[Health care pattern of the initial course of treatment of breast cancer in the French Department of Côte-d'Or from 1982 to 1992].
| Autor: | el Mrini T; Registre des Cancers Gynécologiques de Côte-d'Or, Faculté de Médecine, Dijon., Chaplain G, Tazi MA, Bolard P, Milan C, Faivre J |
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| Jazyk: | francouzština |
| Zdroj: | Journal de gynecologie, obstetrique et biologie de la reproduction [J Gynecol Obstet Biol Reprod (Paris)] 1998 Sep; Vol. 27 (5), pp. 495-500. |
| Abstrakt: | Purpose: The aim of this study was to describe the implication of the different health care structures in the treatment of breast cancer. Methods: In Côte-d'Or, from 1982 to 1992, there were 2432 cases of breast cancer. Surgery came first as treatment for 93% of the patients, radiotherapy came second (77%). The department is subdivided in several geographic areas (ZPIU):--Dijon, equipped with university hospital (UH) and with private hospitals (PH),--cities with general hospitals (GH)--and areas without hospitals. Demographic, geographic and clinical variables were studied in order to explain the patient distribution between the various hospitals. Results: 52% of the cases were operated in PH, 37% in UH and 11% in GH. The main users of the GH were women who lived nearby. Age over 75 was associated with a treatment in GH. Women with clinical signs of severity were twice as often operated in UH rather than PH. Post-operative radiotherapy was done in 95% of the cases in the same structure where surgery was done. Conclusion: No matter how popular university and private hospitals were in our regional capital, general hospitals played a proximity role. |
| Databáze: | MEDLINE |
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