Perbedaan Hasil Laboratorium, Radiologi, dan Tumor Marker pada Pasien Hepatoma Viral hepatitis B dan C di RSUP Haji Adam Malik Medan tahun 2014

Lampiran 1

DAFTAR RIWAYAT HIDUP

Nama

: Mira Tania Andriana

NIM

: 120100413

Tempat, Tanggal Lahir

: Medan, 15 Juni 1994

Agama

: Islam

Alamat


: Jl. Karya Wisata Komplek Johor Indah Permai I
Blok VI no.31 Medan

Jenis Kelamin

: Perempuan

Alamat Email

: miraasyifa@gmail.com

Riwayat Pendidikan

:

1. TK Alfitriah

1999 – 2000


2. SDIT Alfitriah

2000 – 2006

3. SMP HARAPAN 3

2006 – 2009

4. SMA HARAPAN 3

2009 – 2012

5. Fakultas Kedokteran Universitas Sumatera Utara

2012 – sekarang

Riwayat Organisasi

:


1. Anggota Departeman Wirausaha PEMA FK USU 2012 – 2013
2. Sekretaris Divisi Pendidikan dan Pelatihan SCOPH PEMA FK USU 20132014
3. Anggota Divisi HBI-PM BKM Ar-Rahmah 2015-sekarang

Universitas Sumatera Utara

Universitas Sumatera Utara

Lampiran 1

Universitas Sumatera Utara

Universitas Sumatera Utara

LAMPIRAN 4

KELOMPOK HBV

No
1

2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18

Rekam
Medis

61.82.90
59.46.18
59.48.20
60.10.42
60.74.44
62.47.20
59.26.43
58.80.88
58.84.39
59.37.61
59.55.58
60.01.25
61.11.18
61.15.46
61.22.47
61.76.77
60.25.57
61.49.18

Jenis

kelamin
pria
pria
pria
pria
pria
wanita
wanita
pria
wanita
wanita
pria
pria
wanita
pria
pria
pria
pria
pria


Trombosit
(103/mm)
Usia
32
39
30
53
45
30
31
33
48
41
30
39
46
59
50
36
38

49

AST
157
425
81
364
86
241
209
42
1075
61
421
289
47
184
312
312
284

44

ALT
68
52
26
58
36
46
47
134
106
38
38
60
24
54
66
66
105

27

ALP
331
1329
92
125
130
315
478
238
334
91
182
174
127
194
529
529
166

92

GTP
404
420
99
546
322
463
247
70
527
55
130
250
150
161
584
584
190
60

ALBUMIN PT
2,1
1,9
2,8
1,18
1,8
1
2,8
1,92
32,2
0,95
3,1
1,17
1,8
1,28
2,4
1,13
2,9
1,37
1,5
1,2
2,8
1,41
3
1,17
2,1
1,2
2,2
1,21
2,5
1,1
2,5
1,1
3,4
1,18
3,7
0,3

HB
7,1
12,6
6,3
9,6
16
7,9
10
15,6
7,4
8,1
4,5
13,4
9,7
9
10,1
9
16,2
15,8

81
99
102
161
325
288
355
339
537
23
425
227
232
70
321
244
204
178

T.Marker
>1210.00
>1210.00
>1210.00
>1210.00
1210.00
>1210.00
16,8
15
20
25,68
>1210.00
1210
1210
>1210
>1210
>1210.00
>1210.00
33,78

Universitas Sumatera Utara

LAMPIRAN 4

KELOMPOK HCV
No
1
2
3
4
5
6
7
8

Rekam
Medis
61.53.11
61.78.38
61.62.18
58.78.03
54.46.33
56.53.17
57.61.69
61.53.11

Jk
pria
pria
wanita
pria
pria
pria
pria
pria

Usia

AST
37
42
52
76
75
70
42
37

81
71
53
140
130
160
80
109

Trombosit
ALT ALP GTP ALBUMIN
PT
HB
(103/mm)
50
166
297
2,8 1,21
19,2
313
53
66
21
2,2 1,17
8,6
107
37
70
20
2
0,8
9,1
83
60
170
270
2,9
1,5
9,4
270
39
95
132
3,2 1,32
13,2
260
81
110
149
2,3
1,2
2,59
153
31
129
82
2,6 1,34
13,7
155
60
170
280
3 1,12
15,6
217

T.Marker
1210.00
1210.00
1210.00
1210
>1210.00
12,76
34
20,6

Universitas Sumatera Utara

LAMPIRAN 4

RADIOLOGI
KELOMPOK HBV
NO Rekam Medis

USG

1
2
3

nodul(+)di lobus kanan
multinoduler di lobus kanan dan kiri

61.82.90
59.46.18
59.48.20

4
5
6
7

60.10.42
60.74.44
62.47.20
59.26.43

8
9
10
11
12
13
14
15
16
17
18

58.80.88
58.84.39
59.37.61
59.55.58
60.01.25
61.11.18
61.15.46
61.22.47
61.76.77
60.25.57
61.49.18

CT-SCAN
multinoduler di lobus
kanan

noduler di lobus
kanan
multinoduler di lobus kanan dan kiri
multinoduler di lobus kanan dan kiri
multinoduler di lobus kanan dan kiri
noduler di lobus
kanan
multinoduler di lobus kanan
noduler di lobus kanan
Reguler
multinoduler di lobus kanan dan kiri
noduler di lobus kanan
multinoduler di lobus kanan dan kiri
multinoduler di lobus kanan
multinoduler di lobus kanan
noduler di lobus kanan
noduler di lobus kanan

Universitas Sumatera Utara

LAMPIRAN 4

RADIOLOGI
KELOMPOK HCV
No
1
2
3
4
5
6
7
8

USG
61.53.11
61.78.38
61.62.18
58.78.03
54.46.33
56.53.17
57.61.69
61.53.11

CT-SCAN
noduler di lobus kanan

multinoduler di lobus kanan
multinoduler di lobus kanan
noduler di lobus kanan
noduler di lobus kanan
noduler di lobus kanan
multinoduler di lobus kanan dan kiri
multinoduler di lobus kanan dan kiri

Universitas Sumatera Utara

Lampiran 5
Output Data

Valid

Kelompok Pasien hepatoma berdasarkan etiologi
Frequency
Percent
Valid Percent
Cumulative
Percent
HBV
18
69,2
69,2
69,2
HCV
8
30,8
30,8
100,0
Total
26
100,0
100,0

Kelompok Pasien hepatoma * Jenis Kelamin responden Crosstabulation
Jenis Kelamin responden
Pria
Wanita
13
5
Count
HBV % within Kelompok Pasien
72,2%
27,8%
hepatoma
Kelompok Pasien hepatoma
Count
7
1
HCV % within Kelompok Pasien
87,5%
12,5%
hepatoma
20
6
Count
Total
% within Kelompok Pasien
76,9%
23,1%
hepatoma

Total
18
100,0%
8
100,0%
26
100,0%

Kelompok Pasien hepatoma * Kelompok Usia Responden Crosstabulation
Kelompok Usia Responden

Count
HBV

Kelompok Pasien hepatoma

HCV

Total

< = 40
Tahun
10

41 - 50
Tahun

51 - 60
Tahun

Total

6

2

61 - 70
tahun
0

> 70
Tahun
0

18

% within
Kelompok Pasien
hepatoma
Count
% within
Kelompok Pasien
hepatoma
Count

55,6%

33,3%

11,1%

0,0%

0,0%

100,0%

2
25,0%

2
25,0%

1
12,5%

1
12,5%

2
25,0%

8
100,0%

12

8

3

1

2

26

% within
Kelompok Pasien
hepatoma

46,2%

30,8%

11,5%

3,8%

7,7%

100,0%

Universitas Sumatera Utara

Lampiran 5
Output Data

Nilai Laboratorium Kelompok HBV
Statistic
Mean

Std. Error
40,50

Lower
95% Confidence Interval for

Bound

Mean

Upper

2,099

36,07

44,93

Bound

Usia responden

5% Trimmed Mean

40,06

Median

39,00

Variance

79,324

Std. Deviation

8,906

Minimum

30

Maximum

59

Range

29

Interquartile Range

17

Skewness
Kurtosis
Mean
Lower
95% Confidence Interval for

Bound

Mean

Upper

,464

,536

-,777

1,038

257,44

57,043

137,09

377,80

Bound

kadar ast responden

5% Trimmed Mean

223,99

Median

225,00

Variance

58571,085

Std. Deviation

242,015

Minimum

42

Maximum

1075

Range

1033

Interquartile Range

249

Skewness

2,374

,536

Kurtosis

7,580

1,038

Mean

58,39

7,062

Lower
kadar alt responden

95% Confidence Interval for

Bound

Mean

Upper

43,49

73,29

Bound

Universitas Sumatera Utara

Lampiran 5
Output Data

5% Trimmed Mean

56,10

Median

53,00

Variance

897,663

Std. Deviation

29,961

Minimum

24

Maximum

134

Range

110

Interquartile Range

29

Skewness

1,244

,536

Kurtosis

1,242

1,038

303,11

69,547

Mean
Lower
95% Confidence Interval for

Bound

Mean

Upper

156,38

449,84

Bound

kadar alp responden

5% Trimmed Mean

257,90

Median

188,00

Variance

87063,163

Std. Deviation

295,065

Minimum

91

Maximum

1329

Range

1238

Interquartile Range

244

Skewness

2,719

,536

Kurtosis

8,814

1,038

292,33

45,144

Mean
Lower
95% Confidence Interval for

Bound

Mean

Upper

197,09

387,58

Bound

kadar gtp responden

5% Trimmed Mean

289,31

Median

248,50

Variance
Std. Deviation

36683,765
191,530

Minimum

55

Maximum

584

Range

529

Interquartile Range

357

Skewness

,307

,536

-1,472

1,038

Kurtosis

Universitas Sumatera Utara

Lampiran 5
Output Data

Mean

4,200
Lower

95% Confidence Interval for

Bound

Mean

Upper

1,6526

,713

7,687

Bound

kadar albumin responden

5% Trimmed Mean

2,794

Median

2,650

Variance

49,162

Std. Deviation

7,0116

Minimum

1,5

Maximum

32,2

Range

30,7

Interquartile Range

,9

Skewness

4,194

,536

Kurtosis

17,712

1,038

Mean

1,2094

,08137

Lower
95% Confidence Interval for

Bound

Mean

Upper

1,0378

1,3811

Bound

kadar pt responden

5% Trimmed Mean

1,2205

Median

1,1800

Variance

,119

Std. Deviation

,34524

Minimum

,30

Maximum

1,92

Range

1,62

Interquartile Range

,20

Skewness

-,131

,536

Kurtosis

3,323

1,038

10,461

,8543

Mean
Lower

kadar Hb responden

95% Confidence Interval for

Bound

Mean

Upper

8,659

12,264

Bound
5% Trimmed Mean
Median

10,473
9,650

Variance

13,137

Std. Deviation

3,6244

Minimum

4,5

Universitas Sumatera Utara

Lampiran 5
Output Data

Maximum

16,2

Range

11,7

Interquartile Range

6,2

Skewness

,409

,536

-,944

1,038

233,94

31,968

Kurtosis
Mean
Lower
95% Confidence Interval for

Bound

Mean

Upper

166,50

301,39

Bound

kadar trombosit responden

5% Trimmed Mean

228,83

Median

229,50

Variance
Std. Deviation

18394,997
135,628

Minimum

23

Maximum

537

Range

514

Interquartile Range

227

Skewness

,440

,536

-,104

1,038

Kurtosis

Tests of Normality kelompok HBV
Kolmogorov-Smirnova
Shapiro-Wilk
Statistic
df
Sig.
Statistic
df
Usia responden
,133
18
,200*
,929
18
kadar ast responden
,189
18
,089
,753
18
kadar alt responden
,208
18
,039
,877
18
kadar alp responden
,236
18
,009
,679
18
kadar gtp responden
,148
18
,200*
,900
18
kadar albumin responden
,473
18
,000
,326
18
kadar pt responden
,222
18
,020
,837
18
kadar Hb responden
,206
18
,041
,917
18
kadar trombosit responden
,112
18
,200*
,971
18
*. This is a lower bound of the true significance.
a. Lilliefors Significance Correction

Sig.
,189
,000
,023
,000
,058
,000
,005
,113
,815

Universitas Sumatera Utara

Lampiran 5
Output Data

Nilai Laboratorium kelompok HCV
Mean
95% Confidence Interval for Mean

Usia responden

5% Trimmed Mean
Median
Variance
Std. Deviation
Minimum
Maximum
Range
Interquartile Range
Skewness
Kurtosis
Mean
95% Confidence Interval for Mean

kadar ast responden

Lower Bound
Upper Bound

5% Trimmed Mean
Median
Variance
Std. Deviation
Minimum
Maximum
Range
Interquartile Range
Skewness
Kurtosis
Mean
95% Confidence Interval for Mean

kadar alp responden

Lower Bound
Upper Bound

5% Trimmed Mean
Median
Variance
Std. Deviation
Minimum
Maximum
Range
Interquartile Range
Skewness
Kurtosis
Mean
95% Confidence Interval for Mean

kadar alt responden

Lower Bound
Upper Bound

5% Trimmed Mean
Median
Variance
Std. Deviation
Minimum
Maximum
Range
Interquartile Range
Skewness

Lower Bound
Upper Bound

Statistic
Std. Error
53,88
6,052
39,57
68,18
53,58
47,00
292,982
17,117
37
76
39
36
,436
,752
-2,071
1,481
103,00
13,310
71,53
134,47
102,61
95,00
1417,143
37,645
53
160
107
64
,268
,752
-1,353
1,481
51,38
5,679
37,95
64,80
50,86
51,50
257,982
16,062
31
81
50
23
,642
,752
,354
1,481
122,00
15,415
85,55
158,45
122,44
119,50
1900,857
43,599
66
170
104
93
-,071
,752

Universitas Sumatera Utara

Lampiran 5
Output Data

Kurtosis
Mean
95% Confidence Interval for Mean

kadar gtp responden

5% Trimmed Mean
Median
Variance
Std. Deviation
Minimum
Maximum
Range
Interquartile Range
Skewness
Kurtosis
Mean
95% Confidence Interval for Mean

kadar albumin responden

kadar trombosit responden

Lower Bound
Upper Bound

5% Trimmed Mean
Median
Variance
Std. Deviation
Minimum
Maximum
Range
Interquartile Range
Skewness
Kurtosis
Mean
95% Confidence Interval for Mean

kadar Hb responden

Lower Bound
Upper Bound

5% Trimmed Mean
Median
Variance
Std. Deviation
Minimum
Maximum
Range
Interquartile Range
Skewness
Kurtosis
Mean
95% Confidence Interval for Mean

kadar pt responden

Lower Bound
Upper Bound

Lower Bound
Upper Bound

5% Trimmed Mean
Median
Variance
Std. Deviation
Minimum
Maximum
Range
Interquartile Range
Skewness
Kurtosis
Mean
95% Confidence Interval for Mean Lower Bound

-1,857
156,38
61,02
251,73
156,14
140,50
13010,554
114,064
20
297
277
241
,089
-1,854
2,625
2,271
2,979
2,628
2,700
,179
,4234
2,0
3,2
1,2
,8
-,216
-1,357
1,2075
1,0371
1,3779
1,2139
1,2050
,042
,20387
,80
1,50
,70
,20
-,890
2,130
11,424
7,164
15,684
11,483
11,300
25,965
5,0955
2,6
19,2
16,6
6,4
-,248
,286
194,75
125,59

Universitas Sumatera Utara

1,481
40,328

,752
1,481
,1497

,752
1,481
,07208

,752
1,481
1,8015

,752
1,481
29,249

Lampiran 5
Output Data

Upper Bound
5% Trimmed Mean
Median
Variance
Std. Deviation
Minimum
Maximum
Range
Interquartile Range
Skewness
Kurtosis

263,91
194,39
186,00
6844,214
82,730
83
313
230
149
,054
-1,484

Tests of Normality kelompok HCV
Kolmogorov-Smirnova
Shapiro-Wilk
Statistic
df
Sig.
Statistic
df
Usia responden
,256
8
,131
,823
8
kadar ast responden
,221
8
,200*
,947
8
kadar alt responden
,171
8
,200*
,948
8
kadar alp responden
,219
8
,200*
,878
8
kadar gtp responden
,215
8
,200*
,882
8
kadar albumin responden
,160
8
,200*
,956
8
kadar pt responden
,209
8
,200*
,929
8
kadar Hb responden
,165
8
,200*
,971
8
kadar trombosit responden
,185
8
,200*
,947
8
*. This is a lower bound of the true significance.
a. Lilliefors Significance Correction

,752
1,481

Sig.
,050
,677
,691
,179
,196
,774
,509
,905
,677

Kelompok Pasien hepatoma * Bentuktumor_USG Crosstabulation

HBV
Kelompok Pasien hepatoma
HCV
Total

Count
% within Kelompok Pasien hepatoma
Count
% within Kelompok Pasien hepatoma
Count
% within Kelompok Pasien hepatoma

Reguler
1
6,7%
0
0,0%
1
4,8%

Radiologi_USG
Nodul
Multinodular
5
9
33,3%
60,0%
2
4
33,3%
66,7%
7
13
33,3%
61,9%

Universitas Sumatera Utara

Total
15
100,0%
6
100,0%
21
100,0%

Lampiran 5
Output Data

Kelompok Pasien
hepatoma

Kelompok Pasien hepatoma * Lokasi_USG Crosstabulation
Lokasi_USG
Tidak
Lobus Kanan Lobus Kanan
Ada
dan Kiri
1
8
6
Count
HBV % within Kelompok Pasien
6,7%
53,3%
40,0%
hepatoma
0
4
2
Count
HCV % within Kelompok Pasien
0,0%
66,7%
33,3%
hepatoma
1
12
8
Count

Total

% within Kelompok Pasien
hepatoma

4,8%

57,1%

38,1%

Kelompok Pasien hepatoma * Bentuktumor_CT Crosstabulation
Radiologi_CT
Nodul
HBV
Kelompok Pasien hepatoma
HCV
Total

Count
% within Kelompok Pasien hepatoma
Count
% within Kelompok Pasien hepatoma
Count
% within Kelompok Pasien hepatoma

Total

15
100,0%
6
100,0%
21
100,0%

Total

2

Multinodular
1

3

66,7%
2
100,0%
4

33,3%
0
0,0%
1

100,0%
2
100,0%
5

80,0%

20,0%

100,0%

Kelompok Pasien hepatoma * Lokasi_CT Crosstabulation
Lokasi_CT
Lobus Kanan
Count
3
HBV
% within Kelompok Pasien hepatoma
100,0%
Kelompok Pasien hepatoma
Count
2
HCV
% within Kelompok Pasien hepatoma
100,0%
Count
5
Total
% within Kelompok Pasien hepatoma
100,0%

Universitas Sumatera Utara

Total
3
100,0%
2
100,0%
5
100,0%

Lampiran 5
Output Data

Gambaran Tumor Marker HBV
Statistic
Mean
95% Confidence Interval for
Mean

880,07
607,84

Lower
Bound
Upper
Bound

1152,30

5% Trimmed Mean
Median
kadar tumor marker
responden

Std.
Error
129,031

909,80
1210,00
299681,77
1
547,432
15
1210
1195
1178
-1,085
-,941

Variance
Std. Deviation
Minimum
Maximum
Range
Interquartile Range
Skewness
Kurtosis

,536
1,038

Tests of Normality Tumor Marker HBV
Kolmogorov-Smirnova
Shapiro-Wilk
Statistic
df
Sig.
Statistic
Df
Sig.
,449
18
,000
,569
18
,000

kadar tumor marker
responden
a. Lilliefors Significance Correction

Gambaran Tumor Marker HCV

Mean

kadar tumor marker
responden

95% Confidence Interval for
Mean

L
o
w
e
r
B
o
u
n
d

Statistic
764,67
250,82

Std. Error
217,308

Universitas Sumatera Utara

Lampiran 5
Output Data

U
p
p
e
r
B
o
u
n
d
5% Trimmed Mean
Median
Variance
Std. Deviation
Minimum
Maximum
Range
Interquartile Range
Skewness
Kurtosis

1278,52

781,70
1210,00
377783,072
614,641
13
1210
1197
1186
-,644
-2,239

Tests of Normality Tumor Marker HCV
Kolmogorov-Smirnova
Shapiro-Wilk
Statistic
Df
Sig.
Statistic
df
kadar tumor marker responden
,391
8
,001
,646
8
a. Lilliefors Significance Correction

Usia responden

kadar gtp
responden

Equal
variances
assumed
Equal
variances
not
assumed
Equal
variances
assumed

,752
1,481

Sig.
,001

Independent Samples Test nilai laboratorium
Levene's Test for
t-test for Equality of Means
Equality of
Variances
F
Sig.
T
df
Sig.
Mean
Std.
95% Confidence Interval of the
(2Differenc
Error
Difference
tailed)
e
Differen
Lower
Upper
ce
11,387
,003 -2,645
24
,014
-13,375
5,057
-23,812
-2,938

5,285

,031

-2,088

8,734

,067

-13,375

6,405

-27,933

1,183

1,854

24

,076

135,958

73,327

-15,380

287,297

Universitas Sumatera Utara

Lampiran 5
Output Data

kadar Hb
responden

kadar trombosit
responden

Equal
variances
not
assumed
Equal
variances
assumed
Equal
variances
not
assumed
Equal
variances
assumed

1,182

1,552

,288

,225

2,246 21,581

,035

135,958

60,534

10,278

261,638

-,551

24

,586

-,9626

1,7457

-4,5656

2,6403

-,483 10,288

,639

-,9626

1,9938

-5,3884

3,4631

24

,459

39,194

52,087

-68,307

146,696

,905 21,235

,376

39,194

43,330

-50,854

129,243

,752

Equal
variances
not
assumed

Uji Bivariat Kadar Laboratorium yang distribusi nya tidak normal
kadar ast
kadar alt
kadar alp
kadar albumin
responden
responden
responden
responden
40,500
68,000
31,500
69,000
Mann-Whitney U
76,500
104,000
67,500
240,000
Wilcoxon W
-1,751
-,222
-2,252
-,167
Z
Asymp. Sig. (2-tailed)
,080
,824
,024
,867
Exact Sig. [2*(1-tailed Sig.)]
,080b
,849b
,022b
,892b
a. Grouping Variable: Kelompok Pasien hepatoma
b. Not corrected for ties.

kadar pt
responden
63,500
234,500
-,473
,636
,644b

Chi-Square Tests kelompok usg (bentuk tumor)
Value

df

Asymp. Sig.
(2-sided)

Exact Sig. (2sided)

Pearson Chi-Square

,431a

2

,806

1,000

Likelihood Ratio

,703

2

,704

1,000

Fisher's Exact Test
Linear-by-Linear
Association
N of Valid Cases

,606
,213

b

Exact Sig. (1sided)

Point
Probability

1,000
1

,644

,723

,498

21

a. 4 cells (66,7%) have expected count less than 5. The minimum expected count is ,29.
b. The standardized statistic is ,462.

Universitas Sumatera Utara

,300

Lampiran 5
Output Data

Chi-Square Tests kelompok usg (bentuk
tumor)
Value

df

Asymp. Sig. (2sided)
,361
1,000
,276

Exact Sig. (2Exact Sig. (1- Point Probability
sided)
sided)
1,000
,600

Pearson Chi-Square
,833a
1
b
Continuity Correction
,000
1
Likelihood Ratio
1,185
1
Fisher's Exact Test
Linear-by-Linear Association
,667c
1
,414
N of Valid Cases
5
a. 4 cells (100,0%) have expected count less than 5. The minimum expected count is ,40.
b. Computed only for a 2x2 table

1,000
1,000
1,000

,600
,600
,600

Uji Bivariat Tumor Marker
kadar tumor
marker
responden
Mann-Whitney U
65,500
Wilcoxon W
101,500
Z
-,442
Asymp. Sig. (2-tailed)
,659
Exact Sig. [2*(1-tailed Sig.)]
,724b
a. Grouping Variable: Kelompok Pasien
hepatoma
b. Not corrected for ties.

Universitas Sumatera Utara

,600

Universitas Sumatera Utara

Universitas Sumatera Utara