Hospitals In Indonesia Research Articles

PENGARUH PELATIHAN BAHASA INGGRIS TERHADAP KINERJA KARYAWAN DAILY WORKER DI HOTEL FAIRMONT JAKARTA

This study analyzes the impact of English language training on the performance of daily worker employees at Fairmont Hotel Jakarta. Using quantitative methods and simple linear regression analysis, the study involved 67 randomly selected respondents. The results show a significant positive influence of English language training on employee performance, with 41.2% of performance variation explicable by language training. These findings affirm the importance of investing in language skill development as a strategy to enhance service quality in the hospitality industry. Theoretical and practical implications are discussed, including recommendations for developing more effective training programs and integrating language skills into human resource management in the hospitality sector. This research contributes significantly to understanding the critical role of English language skills in improving employee performance in the Indonesian hospitality industry.

Cross-culture adaptation and validation of Indonesian language version of Pittsburgh Sleep Quality Index

Hemodialysis (HD) patients have a high rate of poor sleep. The Pittsburgh Sleep Quality Index (PSQI) is the most popular self-reported instrument to measure sleep quality. No study has tested the psychometric efficiency of the Bahasa (Indonesian language) PSQI in hemodialysis (HD) patients, and no cross-cultural adaptation has been done. The purpose of this research was to translate the PSQI into Bahasa and improve its psychometric properties for use in evaluating HD patients in Indonesia. This study used instrument translation, cultural adaptation, content validation, and equivalence to crossculturally validate and adapt an instrument. The hemodialysis center at a West Java medical facility served as a source of potential HD patients throughout the period of October 2022 to February 2023. A content validity index (CVI) was calculated for each item and the entire scale. The factor structure of the Bahasa PSQI has been evaluated by confirmatory factor analysis and internal consistency was calculated using Cronbach's alpha. The online survey received a response rate of 62.8% from a total of 220 patient with HD (about ten responders each item). The level of language clarity was 87.8%, and the level of cultural relevance was 84.5%. The CVI varied from 0.92 to 1.00. Each factor had factor loading ranging from 0.51 to 0.62. that Cronbach alpha for total score was 0.803, and the subscale ranged from 0.771 to 0.863. Our research provides preliminary evidence of the validity and reliability of the translated and adapted tool using data from HD patients in Indonesian hospitals.

Fuzzy logic assessment of X-ray tube risks in robotic C-arm angiography: a failure mode and effect analysis study

This research examines the integration of robotic C-arm technology in angiography, a critical tool for treating cardiac conditions. The robotic C-arm, which includes an X-ray tube, is essential for scanning patients during procedures. The study also investigates the associated risks, specifically in Indonesian hospitals with cardiac facilities. Angiography is used to diagnose and treat heart disease by visualizing blood vessels and facilitating catheterization procedures. However, its mobility poses hazards and can impact the process. To address potential risks, failure mode and effect analysis (FMEA) is utilized. Traditionally, risk assessment using risk priority numbers (RPN) is conducted, but these may not accurately reflect failures due to complex evaluating processes. To overcome this limitation, fuzzy logic is employed, enhancing risk assessment accuracy. Through this approach, twenty-seven failure modes are identified across two brands, with ten major ones prioritized using fuzzy logic. These findings facilitate the development of preventive measures to mitigate future failures and enhance patient safety during angiography in hospitals. In conclusion, the study underscores the importance of robust risk management in medical equipment, particularly in dynamic environments. By integrating fuzzy logic into risk assessment, the study improves prioritization accuracy, enabling effective allocation of resources for preventive actions.

Barriers and enablers to the implementation of person-centred care in an Indonesian hospital: a qualitative study

Introduction: Person-centred care (PCC) is increasingly considered as one of the criteria standards for delivering healthcare in hospitals. Registered nurses are increasingly expected to provide PCC in daily practice. However, although the hospital commits to enhancing and improving PCC, implementing this approach into practice has faced barriers and enablers. As the implementation of PCC is still at an early stage of development, it is well-recognised that the need to identify barriers and enablers is essential. This study aims to explore these barriers and enablers to implementing PCC in Indonesian hospitals. Methods: This study employed a qualitative exploratory study conducted from July 2023 to September 2023 at a public hospital in Pekanbaru, Riau Province. It applied semi-structured interviews to collect data on barriers and enablers to implement PCC from 2 managers and 12 nurses from the medical ward. All participants were selected using a purposive sampling technique. Data collected from interviews were transcribed and then thematically analysed. Results: Three barriers-related themes emerged, namely time constraints and workload, lack of resources, and communication challenges. Furthermore, three enablers themes also emerged, including leadership, commitment, and sufficient monitoring and supervision. Conclusions: The study results lead hospital managers and policymakers to overcome existing barriers using adaptive planning and strategies and to improve enablers with well-trained professionals and strong leadership to deliver a PCC approach into practice. The implications to practice are that healthcare organisations must continue their support to decrease the barriers and optimise professional care in healthcare facilities to improve healthcare services.

Analysis of the Implementation of Zi Care Indonesia's Hospital Information System (HIS) using the Technology Readiness Index Method at Emanuel Hospital

Objective: This research aims to assess the readiness of staff and doctors at Emanuel Hospital for the implementation of the Zi.Care hospital information system (HIS) using the Technology Readiness Index (TRI) method. Design/Methods/Approach: The study involved 441 staff and doctors from Emanuel Hospital. Data collection utilized a questionnaire covering demographics, psychographics, and aspects of HIS implementation readiness. The TRI method was applied for quantitative analysis to categorize readiness levels in terms of optimism, innovativeness, discomfort, and insecurity. Findings: Initial findings indicate varying levels of readiness among staff and doctors regarding the Zi.Care HIS implementation. Optimism and innovativeness were generally high, while discomfort and insecurity were more nuanced. Respondents foresee benefits such as improved information accessibility, increased productivity, enhanced efficiency, reduced paper costs, minimized errors, improved patient safety, and higher patient satisfaction. Originality/Value: This study contributes to existing literature by applying the TRI method specifically to assess readiness for implementing HIS in a healthcare setting in Indonesia. It adds insights into the psychological and organizational factors affecting readiness, thus enhancing understanding in healthcare IT adoption. Practical/Policy implication: Managers should address discomfort and insecurity to ensure smooth HIS implementation, leveraging training and support programs to boost staff confidence and reduce resistance. Aligning technology adoption with regulatory mandates is crucial for enhancing healthcare delivery and patient outcomes.

Transformation of Robot Automated Food Service (RAFS) in the Perspective of Resource Change Management at Grand Sahid Jaya Hotel (Study at Grand Sahid Jaya Hotel Jakarta)

The Fourth Industrial Revolution has triggered the use of new technologies across various sectors, including the hospitality industry. Digitalization in the hospitality industry aims to provide convenience and comfort for guests while addressing increasingly complex human resource challenges. One of the innovations is the use of robots for food service. This research aims to explore the transformation of robot automated food service at Hotel Grand Sahid Jaya Jakarta from the perspective of Resource-Based Theory. This study uses a qualitative approach with data collection techniques through observation and interviews with three key informants who have important roles in hotel management and an assessor who observes the Indonesian hospitality industry as a whole, along with the role of technology in the industry. The collected data is analyzed to understand how digital transformation through automated food service affects change management in hotel resources. The results of the study indicate that the implementation of robots in food service at Hotel Grand Sahid Jaya Jakarta provides several benefits, including increased operational efficiency, reduced labor costs, and improved guest satisfaction through faster and more hygienic service. However, some challenges were faced, such as resistance from employees who are worried about losing their jobs and the lack of a human touch in robot services that can only be provided by humans. The conclusion of this research is that the transformation of robot automated food service at Hotel Grand Sahid Jaya Jakarta has not yet provided added value to the hotel, thus requiring an effective change management strategy to overcome resistance and ensure a harmonious integration between technology and human labor. Moreover, the use of robots should be seen as a tool to enhance service quality and efficiency, not as a replacement for human labor.

Anatomical variations and their impact on chronic rhinosinusitis: a retrospective analysis from an Indonesian tertiary hospital

BackgroundChronic rhinosinusitis (CRS) is an inflammation of the paranasal sinus mucosa lasting over 12 weeks. Its etiology includes infections, allergies, immune system failures, anatomical abnormalities, and mucociliary transport disorders. The complex anatomy of the sinonasal region can hinder mucociliary drainage; necessitating CT scans to evaluate predisposing factors and minimize surgical risks. This study aimed to understand the anatomical variations in the paranasal sinuses and their correlation with CRS.ResultsThe study included 128 CRS patients aged 20 to 75, averaging 36.2 years. The most common symptoms were nasal congestion (98%), runny nose (85%), facial pressure (57%), reduced sense of smell (53%), and posterior nasal discharge (43%). Maxillary rhinosinusitis was the most prevalent (88%), followed by ethmoid (84%), frontal (58%), and sphenoid (48%) rhinosinusitis. Anatomical variations were present in 96% of patients, with deviated nasal septum (81.3%), agger nasi pneumatization (73.4%), and frontoethmoidal cells (60.2%) being the most common. Logistic regression indicated a significant association between concha bullosa and maxillary rhinosinusitis (p < 0.05). No significant correlation was found between anatomical variations number and SNOT-22 scores (r = − 0.177, p > 0.05).ConclusionThis study found a high prevalence of anatomical variations in CRS patients, with deviated nasal septum, agger nasi pneumatization, and frontoethmoidal cells being the most common. A significant association was identified between concha bullosa and maxillary rhinosinusitis.

The Implementation of Indonesian Standards for Health Promotion in Hospitals: A Self-Assessment Study in a Private Hospital in Depok City.

Several studies show that the implementation of health promoting hospital (HPH) standard in Indonesian hospital has not reached optimal levels. Therefore, this study aimed to explore the implementation of health promoting hospital standard at a private hospital in Depok, Indonesia. This descriptive study was conducted at the end of 2023. A purposive sampling with a total of 20health workers who are responsible for health promotion programs from various backgrounds, including nurses, physiotherapists, laboratory technicians, midwives, and pharmacists, was involved in this study. The instrument containing 35 questions was adopted from the Health Promoting Hospital Guidelines issued by the Indonesian Ministry of Health in 2018, which included four standards, namely: 1) policy and management, 2) assessment, 3) intervention, as well as 4) monitoring and evaluation. Meanwhile, descriptive analysis was performed using SPSS version 29.0. The results showed that assessment standards had the highest average score of 73.72, followed by the intervention of 72.71 out of a maximum of 100. The lowest score was reported in the monitoring and evaluation standard, with an average of 67.82. The components within each standard had an average score of less than 3 out of a maximum of 4. Organizational changes through short-term interventions, including leadership involvement and training the staff, were necessary to enhance the implementation effectiveness of health promoting hospital standards.

Beyond Empathy: Examining the Complexities of Outpatient Satisfaction in a Resource-Constrained Setting

Patient satisfaction is a critical indicator of healthcare quality, particularly in resource-constrained settings where efficient and effective care is paramount. This study aimed to explore the multifaceted nature of outpatient satisfaction at a private Indonesian hospital, moving beyond the traditional focus on empathy to understand the interplay of various service quality dimensions. A mixed-methods sequential explanatory design was employed. The quantitative phase involved a survey of 400 outpatients, measuring their satisfaction with five service quality dimensions: tangibles, reliability, responsiveness, empathy, and assurance. Data were analyzed using descriptive statistics, Importance-Performance Analysis (IPA), and gap analysis (suitability index). The qualitative phase utilized in-depth interviews and focus group discussions with patients, staff, and management to provide context and depth to the quantitative findings. While overall patient satisfaction was 82.9%, a gap analysis revealed substantial discrepancies between patient expectations and perceptions across several service quality dimensions. Tangibles, reliability, and responsiveness emerged as key areas requiring improvement. Qualitative findings highlighted extended wait times, inconsistent staff communication, and concerns about the physical environment as significant contributors to patient dissatisfaction. Achieving high levels of patient satisfaction in resource-constrained environments necessitates a comprehensive approach that addresses systemic inefficiencies and communication gaps alongside interpersonal factors like empathy. These findings underscore the need for targeted interventions to optimize resource allocation, streamline processes, and enhance staff communication skills to improve the patient experience.

The influence religiosity as a moderating patient satisfaction and positive word of mouth in Indonesian hospitals

The aim of this study was to fill a gap that is critical to developing strategies to increase positive word of mouth in health settings. Understanding the mediating role of patient satisfaction can provide insight into the areas of hospital service quality that most directly influence patient perception and subsequent recommendations. By forming clearer connections between these variables, healthcare providers can tailor their services to improve patient satisfaction and in turn stimulate positive word of mouth. The moderate role of religiosity can provide insight into whether and how religious beliefs influence patients' likelihood of spreading positive information by word of mouth based on their satisfaction with the healthcare experience. The research method used Causal Explanatory Research with a sample of 297 respondents in hospitals with religious ideology in Indonesia. Data management is done using SEM. Religiosity as a moderator of the relationship between patient satisfaction and positive women shows a C.R value of 6.075 and a significant probability (ρ) of 0.000 is obtained which is smaller than the required significance level of 0.05. Religiosity is able to significantly moderate the influence of Patient Satisfaction on Positive WOM.

HOSPITAL SERVICE QUALITY AND CUSTOMER TRUST TOWARDS PATIENT SATISFACTION IN GENERATION MZ

According to Law Number 17 of 2023 of the Republic of Indonesia, health efforts, health resources, and health management are required to improve public health to the highest possible standard. Indonesian hospitals should provide patients with a degree of service excellence as supplied by medical, paramedical, and medical support staff. This research aims to understand, explore, and analyze based on empirically investigating the dimensions or attributes of service quality and evaluate the importance of variance attributes for Gen MZ patients at Hospital B. This quantitative study examines the relationship between service quality and brand trust (independent variable) towards patient satisfaction (dependent variable) in Gen MZ at Hospital B. This research was conducted from January to March 7, 2024; it involved 122 Generation MZ patients using non-probability purposive sampling to represent the population. Result shows that the similar levels of satisfaction and trust between Generations M and Z at Hospital B may be due to the hospital's standardized, high-quality services. This consistency ensures that both generations have comparable experiences. Additionally, Hospital B's effective use of technology, such as hospital apps and online medical information access, meets and exceeds the expectations of both groups.

Evaluation Of the Emergency Severity Index Triage For Improving Emergency Room Services Quality In Indonesian Hospital

Background:Effective prioritization is crucial in delivering high-quality emergency medical services, although it is often lacking. Objective:This study aims to evaluate the application of triage based on the Emergency Severity Index (ESI) in improving the quality of emergency departments in hospitals in Indonesia. Methods:An accidental sample of 100 emergency room patients was selected. Patient satisfaction was measured using questionnaires, while infrastructure, support facilities, and the triage process were assessed through direct observation. Results:The evaluation found that nurse staffing levels did not meet standards and were inadequate to meet patient needs. Triage facilities and infrastructure at both hospitals met established standards. The triage process, conducted on 100 respondents by 30 nurses, revealed that the majority of patients were categorized as ESI level 3, comprising 82 (82%) respondents. There was an excessive use of triage resources beyond projections, and patient placement did not always adhere to standards, although the average response time was within the accepted range. Patient satisfaction was evaluated across five dimensions; the most satisfying dimensions were assurance and empathy, with 90% of respondents rating thempositively, while the tangibles dimension received the lowest satisfaction rating at 84%. The correlation between the application of ESI triage and patient satisfaction was not statistically significant (p-value = 0.101, higher than 0.05). Conclusion:It is recommended that hospitals increase the number and competence of nursing staff in emergency departments to ensure response times and patient placement align with ESI triage standards, thereby enhancing the effectiveness of triage implementation. Keywords:emergency severity index triage; quality of care; emergency department

APPLICATION OF LEADERSHIP AND ENTREPRENEURSHIP AND THEIR INFLUENCE IN THE HOSPITAL ENVIRONMENT

Abstract— Health care operates within a complex and dynamic environment, particularly in the context of hospital care in Indonesia. General Background: The effectiveness of an organization in this sector is influenced by various factors, necessitating continuous improvement in innovation to foster growth and adaptability. Specific Background: Leadership plays a crucial role in guiding organizations toward achieving their vision and mission, especially in a landscape marked by financial constraints, resource shortages, and heightened competition. Knowledge Gap: Despite the recognized importance of entrepreneurial principles in enhancing innovative work behavior, there is limited empirical research focusing on their application within Indonesian hospitals. Aims: This study aims to investigate the impact of entrepreneurial leadership on fostering innovation in hospital settings, with a specific focus on its effects on organizational performance and adaptability. Results: Preliminary findings suggest that integrating entrepreneurial practices not only enhances innovative behaviors among healthcare professionals but also improves overall organizational effectiveness. Novelty: This research contributes to the existing literature by demonstrating how entrepreneurial leadership can serve as a catalyst for innovation in a challenging health care environment. Implications: The results underline the necessity for hospital leaders to embrace entrepreneurial approaches to navigate the complexities of the health care sector, thereby ensuring the delivery of high-quality services and maintaining competitive advantage.

Analysis of Determining Inpatient Room Rates Using the Activity-Based Costing Method in a Healthcare Setting

Background: Hospitalization rate determination is crucial for healthcare cost management, yet traditional methods often lead to cost distortions. Specific Background: Muhammadiyah Tuban Hospital has historically utilized conventional costing methods, which have resulted in higher than necessary charges for hospital services. Knowledge Gap: There is limited research comparing traditional costing methods with more accurate and modern approaches like Activity Based Costing (ABC) in the Indonesian healthcare context. Aim: This study aims to compare hospitalization rates at Muhammadiyah Tuban Hospital using traditional methods and the ABC method, to highlight discrepancies and propose a more accurate costing framework. Results: The ABC method yielded significantly lower hospitalization rates across various classes (VIP, Class 1, Class 2, and Class 3) compared to traditional methods. For instance, the ABC rate for the VIP class was IDR 270,619, compared to IDR 495,000 set by traditional methods. Novelty: This study introduces the application of ABC in an Indonesian hospital setting, providing a clear contrast in cost-efficiency against traditional costing. Implications: The findings suggest that adopting the ABC method can lead to more precise and lower hospitalization rates, potentially reducing healthcare costs for patients and improving financial management within hospitals.Highlights: Cost Accuracy: ABC method offers more precise hospitalization rates than traditional methods. Economic Impact: Adoption of ABC can lower patient costs and improve hospital financial management. Innovation: Introduces a modern costing method to Indonesian healthcare, suggesting a shift from outdated practices. Keywords: Activity Based Costing, Hospitalization Rates, Cost Management, Healthcare Economics

Teaching Hospital Governance Model for Service Quality Performance: Case Study of Indonesian Central General Hospital

This study aims to investigate the effect of teaching hospital management practices on the quality performance of health services by involving elements such as hospital accreditation standards, quality management, and JCI Academic Hospital-specific standards that are indirectly connected. This study chose a survey-based quantitative approach to clinical professional students in vertical teaching hospitals under the direct management of the Ministry of Health of the Republic of Indonesia. Six proposed hypotheses were tested by Partial Least Square-Structural Equation Modeling (PLS-SEM) analysis. The test results showed a positive influence between hospital teaching governance and hospital accreditation compliance, quality assurance and JCI Academic Hospital standards. Third, compliance with teaching hospital standards was also found to have a significant positive effect on the performance of teaching hospital service quality. Understanding the role of governance in encouraging the performance of teaching hospital service quality can help develop effective managerial strategies in achieving complete service quality for patients and clinical profession participants. This research resulted in contributions to existing practices and literature as governance modeling in dual quality standards charged to teaching hospitals.

Deep neural networks and conventional machine learning classifiers to analyze thoracic survival data

Lung cancer is a prevalent global health concern and most prevalent malignancy in Indonesian hospitals. Following thoracic surgery, patients were categorized into two classes: individuals who experienced mortality within a year and those who achieved survival. Despite being about socks, the dataset for the deceased category consisted of 70 data samples, while the dataset for the final group comprised 400 samples. Data calculation involves the utilization of both deep neural networks and standard machine learning algorithms. The study use the Python programming language to evaluate the algorithms, and it measures their performance using metrics such as accuracy, F1-Score, precision, recall, receiver operating characteristic (ROC), and area under curve (AUC). The test results indicate that the deep neural network method achieves an accuracy of 95,56%, an F1 score of 79,24%, a precision of 91,96%, a recall of 85,52%, and an AUC of 85,52%. This study suggests that utilizing deep neural network data mining techniques, specifically with a cross-validation fold of 10, variations of six hidden layer encoder-decoder, relu, sigmoid activation function, optimizer Adam, and learning rate of 0,01, dropout rate of 0,2. Employing the Synthetic Minority Over-sampling Technique data preprocessing method, can effectively analyze thoracic patient survival data sets.

Healthcare Professionals' Experiences in Providing Palliative Care in an Intensive Care Unit in Indonesia: A Phenomenological Study.

In the Intensive Care Unit (ICU), it is vital to meticulously monitor symptoms and thoroughly understand the treatment objectives for critically ill patients. This highlights the necessity of integrating palliative care in this environment. Despite the potential advantages, several barriers impede the effective integration of palliative care in the ICU. Notably, many healthcare professionals (HCPs) in Indonesian ICUs have not fully leveraged the incorporation of palliative care. This study aimed to investigate and clarify the experiences of healthcare providers (HCPs) involved in administering palliative care to ICU patients in Indonesia. This research employed a qualitative descriptive phenomenological approach. Semi-structured, in-depth individual interviews were conducted with four nurses and three doctors working in an Indonesian hospital. Colaizzi's method was used for data analysis. The analysis identified six themes from the interviews, reflecting the experiences of healthcare professionals in delivering palliative care in the ICU. These themes are: 1) Provide Professional Caring, 2) Caring and curing collaboration, 3) Quality Intensive Communication, 4) End-of-Life Care, 5) Controlling Feelings, and 6) Provide Holistic Caring. Providing care for ICU patients demands not only the expertise of HCPs but also compassion, communication skills, and a holistic approach to patient care. By offering comprehensive palliative care in the ICU, healthcare professionals can address the diverse needs of patients and their families, promoting comfort, respect, and an improved quality of life throughout the illness. This inclusive approach enhances the experience for both patients and their families while supporting healthcare providers in delivering empathetic and patient-centered care. It is recommended that hospitals develop policies to enhance palliative care services in Indonesia.

Multi-scale input reconstruction network and one-stage instance segmentation for enhancing heart defect prediction rate

&lt;p&gt;Artifacts and unpredictable fetal movements can hinder clear fetal heart imaging during ultrasound scans, complicating anatomical identification. This study presents a new medical imaging approach that combines one-stage instance segmentation with ultrasound (US) video enhancement for precise fetal heart defect detection. This innovation allows real-time identification and timely medical intervention. The study acquired 100 fetal heart US videos from an Indonesian Hospital featuring cardiac septal defects, generating 1,000 frames for training, validation, and testing. Utilizing a combination of the multi-scale input reconstruction network (MIRNet) for image enhancement and YOLOv8l-seg for real-time instance segmentation, the method achieved outstanding validation results, boasting a 99.50% mAP for bounding box prediction and 98.40% for mask prediction. It delivered a remarkable real-time processing speed of 68.4 frames per second. In application to new patients, the method yielded a 65.93% mAP for bounding box prediction and 57.66% for mask prediction. This proposed approach offers a promising solution to early fetal heart defect detection using ultrasound, holding substantial potential for enhancing healthcare outcomes.&lt;/p&gt;

Indonesia’s Diplomatic Actions in the Israel-Palestine Conflict

Indonesia has consistently fought for Palestinian independence, utilizing parliamentary diplomacy to enhance its role in international efforts that support the establishment of an independent Palestinian state. The problem formulations in this study are (1) what factors inhibit the Israeli-Palestinian conflict? (2) what is the role of Indonesian diplomacy in the Israeli-Palestinian conflict? This study aims to examine Indonesia's diplomatic actions towards the conflict between Israel and Palestine. This study uses a descriptive-qualitative method. The data sources in this study are books, journals, and electronic news from several related objects. The results of this study are in the case of the Indonesian Hospital in Palestine, the International Criminal Court (ICC) is the proper party to adjudicate Israel's war violations of International Humanitarian Law and Human Rights. The UN Security Council should not obstruct the enforcement of violations of international law in political relations. The veto cannot be exercised if it conflicts with jus cogens norms or undermines the ability of other Security Council members to collaborate in response to grave violations of human rights. Indonesia's Foreign Minister condemned the situation in Gaza as a human rights violation and recommended an immediate ceasefire, rejection of double standards, and support for accountable mechanisms. Indonesia also highlighted the Palestinian people's right to self-determination at the International Court of Justice. As a UN Human Rights Council member, Indonesia made justice for the Palestinian people a key issue, recommending three important actions: strengthening the human rights ecosystem, addressing the global humanitarian crisis, and promoting human rights equally.

Clinical characteristics, management, and survival of retinoblastoma patients: a five-year study at an Indonesian tertiary eye hospital

Background Studies on the clinical characteristics of retinoblastoma in Indonesia have been limited, even though retinoblastoma is the most common pediatric ocular malignancy worldwide and the second-most common pediatric malignancy in Indonesia. The estimated patient survival rate in lower-middle-income countries is 77%, and survival is highly dependent on early diagnosis and therapy. Objective To identify the clinical characteristics of retinoblastoma in patients at the Cicendo National Eye Hospital, as an Indonesian tertiary eye hospital. Methods This retrospective, observational study included pediatric patients &lt;18 years of age diagnosed with retinoblastoma at the Cicendo National Eye Hospital, Bandung, West Java, between January 2018 and December 2022. We collected patients’ medical record data on age, gender, laterality, chief complaints, stage of disease, grouping, histopathologic features, therapy, and survival. Results Of 247 retinoblastoma patients (328 eyes) enrolled, 53.85% presented at 1-2 years of age and 50.61% were males. Patients mostly presented with unilateral (67.21%) retinoblastoma, leukocoria (51.82%) as the chief complaint, and classified as International Retinoblastoma Staging System (IRSS) stage III (33.20%). Tumors were mostly intraocular (58.84%), particularly group E (39.02%). Most tumors showed undifferentiated (45.43%) and high-risk features (54.27%). Most eyes were treated with combination therapy (74.09%), particularly local and systemic therapy (59.45%). Survival was noted at 18.62% of patients, but 62.75% of patients were lost to follow-up. Conclusion Most patients present with advanced retinoblastoma. Most histopathological results shows undifferentiated and high-risk features of the tumor. Delays in diagnosis and therapy may occur due to a lack of awareness and knowledge regarding clinical manifestations of retinoblastoma, which leads to worse prognosis.