怀疑乳腺病变的病理诊断时间:在埃塞俄比亚五家医院进行的一项基于机构的研究
Friedemann Rabe1, Sefonias Getachew1,2, Clara Yolanda Stroetmann1
1Global & Planetary Health Working Group, Institute of Medical Epidemiology, Biostatistics and Informatics, Martin Luther University Halle-Wittenberg, Germany.
International journal of cancer
|April 10, 2025
概括
埃塞俄比亚的乳腺癌及时诊断受到长期患者旅程的挑战. 提高认识,可访问性和医疗保健提供者培训对于满足全球基准至关重要.
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:
- 在撒哈拉以南非洲,大多数乳腺癌 (BC) 患者在晚期被诊断出来,这阻碍了有效的治疗.
- 世界卫生组织的全球乳腺癌倡议旨在在初次接触医疗保健后2个月内诊断BC.
研究的目的:
- 评估埃塞俄比亚妇女乳腺病变的诊断旅程时间.
- 确定影响乳腺癌诊断中接触前和接触后间隔的因素.
主要方法:
- 一项涉及345名妇女的研究,在2022年在埃塞俄比亚五家医院接受乳腺病变诊断工作.
- 负二项回归模型被用来分析时间间隔和影响因素.
主要成果:
- 接触前的中位数是2.8个月;接触后的中位数是1.7个月.
- 只有55%的患者在第一次与医疗保健提供者联系后达到2个月的诊断基准.
- 延长诊断的因素包括旅行时间,社会支持不足和多次咨询医疗保健提供者.
结论:
- 提高乳腺癌的认识,可访问的诊断服务和医疗保健提供者培训对于埃塞俄比亚及时诊断至关重要.
- 老年患者和那些被及时转诊进行病理评估的患者的诊断间隔较短.
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