{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,8,29]],"date-time":"2023-08-29T11:48:36Z","timestamp":1693309716224},"reference-count":35,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2021,8,3]],"date-time":"2021-08-03T00:00:00Z","timestamp":1627948800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Obstet and Gynaecol"],"published-print":{"date-parts":[[2021,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>Management of hydatidiform mole is important to reduce the mortality and morbidity of choriocarcinoma. This study aims to understand the existing health services for hydatidiform mole and to estimate the incidence of gestational trophoblastic disease (GTD) in Cambodia.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A questionnaire was used to collect information on the existing health services for pregnancy and hydatidiform mole at health facilities from attendants of the 16th Annual Conference of the Cambodian Society of Gynecology and Obstetrics in 2017. The incidence of GTD in 2014\u20132017 was estimated using Health Information System data.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 126 attendants, who were from all provinces except three provinces, answered the questionnaire. The work places were national hospitals (<jats:italic>n<\/jats:italic>\u00a0=\u00a029), provincial hospitals (<jats:italic>n<\/jats:italic>\u00a0=\u00a042), district hospitals (<jats:italic>n<\/jats:italic>\u00a0=\u00a020), health centers (<jats:italic>n<\/jats:italic>\u00a0=\u00a06), and others (<jats:italic>n<\/jats:italic>\u00a0=\u00a029). The answers of participants from the public sector suggested the following: Ultrasonography is available at all hospitals but not health centers; Human chorionic gonadotropin (hCG) measurement is only available at national hospitals; Treatment of hydatidiform mole is performed at national hospitals and provincial hospitals; and Treatment of gestational trophoblastic neoplasia (GTN) is provided at national hospitals. The incidence of hydatidiform mole and GTN at health facilities in the public sector in 2014\u20132017 was 0.95 per 1000 deliveries and 6.58 per 100\u2009000 deliveries, respectively.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The results suggest that provincial hospitals are important to detect suspected invasive mole and refer to national hospitals for diagnosis and treatment. Further studies on the management of GTD and development of the guidelines of GTD are needed.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jog.14955","type":"journal-article","created":{"date-parts":[[2021,8,3]],"date-time":"2021-08-03T09:58:50Z","timestamp":1627984730000},"page":"3652-3660","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["The current situation of health services for hydatidiform mole in Cambodia"],"prefix":"10.1111","volume":"47","author":[{"given":"Eiko","family":"Yamamoto","sequence":"first","affiliation":[{"name":"Department of Healthcare Administration Nagoya University Graduate School of Medicine  Nagoya Japan"},{"name":"Department of Obstetrics and Gynecology Nagoya University Graduate School of Medicine  Nagoya Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Koum","family":"Kanal","sequence":"additional","affiliation":[{"name":"Cambodian Society of Gynecology and Obstetrics  Phnom Penh Cambodia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sann Chan","family":"Soeung","sequence":"additional","affiliation":[{"name":"Cambodian Society of Gynecology and Obstetrics  Phnom Penh Cambodia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Noriko","family":"Fujita","sequence":"additional","affiliation":[{"name":"Bureau of International Health Cooperation, National Center for Global Health and Medicine  Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sidonn","family":"Krang","sequence":"additional","affiliation":[{"name":"Communicable Disease Control Department, Ministry of Health  Phnom Penh Cambodia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Puthik","family":"Long\u2010Hay","sequence":"additional","affiliation":[{"name":"Communicable Disease Control Department, Ministry of Health  Phnom Penh Cambodia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kimihiro","family":"Nishino","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Nagoya University Graduate School of Medicine  Nagoya Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kaoru","family":"Niimi","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Nagoya University Graduate School of Medicine  Nagoya Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nobuyuki","family":"Hamajima","sequence":"additional","affiliation":[{"name":"Department of Healthcare Administration Nagoya University Graduate School of Medicine  Nagoya Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2021,8,3]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.placenta.2019.02.006"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10147-020-01640-x"},{"key":"e_1_2_8_4_1","first-page":"373","article-title":"Gestational trophoblastic neoplasia and pregnancy outcome after routine second curettage for Hydatidiform mole a retrospective observational study","volume":"61","author":"Kan M","year":"2016","journal-title":"J Reprod Med"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/IGC.0000000000001374"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1349-7006.2010.01602.x"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1447-0756.1986.tb00154.x"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10147-019-01540-9"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2013-002685"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12960-019-0388-y"},{"key":"e_1_2_8_11_1","first-page":"135","article-title":"Knowledge of free delivery policy among women who delivered at health facilities in Oudomxay Province, Lao PDR","volume":"79","author":"Chankham T","year":"2017","journal-title":"Nagoya J Med Sci"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1447-0756.2003.00161.x"},{"key":"e_1_2_8_13_1","first-page":"113","article-title":"Factors associated with neonatal mortality in a tertiary hospital in Phnom Penh, Cambodia","volume":"83","author":"Leak P","year":"2021","journal-title":"Nagoya J Med Sci"},{"key":"e_1_2_8_14_1","unstructured":"World Bank.Population total \u2010 Cambodia.https:\/\/data.worldbank.org\/indicator\/SP.POP.TOTL?locations=KH"},{"key":"e_1_2_8_15_1","volume-title":"Ministry of Plannning, National Institution of statistics. 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