在紧急癌症诊断的道路上,时间间隔和先前的初级保健咨询
Xavier Bosch1, Elisabet Montori-Palacin1, Julia Calvo1
1Department of Internal Medicine, Hospital Clínic, August Pi i Sunyer Biomedical Research Institute (IDIBAPS) and Clínic Foundation for Biomedical Research (FCRB), University of Barcelona, Villarroel 170, 08036 Barcelona, Spain.
Cancer epidemiology
|August 31, 2023
概括
在紧急癌症诊断中,更多的初级保健访问往往意味着更长的诊断延迟,特别是在某些癌症中. 需要采取干预措施来简化紧急诊断途径,以帮助多次咨询的患者.
科学领域:
- 在瘤学瘤学.
- 医疗保健服务研究 医疗服务研究
- 诊断途径 诊断途径
背景情况:
- 初级保健咨询和诊断的及时性是癌症诊断的关键指标.
- 紧急诊断途径中这些指标之间的关系尚不清楚.
- 这项研究调查了癌症紧急转诊中预推咨询和诊断间隔之间的关联.
研究的目的:
- 检查初级保健咨询次数与在紧急转诊后癌症诊断的时间之间的相关性.
- 为了比较诊断间隔和紧急和非紧急演讲者之间的咨询号码.
- 探索按癌症类型的关联,并分析症状表现和诊断阶段.
主要方法:
- 在初始初级保健咨询后诊断出癌症的患者的分析.
- 初级保健和诊断间隔的比较,以及紧急和非紧急转诊之间的咨询号码.
- 咨询和间隔的相关性分析,按癌症类型分层,并检查症状和诊断阶段.
主要成果:
- 在急诊患者的13种癌症中有7种 (例如胰腺,肺,结直肠) 发现了更多的咨询和更长的诊断间隔之间的强烈积极关联.
- 相反,一些癌症 (例如,子宫内膜,子宫,食道) 显示较短的间隔与更多的咨询.
- 紧急诊所患者>3次咨询更有可能出现非特异性症状和晚期诊断.
结论:
- 系统级干预对于减少多次初级保健访问的癌症患者紧急诊断途径延迟至关重要.
- 在他们出现在急诊室之前,针对有症状的个体可以减少紧急诊断的比例.
- 优化初级保健到医院转诊过程对于及时诊断癌症至关重要.
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