食管癌诊断和治疗延误的癌症诊断家庭和医疗系统因素

Q4 Medicine
I. Khan, M. Hussain, A. Latif, A. Sarwar
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引用次数: 0

摘要

导言食道癌患者需要早期诊断以获得更好的预后。延误诊断会使病情进一步恶化。这项工作旨在确定和探讨食道癌诊断中的障碍,并绘制这一过程的时间长度图。材料和方法。研究在阿拉玛-伊克巴尔医学院的教学医院拉合尔真纳医院(JHL)进行,为期一年,从 2019 年 7 月至 2020 年 7 月。女性患者占 49.42%,男性患者占 50.57%。结果显示平均年龄为 56 岁。总延误时间(TD)平均值为 206 天,总延误时间(TD)中位数为 197 天,分别为第 25 百分位数和第 75 百分位数(157,246)。延迟时间最长的是 51-60 岁年龄组,年龄(r=0.94)与延迟时间(p=0.0004)显著相关。体重减轻的初始症状显示出最长的延迟,症状与延迟高度相关(r=0.94)(p=0.004)。低收入人群的延误时间最长。患者的平均延误时间(PD)为 142 天,中位数为 135 天,第 25 百分位数和第 75 百分位数分别为(88, 195)。医生延误时间(PhyD)的平均值、中位数、第 25 百分位数和第 75 百分位数分别为(20、18、16、23)。治疗延误(TD)时间(平均值、中位数)以天为单位分别为(18、18.52),第 25 百分位数和第 75 百分位数分别为(14、22)。教育能明显减少延迟,相关性(r=0.91)和显著性(p=0.02)。系统延迟时间的平均值(标清)为 25 天,中位数为 24 天,百分位数分别为 25 和 75(20,31)。结论文盲、经济问题、无法获得与癌症和医疗保健系统相关的信息、医疗机构数量有限仍然是造成这些延误的主要原因。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Factors of cancer diagnosed family and medical system for delay in diagnosis and treatment of esophageal cancer
Introduction. The esophagus cancer patients needs early diagnosis to achieve better prognosis. The delay barriers increase progression of diseases to higher stages. The aim of work was to identify and explore the barriers in diagnosis of esophagus cancer and chart the time duration in this process. Material and Methods. The study was conducted in Jinnah Hospital Lahore (JHL), a teaching care hospital of Allama Iqbal Medical College, during a period of one year from July 2019 to July 2020. There were 49.42 % female and 50.57 % male patients. Results. Mean age found to be 56 years. Mean Total delay (TD ) time was 206 days and median Total delay (TD ) time in days were 197 days with 25th and 75th (157, 246) percentiles respectively. Longest delays were found in 51–60 age group and age related (r=0.94) significantly to delays (p=0.0004). Initial symptom of weight loss shows maximum delay and symptoms are highly correlated (r=0.94) with delay (p=0.004). The low income group presents maximum delay. Mean patient delay (PD ) time in days were 142 days with 135 Median and (88, 195) 25th and 75th percentile respectively. Mean, Median, 25th and 75th percentiles for Physician delays (PhyD) times were (20, 18, 16, 23) respectively. Treatment delay (TD ) time (Mean, Median) in days were (18, 18.52) with 25th and 75th (14, 22) percentiles. The education significantly reduces the delays with correlation (r=0.91) and significance (p=0.02). Mean system delay (SD ) time were 25 days and median were 24 days with 25th and 75th (20, 31) percentiles. Conclusion. Illiteracy, financial problems, and unavailability of information related to the cancer and health care system, very limited number of health facilities remains the main causes of these delays.
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来源期刊
Siberian journal of oncology
Siberian journal of oncology Medicine-Oncology
CiteScore
0.40
自引率
0.00%
发文量
117
审稿时长
8 weeks
期刊介绍: The main objectives of the journal are: -to promote the establishment of Russia’s leading worldwide positions in the field of experimental and clinical oncology- to create the international discussion platform intended to cover all aspects of basic and clinical cancer research, including carcinogenesis, molecular biology, epidemiology, cancer prevention, diagnosis and multimodality treatment (surgery, chemotherapy, radiation therapy, hormone therapy), anesthetic management, medical and social rehabilitation, palliative care as well as the improvement of life quality of cancer patients- to encourage promising young scientists to be actively involved in cancer research programs- to provide a platform for researches and doctors all over the world to promote, share, and discuss various new issues and developments in cancer related problems. (to create a communication platform for the expansion of cooperation between Russian and foreign professional associations).- to provide the information about the latest worldwide achievements in different fields of oncology The most important tasks of the journal are: -to encourage scientists to publish their research results- to offer a forum for active discussion on topics of major interest - to invite the most prominent Russian and foreign authors to share their latest research findings with cancer research community- to promote the exchange of research information, clinical experience, current trends and the recent developments in the field of oncology as well as to review interesting cases encountered by colleagues all over the world- to expand the editorial board and reviewers with the involvement of well-known Russian and foreign experts- to provide open access to full text articles- to include the journal into the international database- to increase the journal’s impact factor- to promote the journal to the International and Russian markets
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