FORMULIR ISIAN PASIEN No MR : Kelompok : KasusKontrol Identitas Umum

  LAMPIRAN

  FORMULIR ISIAN PASIEN No MR :

Kelompok : Kasus/Kontrol Identitas Umum

  Nama : Berat Badan : kg

  Usia : tahun Tinggi badan : cm Pendidikan :

  IMT : Pekerjaan :

Asesmen pra operasi

  Keluhan : Paritas : G P A Usia Menars : tahun Riw. Haid : teratur / tidak teratur siklus : hari Riw KB : (+) / (-)

  Jenis KB : Pemakaian terakhir : Diagnosa :

Asesmen paska operasi

  No. PA / tanggal : Hasil PA Akhir : Jenis mioma uteri : subserosa/intramural/submukosa Skor Intensitas Ekspresi RE : Skor Intensitas Ekspresi RP :

TABEL INDUK KELOMPOK KASUS

  Leiomioma uteri

  7 18 584303 xxx 48 48 155

  20 P0A0 subserosa O/190/14 Leiomioma uteri multiple

  7

  7

  7

  7 19 585734 xxx 30 86 160 33,6 P0A0 submukosa O/682/14

  5

  5

  5

  5

  5 20 528507 xxx 37 47 157 19,1 P0A0 intramural O/2049/13

  Leiomioma uteri

  7

  7

  7

  5

  7 21 544454 xxx 55 64 150

  5

  6

  6

  5

  5 15 589925 xxx 50 55 148

  25.1 P2A0 intramural O/1883/14 Leiomioma uteri

  5

  8

  Leiomioma uteri multiple

  7 16 589315 xxx 42 43 149 19,4 P5A0 intramural O/1798/14

  Leiomioma uteri

  4

  4

  3

  3 17 568591 xxx 38 58 163 21,8 P1A0 subserosa O/5108/13

  7

  27 P3A0 submukosa O/1226/13 Leiomioma uteri

  7 14 590239 xxx 46 52 145 24,7 P0A0 intramural O/1866/14

  7

  5

  5

  6

  6 26 558305 xxx 28 63 150

  28 P0A0 subserosa O/3554/13 Leiomioma uteri

  8

  8

  7 25 549003 xxx 38 63 159 24,9 P2A0 intramural O/1806/13

  8 27 545625 xxx 45 60 152

  26 P3A0 intramural O/1286/13 Leiomioma uteri

  8

  8

  8

  8

  Leiomioma uteri

  8

  5

  3

  5

  7

  7 22 562607 xxx 38 70 160 27,3 P3A0 intramural O/4384/13

  Leiomioma uteri

  5

  5

  3 23 556525 xxx 55 101 158 40,5 P1A0 intramural O/3797/13

  7

  Leiomioma uteri multiple

  5

  5

  5

  5 24 545521 xxx 43 70 160 27,3 P3A0 intramural O/2660/13

  Leiomioma uteri

  7

  Leiomioma uteri

  No No.

  MR Nama Usia (thn) BB (kg) TB (cm)

  5

  7

  6

  5

  5 4 512065 xxx 44 59 150

  26.2 P4A0 submukosa O/2746/12 Leiomioma Geburt

  5

  6

  8 3 372270 xxx 47 62 151

  6 5 589301 xxx 45 85 155 35,4 P4A0 submukosa O/1460/14

  Leiomioma uteri

  7

  7

  8

  7 6 592831 xxx 42 60 149

  27.2 P3A1 subserosa O/5948/11 Leiomioma uteri multiple

  8

  5

  55 70 152

  IMT Kg/m2 Paritas Jenis mioma Uteri No. PA Hasil Histopatologi skor total RE observer

  1 skor total RE observer

  2 skor total RP observer

  1 skor total RP observer

  2

  1 468395 xxx

  30.3 P2A0 submukosa O/2282/11 Leiomioma Geburt

  5

  6

  6

  7

  6 2 460298 xxx 49 54 158

  21.6 P7A1 submukosa O/957/11 Leiomioma Geburt

  5

  27 P1A0 intramural O/2098/14 Leiomioma uteri

  5

  5

  7 12 590137 xxx 40 52 155 21,6 P1A0 subserosa O/1581/14

  7

  8 11 582521 xxx 44 58 153

  24.8 P0A0 subserosa O/1398/14 Leiomioma uteri

  5

  5

  7

  Leiomioma uteri

  5

  8

  8

  7

  7 13 589426 xxx 46 70 151 30,7 P0A0 intramural O/1735/14

  Leiomioma uteri

  5

  5

  Leiomioma uteri

  5

  Leiomioma uteri

  5 7 588276 xxx 51 65 150 28,9 P6A1 intramural O/1283/14

  Leiomioma uteri

  5

  5

  7

  7 8 594227 xxx 45 54 153 23,1 P2A0 intramural O/2606/14

  6

  5 10 581779 xxx 46 71 155 29,6 P2A0 submukosa O/98/14

  6

  6

  5 9 587796 xxx 51 60 158

  24 P3A0 intramural O/813/14 Leiomioma uteri

  5

  5

  5

  7

  7

  7 Leiomioma

  7

  7 28 541631 xxx 53 60 163 22,6 P3A0 submukosa O/971/13 uteri

  8

  8 Leiomioma

  5

  5 29 538301 xxx 50 52 157 21,1 P6A1 subserosa O/72/13 uteri

  8

  8 Leiomioma

  7

  7 30 561020 xxx 43 65 154

  27.4 P0A0 intramural O/3842/13 uteri

TABEL INDUK KELOMPOK KONTROL skor skor skor skor No. Usia BB TB

  IMT Hasil total RE total RE total RP total RP

  No Nama Paritas No. PA

  MR (thn) (kg) (cm) Kg/m2 Histopatologi observer observer observer observer

  1

  2

  1

  2 Cystadenocarcinoma

  1 502489 xxx

  36 57 148

  26 P2A1 O/1234/12 papilari ovarium

  3

  3

  3

  3 2 481884 xxx 52 53 154

  22.3 P3A0 O/5290/11 Kista dermoid

  3

  3 Cystadenocarcinoma 3 443099 xxx 51 30 141 15,1 P3A0 O/649/11 papilari ovarium

  4

  4

  3

  3 Cysadenoma 4 541043 xxx 52 58 155

  24.1 P6A0 O/769/13 serosum ovarii

  4

  4

  5

  5 Sclerosing strumal 5 479592 xxx 37 60 162 22,9 P0A0 O/5795/11 tumor ovarii duplex

  6

  5

  4

  4 Cystadenocarcinoma 6 487266 xxx 33 49 155

  20.4 P1A0 O/6986/11 ovarii bilateral

  5

  5

  7

  7 Cystadenoma 7 486010 xxx 43 55 148

  25.1 P3A1 O/6423/11 mucinous ovarii

  5

  5

  5

  5 Cystadenocarcinoma 8 579546 xxx 31 67 149

  30.2 P1A0 O/6742/13 ovarii papilary

  6

  5

  5

  5 Adenocarcinoma 9 572637 xxx 47 55 167

  19.7 P0A1 O/6256/13 ovarii

  4

  4

  3

  3 Cystadenocarcinoma 10 576841 xxx 50 60 156

  24.7 P3A1 O/6739/13 ovarii mucinosum

  3

  3

  3

  3 Cystadenoma 11 472746 xxx 44 68 157

  27.6 P4A0 O/7586/11 mucinosum ovarii

  5

  5

  5

  5 Cysadenocarcinoma 12 450802 xxx 43 52 149

  23.4 P1A0 O/6969/11 ovarium

  4

  4

  6

  5 Cysadenocarcinoma 13 490654 xxx 52 63 161

  24.3 P3A1 O/6814/11 ovarium papilary

  3

  3

  3

  3 Cysadenocarcinoma 14 494238 xxx 37 45 157

  18.3 P0A0 O/7178/11 ovarium papilary

  3

  3 Cysadenoma serosum papilary 15 507017 xxx

  37 70 159

  27.7 P5A1 O/3019/12 ovarium

  5

  5

  6

  6 Cysadenoma 16 511712 xxx 33 50 145

  23.8 P1A0 O/2892/12 musinosum ovarii

  7

  7

  4

  4 Cysadenocarcinoma 17 490606 xxx 50 43 144

  20.7 P0A0 O/7154/11 ovarium

  3

  3

  3

  3 Cysadenocarcinoma 18 507608 xxx 49 40 149

  18 P6A0 O/2984/12 ovarium

  Cysadenocarcinoma 19 482703 xxx 46 64 152

  27.7 P5A0 O/5161/11 ovarium papilary

  5

  5

  5

  4 20 475890 xxx 53 55 155

  22.9 P3A0 O/752/12 Fibroma ovarii

  4

  4

  6

  6 Cystadenocarcinoma 21 505694 xxx 42 50 158

  20 P0A0 O/1288/12 ovarii

  6

  6

  7

  7 Cystadenoma 22 480616 xxx 53 45 150

  20 P7A0 O/5844/11 musinosum ovarii

  3

  3

  3

  3 Cystadenoma 23 482391 xxx 38 47 158

  18.8 P2A0 O/6043/11 mucinosum

  6

  6

  7

  6 Cystadenocarcinoma 24 476720 xxx 41 68 150

  30.2 P0A1 O/4065/11 ovarii papilary

  5

  5

  6

  6 Cystadenicarcinoma 25 502325 xxx 52 50 154

  21.1 P4A1 O/526/12 ovarii

  3

  3

  6

  6 Cystadenoma 26 476981 xxx 41 57 150

  25.3 P3A0 O/4547/11 musinosum ovarii

  4

  4

  5

  5 Cystadenoma 27 493061 xxx 48 50 153

  19.2 P4A0 O/7172/11 serosum ovarii

  3

  3

  5

  5 Adenocarcinoma 28 543695 xxx 56 55 150

  24.4 P7A1 O/858/13 ovarii papilary

  3

  3

  5

  5 Cystadenocarcinoma 29 564597 xxx 53 55 145

  26.2 P7A3 O/5213/13 ovarii mucinosum

  3

  3

  5

  5 Adenocarcinoma 30 536783 xxx 55 48 150

  21.3 P6A0 O/744/13 ovarii

  3

  3

GAMBARAN EKSPRESI IMUNOHISTOKIMIA RESEPTOR ESTROGEN DAN PROGESTERON

  Ekspresi negatif reseptor estrogen Ekspresi lemah reseptor estrogen Ekspresi sedang reseptor estrogen Ekspresi kuat reseptor estrogen Ekspresi negatif reseptor progesteron Ekspresi lemah reseptor progesteron Ekspresi sedang reseptor progesteron Ekspresi kuat reseptor progesteron

ANALISA STATISTIK usiakel * kelompok penelitian Crosstabulation

  kelompok penelitian Total Kasus kontrol Kasus usiakel

  1.00 Count

  6

  8

  14 % within kelompok 20.0% 26.7% 23.3% penelitian

  2.00 Count

  24

  22

  46 % within kelompok 80.0% 73.3% 76.7% penelitian

  Total Count

  30

  30

  60 % within kelompok 100.0% 100.0% 100.0% penelitian

  1 : =< 40 tahun 2 : > 40 tahun

IMTkel * kelompok penelitian Crosstabulation

  kelompok penelitian Total Kasus kontrol Kasus

  IMTkel 1.00 Count

  3

  3 % within kelompok .0% 10.0% 5.0% penelitian

  2.00 Count

  13

  18

  31 % within kelompok 43.3% 60.0% 51.7% penelitian

  3.00 Count

  12

  7

  19 % within kelompok 40.0% 23.3% 31.7% penelitian

  4.00 Count

  5

  2

  7 % within kelompok 16.7% 6.7% 11.7% penelitian

  Total Count

  30

  30

  60 % within kelompok 100.0% 100.0% 100.0% penelitian

  1 : Underweight (< 18.5)

  2 : Normoweight (18.5-24.9)

  3 : Overweight (25-29.9) 4 : Obese (> 30)

  

paritaskel * kelompok penelitian Crosstabulation

kelompok penelitian Total Kasus kontrol Kasus paritaskel 1.00 Count

  8

  6

  14 % within kelompok 26.7% 20.0% 23.3% penelitian

  2.00 Count

  4

  4

  8 % within kelompok 13.3% 13.3% 13.3% penelitian

  3.00 Count

  12

  9

  21 % within kelompok 40.0% 30.0% 35.0% penelitian

  4.00 Count

  6

  11

  17 % within kelompok 20.0% 36.7% 28.3% penelitian

  Total Count

  30

  30

  60 % within kelompok 100.0% 100.0% 100.0% penelitian

  1 : nullipara

  2 : primipara ( 1)

  

3 : Multipara (2-3)

4 : Grandemultipara (>= 4)

Group Statistics

  kelompok Std. Std. Error penelitian N Mean Deviation Mean Usia Kasus

  30 44.80 6.682 1.220 pasien Control

  30 45.17 7.382 1.348

Independent Samples Test

  Levene's Test for Equality of

Variances t-test for Equality of Means

95% Confidence

  Sig. (2- Mean Std. Error Interval of the F Sig. t df tailed) Difference Difference Difference Lower Upper Lower Upper Lower Upper Lower Upper Lower Usia Equal pasien variances 1.926 .170 -.202 58 .841 -.367 1.818 -4.005 3.272 assumed

  Equal variances

• .202 57.434 .841 -.367 1.818 -4.006 3.273 not assumed

Group Statistics

  Interval of the Difference Lower Upper Lower Upper Lower Upper Lower Upper Lower

  Deviation Std. Error Mean

  IMT pasien Kasus 30 26.207 4.7941 .8753 Control 30 23.047 3.6952 .6746

  

Independent Samples Test

  kelompok penelitian N Mean Std.

  Deviation Std. Error Mean Paritas pasien kasus

  30 2.23 1.995 .364 kontrol 30 3.00 2.334 .426

  Levene's Test for Equality of Variances t-test for Equality of Means F Sig. T df

  Sig.

  (2- tailed) Mean Difference

  Std. Error Differe nce 95% Confidence

  kelompok penelitian N Mean Std.

  IMT pasien Equal variances assumed .645 .425 2.859

  58 .006 3.1600 1.1051 .9479 5.3721 Equal variances not assumed 2.859 54.468 .006 3.1600 1.1051 .9448 5.3752

Group Statistics

Independent Samples Test

  (2- tailed) Mean Difference

  Std. Error Difference 95% Confidence Interval of the

  Difference Lower Upper Lower Upper Lower Upper Lower Upper Lower Paritas pasien

  Equal variances assumed .682 .412 -1.368

  58 .177 -.767 .561 -1.889 .355 Equal variances not assumed

  Sig.

  Levene's Test for Equality of

Variances t-test for Equality of Means

F Sig. T df

• 1.368 56.623 .177 -.767 .561 -1.889 .356

Nilai kappa RE Symmetric Measures

  Value Asymp. Std.

  T(b) Approx.

  Sig. Measure of Agreement Kappa .914 .041 14.547 .000 N of Valid Cases

  60 a Not assuming the null hypothesis. b Using the asymptotic standard error assuming the null hypothesis.

Nilai kappa RP Symmetric Measures

  Value Asymp. Std.

  Error(a) Approx.

  T(b) Approx.

  Sig. Measure of Agreement Kappa .816 .056 13.748 .000 N of Valid Cases

  60 a Not assuming the null hypothesis. b Using the asymptotic standard error assuming the null hypothesis.

  kelompok penelitian N Mean Std.

  Deviation Std. Error Mean Skor Ekspresi RE Kasus

  30 5.83 1.147 .209 Control 30 3.93 1.596 .291 Skor Eskpresi RP Kasus 30 6.50 1.432 .262 Control 30 4.27 1.946 .355

  Error(a) Approx.

Group Statistics

Independent Samples Test

  Equal variances assumed .907 .345 5.295

  58 .000 1.900 .359 1.182 2.618 Equal variances not assumed

  5.295 52.654 .000 1.900 .359 1.180 2.620 Skor Eskpresi RP Equal variances assumed

  2.498 .119 5.062 58 .000 2.233 .441 1.350 3.117 Equal variances not assumed

  5.062 53.287 .000 2.233 .441 1.348 3.118

  Difference Lower Upper Lower Upper Lower Upper Lower Upper Lower Skor Ekspresi RE

  Std. Error Difference 95% Confidence Interval of the

  Sig. (2- tailed) Mean Difference

  Levene's Test for Equality of Variances t-test for Equality of Means F Sig. T df

ANOVA

  Sum of Mean Squares df Square F Sig. Skor Ekspresi Between 3.244

  2 1.622 1.254 .301 RE Groups Within Groups 34.923

  27 1.293 Total 38.167

  29 Skor Eskpresi Between 5.692 2 2.846 1.428 .257 RP Groups

  Within Groups 53.808 27 1.993 Total

  59.500

  29