在口腔癌中治疗时间间隔延长的预测因素
Gabriel Dayan1, Houda Bahig2, Bernard Fortin3
1Division of Otorhinolaryngology-Head and Neck Surgery, Centre Hospitalier de l'Université de Montréal (CHUM), Université de Montréal, Montreal, Quebec, Canada.
Oral oncology
|November 10, 2023
概括
口腔状细胞癌治疗延迟影响存活率. 这项研究确定了成像和病理学报告是延长诊断到治疗和手术到辐射间隔的关键瓶,这表明有针对性的干预可以改善结果.
科学领域:
- 在瘤学瘤学.
- 医疗信息学 医疗信息学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 口腔状细胞癌 (OCSCC) 治疗延迟与整体存活率较差有关.
- 确定特定的时间间隔及其贡献因素对于优化患者护理途径至关重要.
研究的目的:
- 确定导致OCSCC患者治疗间隔延长的瓶.
- 分析影响诊断到治疗间隔 (DTI) 和手术到术后放射治疗间隔 (S-PORT) 的因素.
主要方法:
- 对接受手术和辅助放射治疗的OCSCC患者的回顾性分析.
- 多变量后勤回归以确定长期DTI和S-PORT的预测因素,根据临床特征进行调整.
主要成果:
- 中位数DTI为39天,S-PORT为64天.
- 长期的DTI与年龄较大,并发病率较高和T阶段较晚有关,原因是手术前成像延迟.
- 长时间的S-PORT与病理学报告,大面部咨询和医疗瘤学咨询的延迟有关.
结论:
- 组织瓶,特别是在成像和病理报告方面,显著延长了OCSCC治疗间隔.
- 针对这些已识别的瓶提供了一个战略机会,可以缩短治疗时间,并可能改善OCSCC患者的瘤治疗结果.
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