Time Intervals From Onset of Clinical Manifestations to Treatment in Patients With Cancer at Hospital General San Felipe, Tegucigalpa, Honduras
| Autor: | Juan F. Vílchez Rodriguez, Jose Angel Sanchez, Annye P. Pagoaga, Mayra G. Handal, Sinthia I. Mejía |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Adult
Male Cancer Research Pediatrics medicine.medical_specialty Cross-sectional study medicine.medical_treatment Disease lcsh:RC254-282 Time-to-Treatment 03 medical and health sciences Young Adult 0302 clinical medicine Pharmacotherapy Drug Therapy Neoplasms Medicine Humans Original Report In patient 030212 general & internal medicine Registries Young adult Aged Neoplasm Staging Aged 80 and over Radiotherapy business.industry Cancer Chemoradiotherapy Middle Aged medicine.disease lcsh:Neoplasms. Tumors. Oncology. Including cancer and carcinogens Radiation therapy Cross-Sectional Studies Oncology Honduras 030220 oncology & carcinogenesis Surgical Procedures Operative Female business |
| Zdroj: | Journal of Global Oncology, Vol 5, Pp 1-7 (2019) Journal of Global Oncology |
| ISSN: | 2378-9506 |
| DOI: | 10.1200/JGO.19.00107 |
| Popis: | PURPOSE In cancer, clinical staging is related to outcomes, and this is linked to the evolution of the disease over time. In Honduras, cancer mortality is high, and time intervals from onset of symptoms to treatment of cancer are not known. We conducted a cross-sectional study to determine these intervals. PATIENTS AND METHODS This investigation was carried out from April 25 to August 30, 2018, and included 202 patients at the main cancer referral center in Honduras. For the purposes of the study, information was obtained from patients, their caregiver, medical records, or treatment cards. Patients older than age 18 years were included after informed consent was signed. RESULTS The mean time interval from onset of symptoms to cancer treatment was 232 days. Different intervals of time were identified, and the mean of these intervals was calculated in days as follows: 68 days from onset of symptoms to first medical evaluation; 146 days from first evaluation to oncologist consultation; 26 days from cancer specialist to the pathology report; and 86 days from the histopathologic diagnosis to the beginning of treatment. Once diagnosis was established, the average elapsed times to chemotherapy, radiotherapy, surgery, and chemoradiotherapy were 88, 102, 76, and 154 days, respectively ( P < .05, when surgery is compared against chemotherapy and radiotherapy). CONCLUSION The mean time interval from symptom presentation to treatment in patients with cancer is more than 7 months. This could explain the advanced stages of disease seen at the time of treatment in Honduras, which decrease chance of cure and increase the mortality rate of cancer). Appropriate intervention to decrease these intervals must be taken to reduce mortality. |
| Databáze: | OpenAIRE |
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