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Updated: Feb 7, 2026

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[老年人难以获得结直肠癌治疗]
Lilian E Pietracci1, Silvana Meek Torres1, Matías Daher2
1Hospital Dr. César Milstein, Universidad de Buenos Aires, Buenos Aires, Argentina.
Medicina
|February 5, 2026
概括
阿根廷老年人结直肠癌 (CRC) 治疗延迟是常见的,可访问性障碍显著延长了护理时间. 解决这些问题对于改善CRC患者的生存结果至关重要.
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:
- 结肠直肠癌 (CRC) 显著影响老年人的死亡率.
- 延迟诊断和治疗会使CRC的生存结果恶化.
- 在阿根廷老年人中,CRC护理的接入障碍仍未得到充分描述.
研究的目的:
- 描述阿根廷老年人CRC诊断-治疗过程中的访问障碍和延迟.
- 为了确定与这一群体治疗延迟相关的因素.
- 为公平有效的CRC护理提供卫生系统干预信息.
主要方法:
- 对225名在5年内被诊断患有CRC的老年人进行两面性队列研究.
- 通过电话采访,收集了五个护理阶段的时间间隔和感知障碍的数据.
- 多变量回归模型分析了社会人口结构,障碍和治疗延迟之间的关联.
主要成果:
- 开始治疗CRC的中位时间为6个月,超过了国际标准.
- 感知到的障碍,特别是访问约会的困难,与各个阶段的延迟有关.
- 后期阶段的女性性别和资源短缺也与治疗时间的延长有关.
结论:
- 结构性卫生系统干预是必要的,以减少老年人CRC治疗延迟.
- 解决所感知的障碍可以提高瘤护理获取的公平性和效率.
- 显著的延迟和障碍突出了改善CRC患者结果的关键领域.
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