Total diagnostic interval in children with brain tumours in a middle-income country: national experience from Serbia.

Autor: Jovanović, Aleksa, Ilić, Rosanda, Pudrlja Slović, Marija, Paripović, Lejla, Janić, Dragana, Nikitović, Marina, Grujičić, Danica, Ilić, Vesna
Předmět:
Zdroj: Child's Nervous System; Nov2023, Vol. 39 Issue 11, p3169-3177, 9p
Abstrakt: Purpose: The aim was to evaluate the total diagnostic interval (TDI) and presenting complaints in children with brain tumours in Serbia. Methods: This study retrospectively analysed 212 children aged 0–18 years newly diagnosed with brain tumours in two tertiary centres from mid-March 2015 to mid-March 2020 covering virtually all children with brain tumours in Serbia. TDI was calculated as the difference between the date of diagnosis and the date of symptom onset presented as a median in weeks. This variable has been evaluable for 184 patients. Results: Overall TDI was 6 weeks. TDI was significantly longer in patients with low-grade tumours (11 weeks) than in patients with high-grade tumours (4 weeks). Children with the most frequent complaints (headache, nausea/vomiting and gait disturbance) were more likely to be diagnosed sooner. Patients with a single complaint had significantly longer TDI (12.5 weeks) contrasted to patients with multiple complaints (5 weeks). Conclusion: TDI with a median of 6 weeks is similar to other developed countries. Our study supports the view that low-grade tumours will present later than high-grade tumours. Children with the commonest complaints and children with multiple complaints were more likely to be diagnosed sooner. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index