatory and antioxidant effects. <strong>MATERIALS AND METHODS</strong>: Excisional wound (15mm × 15mm) in diameter and (2mm) depth was created at the back of 20 male Sprague Dawley rats by incising the marked skin with sterilized surgical scalpel blade then excised the skin by surgical scissors and toothed forceps. The wounded rats were divided into 4 groups, each group contained 5 rats (n=5). Experimental groups were formed as follows: untreated (-ve) control, Hydrocyn® aqua gel (+ve) control, vehicle hydrogel, and TA hydrogel. All the treatments were applied twice daily for 5 days starting on the first day (wounding day). On Day 5 post-wounding, the granulation tissue was harvested from all groups and evaluated by immunohistochemistry assay for Vascular endothelial growth factor (VEGF) expression. <strong>RESULTS</strong>: VEGF expression in granulation tissue of rat’s skin treated with TA hydrogel and vehicle hydrogel increased significantly compared to that in the untreated (-ve) control group with p-values of 0.040 and 0.029, respectively. Although there was no significant difference in VEGF expression in granulation tissue of rat’s skin treated with the TA group, Hydrocyn® aqua gel (+ve) control, and vehicle hydrogel groups, our study group showed higher expression of VEGF. <strong>CONCLUSION</strong>: Our study showed that the topical application of TA hydrogel increased the VEGF expression in granulation tissue of rat’s skin, which is an essential growth factor for wound healing. Thus, there is great potential for TA hydrogel to be an effective wound-healing agent for managing cutaneous wounds.</p> <p> </p> Maryam Riyadh Yaseen Al-Bayati, Ghasak G. Faisal , Azliana Abd Fuaat, Khairunisa Ahmad Affandi, Batoul Alallam Copyright (c) 2022 IIUM Medical Journal Malaysia https://journals.iium.edu.my/kom/index.php/imjm/article/view/2228 Sun, 01 Jan 2023 00:00:00 +0800 Urban-Rural Discrepancy of Low Income Women’s Health Outcomes. https://journals.iium.edu.my/kom/index.php/imjm/article/view/2177 <p><strong>Introduction:</strong> Malaysia's rapid economic growth and rising living costs significantly affect the lower-income population, which is defined as individuals earning less than MYR3,855.00 (USD892.26) per month (B40). The study aimed to ascertain the quality of life (QOL), the needs of B40 women living in urban and rural areas, and their health status. <strong>Materials and Methods:</strong> On the year 2020, a cross-sectional study was conducted. A total of 300 respondents from the rural and urban poor were questioned about their needs, health status, and QOL using semi-guided instruments such as the EuroQol 5 Dimension (EQ5D) and Visual Analogue Score (VAS). Bivariate and multivariate analyses were performed to identify factors influencing QOL and health status. <strong>Results:</strong> A total of 88% of respondents were Malays, 9.3% were Indian, and 2.7% were Chinese. The respondents' mean age was 45 years old. Most of the respondents were stay-at-home mothers (39.7%), employed (39.0%), and had completed secondary school education (61.0%). The average monthly household income was MYR1654.00 (SD845.3). Approximately 58.7% of respondents received subsistence assistance. A total of 47.7% of the respondents suffered chronic medical illness (hypertension, diabetes, hyperlipidemia, renal problems, asthma, heart disease and cancer). The respondents obtained services from government-funded clinics or hospitals (86.0%) and private clinics or hospitals (14.0%). Most women sought treatment as inpatients at government hospitals (89.3%), while 10.7% sought care in private hospitals. A total of 94.0% paid for their own treatment, while 6.0% had their employers reimburse them. The respondents did not suggest any insurance benefits, particularly pertinent to the current government. <strong>Conclusion:</strong> The lack of chronic medical illnesses was one of the most crucial characteristics associated with high QOL and good health status.</p> Hazila Abdul Kadir, Sharifa Ezat Wan Puteh Copyright (c) 2022 IIUM Medical Journal Malaysia https://journals.iium.edu.my/kom/index.php/imjm/article/view/2177 Sun, 01 Jan 2023 00:00:00 +0800 Covid-19 Pandemic: Help-seeking for Smoking Cessation among Adult Smokers in Malaysia during the Full Movement Control Order (FMCO) https://journals.iium.edu.my/kom/index.php/imjm/article/view/2164 <p><strong>INTRODUCTION:</strong> In Malaysia, the annual death due to smoking habits recorded as more than 23 thousand yearly. Hence smoking cessation should be emphasized to reduce the annual mortality and morbidity. The purpose of this study is to identify the help-seeking behavior in smoking cessation among adult smokers and to determine its influencing factors during the Full Movement Control Order (FMCO) in Malaysia. <strong>MATERIALS AND METHOD:</strong> Data were collected from cross-sectional surveys of Malaysian adult smokers. The questionnaire was distributed online through the official social media account of the Ministry of Health Malaysia (MOHM) which commenced from 31st May 2021 in conjunction with the World No Tobacco Day. A multivariate binomial logistic regression was employed to analyze the relationship model between the predictors with the help-seeking for smoking cessation. <strong>RESULT:</strong> Out of 2,545 Malaysian adult smokers who have responded, 2,303 were males (90.5% of respondents) with mean age(sd) of 34.82(8.11) years (18 to 77 years). Slightly half (n=1353, 53%) have reported seeking help for smoking cessation and (n=1468, 57.7%) reported being unaware of the quitline services. Factors, such as quit smoking attempt (OR; 1.844, 95% CI = 1.384-2.458), Covid-19 pandemic situation (OR; 1.841, 95% CI= 1.553-2.183), being married (OR: 1.279, 95% CI = 1.04-1.57), unaware about quitline services (OR; 0.660, 95% CI = 0.557-0.781), non-alcohol drinkers (OR; 0.658, 95% CI = 0.473-0.916) significantly predicted the behaviour of help-seeking for smoking cessation. <strong>CONCLUSION:</strong> The results of this study would potentially support public health efforts in Malaysia in further enhancing health promotion and education programs as well as further strengthen the policy towards quit smoking issues.</p> Mohd Haazik Mohamed, Mohamad Haniki Nik Mohamed, Yessy Octavia Misdi, Bee Seok Chua, Wanda Kiyah George Albert, Muhammad Faheem Mohd Dahlan Copyright (c) 2022 IIUM Medical Journal Malaysia https://journals.iium.edu.my/kom/index.php/imjm/article/view/2164 Sun, 01 Jan 2023 00:00:00 +0800 The Effect of Listening to Al-Quran Recitation among Uncontrolled Hypertensive Muslim Patients Attending Primary Care Clinic in Kelantan, Malaysia: A Randomised Control Trial https://journals.iium.edu.my/kom/index.php/imjm/article/view/1806 <p><strong>Introduction:</strong> Prevalence of hypertension in Malaysia has been increasing over the years. Despite varieties of treatment, a large proportion of hypertensive patients still have uncontrolled blood pressure. Several non-pharmacological approaches have been used as non-pharmacological management to reduce blood pressure. This study intended to determine the effect of listening to Quran recitation on blood pressure among Muslim patients with uncontrolled hypertension. <strong>Material and Method:</strong> This study was a randomized controlled trial involving 202 Muslim patients with uncontrolled hypertension. They were randomly allocated to either listening to Quran recitation group or control group. Blood pressure (BP) and heart rate were measured at baseline and after the intervention. <strong>Results:</strong> In the intervention group, the mean changes in systolic BP and diastolic BP were -5.9 and -3.8mmHg respectively while for heart rate was -4.06 bpm. In the control group, the mean changes in systolic BP and diastolic BP were -1.68 and -1.84 mmHg respectively while for heart rate was -1.39 bpm. ANCOVA analysis showed that the mean changes in systolic blood pressure, diastolic blood pressure and heart rate between intervention and control group were statistically significant (P values = 0.001). <strong>Conclusions:</strong> This study showed a reduction of blood pressure immediately after listening to Quran recitation. However, a longer study on listening to Quran needs to be done to show a sustained decrease of BP of the patient.</p> <p> </p> Nani Draman, Daud Norwati, Mujahid Bakar, Kartiniwati Ahmad Copyright (c) 2022 IIUM Medical Journal Malaysia https://journals.iium.edu.my/kom/index.php/imjm/article/view/1806 Sun, 01 Jan 2023 00:00:00 +0800 Daycare and Inpatient Hemithyroidectomy: A Cost Minimisation and Safety Study-Hospital Kuala Lumpur Malaysia Experience https://journals.iium.edu.my/kom/index.php/imjm/article/view/2171 <p><strong>Introduction: </strong>The duration of daycare surgery (DS) is relatively shorter compared to other types of surgeries. The main objective here is to provide comfort to the patients and family members without compromising safety and quality of medical care for the patients. In addition, there are many proven advantages of DS such as shorter waiting time, earlier return to work, reduced cross-infections, reduced cancellation rates due to emergency cases and cost-effective. Due to the constraints of inpatient operating time and availability of hospital beds, thyroid surgery is performed as DS in our centre. In this study, we analysed the cost-effectiveness and safety between the daycare and inpatient hemithyroidectomy. <strong>Methods: </strong>This cost minimisation comparative study was conducted in Kuala Lumpur Hospital, Malaysia, from January 2019 to June 2021. The total cost for each hemithyroidectomy for providers and patients were calculated for both groups. Any complications in the surgery for the two groups were documented. <strong>Result: </strong>Seventy-one patients were recruited: forty-one (57.7%) daycare hemithyroidectomies and thirty (42.3%) inpatient hemithyroidectomies. The cost of daycare hemithyroidectomy were significantly lower than the inpatient hemithyroidectomy with a median percentile of RM1089.00 (IQR= RM 339.48) and RM 1477.10 (IQR = RM 434.02) respectively (<em>p</em>-value &lt;0.001). None of the patients in either group developed any surgical complications. <strong>Conclusion: </strong>Daycare hemithyroidectomy minimises the cost for providers while still maintaining the safety of the procedure. Therefore, daycare hemithyroidectomy is cost-effective and should be advocated in all tertiary hospitals in Malaysia.</p> Nur husna Atan, Shahrun Niza Abdullah Suhaimi, Raflis Ruzairee Awang , Nor Azham Hakim Darail , Mohd Rizal Haji Abdul Manaf Copyright (c) 2022 IIUM Medical Journal Malaysia https://journals.iium.edu.my/kom/index.php/imjm/article/view/2171 Sun, 01 Jan 2023 00:00:00 +0800