马丁尼克的乳腺癌治疗时间:预测因素和对存活率的影响
M Beaubrun-Renard1, S Ulric-Gervaise2, J Veronique-Baudin3
1UF 1441 Registre Général des cancers de la Martinique, Pôle de Cancérologie Hématologie Urologie, CHU de Martinique, Fort-de-France, Martinique, France; PCCEI, Université de Montpellier, INSERM, EFS, Université Antilles, Montpellier, France.
Public health
|November 5, 2023
概括
在马丁尼克,乳腺癌治疗的等待时间较长会对患者的生存率产生负面影响. 干预措施对于减少诊断到治疗的延迟至关重要,特别是对于老年患者,以改善结果.
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:
- 马丁尼克面临着医生与人口的低比例,这可能导致延长医疗保健获取时间.
- 这项研究探讨了法国这个特定地区癌症治疗的潜在延迟问题.
研究的目的:
- 确定影响乳腺癌诊断和马丁尼克开始治疗之间的延迟因素.
- 评估这些等待时间对患者生存率的影响.
主要方法:
- 一项回顾性观察性研究分析了2013年至2017年期间诊断的713名侵袭性乳腺癌患者的数据.
- 考克斯模型确定了等待时间的预测因素,而日志排名测试则基于治疗及时性的生存率进行了比较.
主要成果:
- 从诊断到手术的中位时间为40天.
- 老年患者 (75岁以上) 经历了显著更长的等待时间进行手术.
- 治疗延迟4个月或更长时间与显著较低的存活率有关.
结论:
- 目前马丁尼克乳腺癌治疗的等待时间超过了推的持续时间.
- 有针对性的干预措施是必要的,以缩短诊断到治疗的间隔,并改善患者的生存率.
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