通过紧急和非紧急路线诊断出癌症的患者的诊断和呈现症状的时间:来自大批量中心的大型回顾性研究
Xavier Bosch1, Tiago Mota Gomes1, Elisabet Montori-Palacin1
1Department of Internal Medicine, Hospital Clínic, University of Barcelona, August Pi i Sunyer Biomedical Research Institute (IDIBAPS) and Clínic Foundation for Biomedical Research (FCRB), Barcelona, Spain.
JCO oncology practice
|March 8, 2024
概括
更快地诊断癌症对于更好的结果至关重要. 与非紧急路线相比,紧急路线显著缩短了癌症诊断时间,特别是在警报症状方面.
科学领域:
- 在瘤学瘤学.
- 诊断医学 诊断医学
- 公共卫生 公共卫生
背景情况:
- 患者表现症状和诊断途径影响癌症诊断速度.
- 及时诊断癌症对于改善患者的结果至关重要.
- 了解诊断间隔是优化癌症护理的关键.
研究的目的:
- 调查诊断路线 (紧急与非紧急) 对癌症诊断时间的影响.
- 根据特定的癌症症状分析诊断的时间.
- 为了比较不同紧急和非紧急路径的诊断间隔.
主要方法:
- 对巴塞罗那Clínic医院的10例固体癌症诊断的回顾性审查 (2013年3月 - 2023年6月).
- 诊断路线的分类:住院紧急路线 (IER),门诊紧急路线 (OER) 和非紧急路线 (NER).
- 在这些路线上评估19种不同的癌症症状的诊断间隔.
主要成果:
- 紧急路线诊断了5,174名癌症患者;非紧急路线诊断了1,607.
- 报警症状 (例如,出血) 有更高的诊断确定性通过紧急路线 (>85%).
- 与OER和NER相比,对警报症状和IER的中位诊断间隔较短;通过NER分别更快5-8天和17-22天诊断出出血和腹痛.
结论:
- 患有警报症状的患者的诊断间隔较短.
- 紧急诊断路线通常会比非紧急路线更快地诊断癌症.
- 症状类型显著影响诊断速度,局部化症状有利于更快的诊断.
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