title: Quality of-life in male cancer patients at Kenyatta National Hospital, Nairobi.
abstract: BACKGROUND
  The quality of life of cancer patients is likely to be influenced by psychological reactions of the cancer patients yet there are no documented issues related to quality of life in cancer patients in Kenyan hospitals.
  
  
  OBJECTIVE
  To investigate issues which affect the quality of life in male cancer patients.
  
  
  METHODS
  Prospective cross sectional study.
  
  
  METHODS
  Kenyatta National Hospital, Nairobi, Kenya.
  
  
  METHODS
  Cancer patients above 12 years of age were interviewed during the course of their stay in the hospital, specifically to gather information on; semi structured questions and a modified Beck's 24 item depression inventory with a view to solicit for their reaction on issues which pertains to quality of life.
  
  
  METHODS
  Age group, level of education, tribe, geographical place (province) of birth, chief complains, main concerns, views on doctors, contact with psychiatrist and psychologist, the anatomic site of cancer, treatment given and responses on modified Beck's depression inventory.
  
  
  RESULTS
  Forty two patients were studied, their age range 13-72 years, mean 43.2 and peak 13-26 years. Forty seven per cent of cases had no formal education. The cancers were gastrointestinal tract 33%, blood and lymphoid tissue (26%), bone and muscle (11.9%), skin (9.4%) and genitourinary tract (4.8%). Treatment given was chemotherapy, radiotherapy and surgery. Ninety three per cent were unable to cope. Chief complaints were pain, inability to work, feeling miserable and concerns were families, health and work retardation. Modified Beck's depression score was 20%, with major issues being; work retardation, insomnia, weight loss, and anorexia. Most affected were, age group 27-35 years (and least 13-26 years), uneducated, living in Nairobi (city), having carcinomas, treatment with combined surgery and radiotherapy. Low education level and residence in Nairobi coped poorly. Radiation therapy group appeared to cope better than other modalities.
  
  
  CONCLUSIONS
  The issues affecting the quality of life of male cancer patients stated were pain, inability to work, poor coping with cancer and psychological reactions of work retardation, insomnia, weight loss, fatigability and depression. Gambling, suicidal ideas and social withdrawal were minimal. Other concerns were families, health and work.
authors.affiliation: Department of Haematology and Blood Transfusion, College of Health Sciences, University of Nairobi, Nairobi, Kenya.
authors.forename: W O
authors.initials: WO
authors.lastname: Mwanda
authors.forename: F K
authors.initials: FK
authors.lastname: Abdallah
authors.forename: A
authors.initials: A
authors.lastname: Obondo
authors.forename: F M
authors.initials: FM
authors.lastname: Musau
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D003430:Cross-Sectional Studies; D006801:Humans; D007630:Kenya; D008297:Male; D008875:Middle Aged; D009369:Neoplasms / Q000523:psychology*; D011446:Prospective Studies; D011788:Quality of Life / Q000523:psychology*; D012737:Sex Factors; D012959:Socioeconomic Factors