与乳腺癌开始治疗的时间相关的因素
Rafael Tavares Jomar1, Nathália Sodré Velasco2, Gelcio Luiz Quintella Mendes1
1Coordenação de Assistência, Instituto Nacional de Câncer (INCA). Praça Cruz Vermelha 23, Centro. 20230-130 Rio de Janeiro RJ Brasil. rafaeljomar@yahoo.com.br.
Ciencia & saude coletiva
|July 12, 2023
概括
延迟乳腺癌治疗在巴西很常见,超过80%的患者等待超过60天. 患者病史,教育和医院位置等因素会对这些治疗时间表产生重大影响.
科学领域:
- 在瘤学瘤学.
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 及时治疗乳腺癌对于患者的治疗结果至关重要.
- 了解治疗启动的延迟对于改善公共卫生系统内的癌症护理提供至关重要.
研究的目的:
- 调查与延迟启动乳腺癌治疗相关的社会人口统计学,临床和卫生设施相关因素.
- 分析巴西公共卫生系统 (SUS) 内的大量乳腺癌患者队列.
主要方法:
- 在里约热内卢 (2013-2019) 进行了12100例乳腺癌病例的回顾性队列研究.
- 采用多变量逻辑回归分析来识别显著因素并估计95%置信区间的赔率比率.
主要成果:
- 82.1%的患者在诊断后60天以上开始第一次治疗.
- 与更短的治疗延迟相关的因素包括没有先前诊断史,高等教育和高级阶段 (III/IV).
- 与较长的治疗延迟相关的因素包括先前的诊断史,年龄≥50,非白人种族/肤色以及早期疾病 (I). 在首都以外的待遇与较高和较低的延迟概率有关,这取决于其他因素.
结论:
- 社会人口统计学特征,临床表现和医疗机构位置与乳腺癌治疗开始时间表有显著联系.
- 针对特定患者群体和医疗保健机构的干预措施可能是必要的,以减少巴西公共卫生系统内的治疗延迟.
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