Do Patient Delay and Diagnostic Delay Influence Long Term Survival in Patients with Gastric Cancer?

Autor: Nadim Al Hajjar, Alexandru Necula, Calin Popa, Alin Fetti, Diana Schlanger, Aida Puia
Rok vydání: 2022
Předmět:
Zdroj: Journal of gastrointestinal and liver diseases : JGLD. 31(4)
ISSN: 1842-1121
Popis: Background and Aims: Gastric cancer is one of the most common malignancies, with an aggressive evolution and a poor long-term prognosis. No screening program is available in Europe for this pathology; therefore, the delay from the appearance of the first symptom until the initiation of treatment might influence the prognosis of gastric cancer patients. We aimed to investigate the impact on the prognosis of the delay in the presentation and diagnosis in patients with gastric adenocarcinoma. Methods: Our study is a retrospective, single-center, observational cohort study, based on patients diagnosed with gastric adenocarcinoma and operated in our institution between 2013 and 2021. We have defined patient delay as the time from the onset of symptoms to the first encounter with a health care provider and diagnosis delay as the time from the first consultation with a health care provider to the establishment of the final diagnosis. Results: A total of 671 patients were included in our study. The survival rate at 5 years was 55% for the patients operated with curative intent and 7.4% for the patients operated with palliative intent. Patient delay and diagnosis delay were not correlated with the overall survival. A lower survival was observed for patients admitted through transfer (p
Databáze: OpenAIRE