Access of patients with breast and lung cancer to chemotherapy treatment in public and private hospitals in the city of Buenos Aires

Autor: Gabriela Nacuzzi, Gabriela De Ronato, Mabel Berrueta, Samanta Straminsky, Laura Gutierrez, Cesar Cosacow, Luciano Cermignani, Santiago Corsico, Gonzalo Recondo, Ezequiel Garcia-Elorrio, Hernan J Cutuli, Gonzalo Taetti, Giuliana Colucci, Luz Gibbons, Martin Naveira, Martin Pitzzu
Rok vydání: 2019
Předmět:
Adult
Male
medicine.medical_specialty
Lung Neoplasms
medicine.medical_treatment
Argentina
Breast Neoplasms
Health Services Accessibility
Hospitals
Private
Time-to-Treatment
Cohort Studies
03 medical and health sciences
0302 clinical medicine
Breast cancer
BREAST CANCER
Internal medicine
purl.org/becyt/ford/3.2 [https]
medicine
Humans
In patient
030212 general & internal medicine
Hospitals
Teaching
Lung cancer
Neoadjuvant therapy
Aged
Retrospective Studies
ARGENTINA
Chemotherapy
Hospitals
Public
business.industry
Health Policy
Public Health
Environmental and Occupational Health
Retrospective cohort study
LUNG CANCER
General Medicine
CHEMOTHERAPY
Middle Aged
medicine.disease
Chemotherapy regimen
Neoadjuvant Therapy
Log-rank test
Chemotherapy
Adjuvant
030220 oncology & carcinogenesis
purl.org/becyt/ford/3 [https]
Female
ACCESS
business
Zdroj: CONICET Digital (CONICET)
Consejo Nacional de Investigaciones Científicas y Técnicas
instacron:CONICET
ISSN: 1464-3677
1353-4505
DOI: 10.1093/intqhc/mzz047
Popis: Objectives: Describe the time elapsed from the diagnosis to treatment with chemotherapy for patients with breast and lung cancer at public and private hospitals in Buenos Aires. Design: Retrospective cohort study. Setting: Three public and three private academic hospitals in Buenos Aires. Participants: Patients with breast (n = 168) or lung cancer (n = 100) diagnosis treated with chemotherapy. Main outcomes measures: Clinical and sociodemographic data were collected in a stratified sample. We used the Kaplan–Meier estimator to analyse the time elapsed and the log rank test to compare both groups Results: For breast cancer patients, median time elapsed between diagnosis and treatment with chemotherapy was 76 days (95% CI: 64–86) in public and 60 days (95% CI: 52–65) in private hospitals (P = 0.0001). For adjuvant and neoadjuvant treatments, median time was 130 (95% CI: 109–159) versus 64 (95% CI: 56–73) days (P < 0.0001) and 57 days (95% CI: 49–75) versus 26 (95% CI: 16–41) days, respectively (P = 0.0002). There were no significant differences in the time from first consultation to diagnosis. In patients with lung cancer, median time from diagnosis to treatment was 71 days (95% CI: 60–83) in public hospitals and 31 days (95% CI: 24–39) in private hospitals (P = 0.0002). In the metastatic setting, median time to treatment was 63 days (95% CI: 45–83) in public and 33 (95% CI: 26–44) days in private hospitals (P = 0.005). Conclusions: There are significant disparity in the access to treatment with chemotherapy for patients in Buenos Aires, Argentina. Fil: Recondo, Gonzalo. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Parque Centenario. CEMIC-CONICET. Centro de Educaciones Médicas e Investigaciones Clínicas "Norberto Quirno". CEMIC-CONICET; Argentina Fil: Cosacow, César. Centro de Educación Medica E Invest.clinicas; Argentina Fil: Cutuli, Hernán Javier. Universidad de Buenos Aires. Facultad de Medicina. Instituto de Oncología "Ángel H. Roffo"; Argentina Fil: Cermignani, Luciano. Hospital Alemán; Argentina Fil: Straminsky, Samanta. Gobierno de la Ciudad de Buenos Aires. Hospital General de Agudos "Juan A. Fernández"; Argentina Fil: Naveira, Martin. Hospital Británico de Buenos Aires; Argentina Fil: Pitzzu, Martin. Gobierno de la Ciudad Autónoma de Buenos Aires. Hospital General de Agudos Carlos Durand; Argentina Fil: De Ronato, Gabriela. Gobierno de la Ciudad de Buenos Aires. Hospital General de Agudos "Juan A. Fernández"; Argentina Fil: Nacuzzi, Gabriela. Gobierno de la Ciudad Autónoma de Buenos Aires. Hospital General de Agudos Carlos Durand; Argentina Fil: Taetti, Gonzalo. Universidad de Buenos Aires. Facultad de Medicina. Instituto de Oncología "Ángel H. Roffo"; Argentina Fil: Corsico, Santiago. Hospital Británico de Buenos Aires; Argentina Fil: Berrueta, Mabel. Instituto de Efectividad Clínica y Sanitaria; Argentina Fil: Colucci, Giuliana. Centro de Educación Medica E Invest.clinicas; Argentina Fil: Gibbons, Luz. Centro de Educación Medica E Invest.clinicas; Argentina Fil: Gutierrez, Laura. Centro de Educación Medica E Invest.clinicas; Argentina Fil: García Elorrio, Ezequiel. Centro de Educación Medica E Invest.clinicas; Argentina
Databáze: OpenAIRE
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