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Describing and Modeling the Burden of Hospitalization of Patients With Neoplasms in Ghana Using Routine Health Data for 2012-2017
Abstract
PURPOSE: The increasing cancer burden calls for reliable data on current and future associated hospitalizations to enable health care resource planning, especially in low- and middle-income countries. We provide nationwide estimates of the current and future burden of hospitalization because of neoplasms in Ghana. METHODS: We conducted secondary data (2012-2017) analysis using nationwide routine administrative inpatient health data from the Ghana Health Service. Multivariable Poisson regression was used to model spatial and temporal hospitalization trends stratified by sex and 5-year age group. In conjunction with official population projections, the model was used to predict future hospitalization up to 2032. RESULTS: Out of 2,915,936 hospitalization records extracted for 6 years, 26,627 (1.0%) were for neoplasms, most of them benign (D10-D36, 15,362; 57.7%) and in female patients (20,159; 76%). In total, 9,463 (35.5%) patients with malignancies were mostly female (5,307; 56.1%), had a median age 50 years (interquartile range, 34-66 years) and a median duration of stay of 4 days (interquartile range, 2-8 days). Poisson regression for the malignant cancers revealed an annual increase in hospitalizations with a relative rate of 1.23 (95% CI, 1.19 to 1.27). The estimated hospitalization rate for malignancies of female patients was 1.5 times higher than that of male patients (relative rate, 1.53; 95% CI, 1.00 to 2.34), adjusted for age. We predicted an increase of 67.5% malignant cancer hospitalizations from the empirical years (2012-2017) into the prediction years (2022-2032) in Ghana. CONCLUSION: In the absence of a national population-based cancer registry, this nationwide study used secondary health services data on hospitalizations as a proxy for neoplasm morbidity burden. Our results can support planning public health resources and building evidence-based advocacy campaigns for neoplasm-prevention efforts.
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“It is currently the country's most comprehensive national database of routine health data [12].”
From The Burden of Hospital Morbidity and Mortality in Ghana: A Four-Year Retrospective Analysis of National Data (2026) · cites this paper as [12]
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Cited by
Manyeh, A. K., Odopey, C. T., Ackon, A. N. E., Gmayinaam, V. U., Dzissem, P., Acquah, E., & Immurana, M. (2026) · doi:10.64898/2026.01.13.26344071
Metadata
- Authors
- Narh, C. T., Der, J. B., Ofosu, A., Blettner, M., & Wollschlaeger, D.
- Venue
- JCO Global Oncology
- Published
- 2022-08
- Issue
- 8
- ISSN
- 2687-8941
- PMC
- PMC9470136
- Cited by
- 4
- References
- 1
- Language
- en
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- Narh, C. T., Der, J. B., Ofosu, A., Blettner, M., & Wollschlaeger, D. (2022). Describing and Modeling the Burden of Hospitalization of Patients With Neoplasms in Ghana Using Routine Health Data for 2012-2017. JCO Global Oncology. https://doi.org/10.1200/go.21.00416
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