Retrospective Analysis of Cancer Care Performance and Survival Outcome for Nasopharyngeal Carcinoma at a leading Cancer Treatment Centre in Malaysia 2008-2012

Objective: This report focuses on a private medical centre cancer care performance as measured by patient survivaloutcome for up to 5 years. Methods: All patients with nasopharyngeal cancer treated at SJMC between 2008 and 2012were enrolled for this observational cohort study. Mortality outcome was ascertained through record linkage withnational death register, linkage with hospital registration system and finally through direct contact by phone. Result:266 patients treated between 2008 and 2012 were included for survival analysis. 31% of patients were diagnosed withEarly NPC Cancer (Stage I or II), another 44% with Locally Advanced Cancer (Stage III) and 25% with late stage IVmetastatic cancer. 2%, 27% and 67% had WHO Class I, II and III NPC respectively. The overall survival at 5 yearswas 100% for patients with Stage I disease, 91% for Stage II disease, 72% for Stage III disease, and decreasing to44% for Stage IV disease. Overall survival at 5 years for all stages was 73%. Conclusion: SJMC is among the firsthospitals in Malaysia to embark on routine measurement of the performance of its cancer care services and its resultsare comparable to any leading centers in developed countries.