Diagnostics in patients suspect for breast cancer in The Netherlands
| Autor: | Mireille J. M. Broeders, Lioe-Fee de Geus-Oei, Catharina G.M. Groothuis-Oudshoorn, Mariël Brinkhuis, Madelon M. Voets, Sabine Siesling, Srirang Manohar, Liset H. J. Veneklaas, Jeroen Veltman, Linda de Munck |
|---|---|
| Přispěvatelé: | TechMed Centre, Health Technology & Services Research, Digital Society Institute, Multi-Modality Medical Imaging, Biomedical Photonic Imaging |
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Patient characteristics Breast Neoplasms Article Malignant disease benign breast diagnosis Cohort Studies symbols.namesake All institutes and research themes of the Radboud University Medical Center Breast cancer breast cancer Internal medicine medicine Humans In patient Registries Poisson regression RC254-282 Netherlands business.industry Neoplasms. Tumors. Oncology. Including cancer and carcinogens diagnostic activities medicine.disease Women's cancers Radboud Institute for Health Sciences [Radboudumc 17] Cancer registry diagnostic care pathway Cohort symbols Female Suspect business |
| Zdroj: | Current Oncology, 28(6), 4998-5008. MDPI Current Oncology; Volume 28; Issue 6; Pages: 4998-5008 Current Oncology, 28, 4998-5008 Current Oncology, Vol 28, Iss 419, Pp 4998-5008 (2021) Current Oncology, 28, 6, pp. 4998-5008 Current Oncology |
| ISSN: | 1198-0052 |
| Popis: | The goal of this study was to describe the variation in hospital-based diagnostic care activities for patients with symptomatology suspect for breast cancer in The Netherlands. Two cohorts were included: the ‘benign’ cohort (30,334 women suspected of, but without breast cancer) and the ‘malignant’ cohort (2236 breast cancer patients). Hospital-based financial data was combined with tumor data (malignant cohort) from The Netherlands Cancer Registry. Patterns within diagnostic pathways were analyzed. Factors influencing the number of visits and number of diagnostic care activities until diagnosis were identified in the malignant cohort with multivariable Cox and Poisson regression models. Compared to patients with benign diagnosis, patients with malignant disease received their diagnosis less frequently in one day, after an equal average number of hospital visits and higher average number of diagnostic activities. Factors increasing the number of diagnostic care activities were the following: lower age and higher cM-and cN-stages. Factors increasing the number of days until (malignant) diagnosis were as follows: higher BIRADS-score, screen-detected and higher cN-and cT-stages. Hospital of diagnosis influenced both number of activities and days to diagnosis. The diagnostic care pathway of patients with malignant disease required more time and diagnostic activities than benign disease and depends on hospital, tumor and patient characteristics. |
| Databáze: | OpenAIRE |
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