Delays in lung cancer diagnosis and treatment: real-life assessment in a tertiary care center

Detalhes bibliográficos
Autor(a) principal: Teixeira, Bernardo
Data de Publicação: 2020
Outros Autores: Sequeira, Telma, Gomes, Maria Isabel Azevedo Rodrigues, da Silva, Filipe Ferreira, Boléo-Tomé, José Pedro
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://hdl.handle.net/10362/117270
Resumo: UIDB/00068/2020 UID/MAT/00297/2019
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spelling Delays in lung cancer diagnosis and treatment: real-life assessment in a tertiary care centerlung cancerwaiting timediagnosisstagingdelaysSDG 3 - Good Health and Well-beingUIDB/00068/2020 UID/MAT/00297/2019Introduction: Clinical guidelines recommend rapid evaluation of patients with suspected lung cancer. There are few data concerning delays in the diagnostic process of lung cancer in Portugal and adherence to recommendations. The aim of this work is to review and analyze the different phases in the process of diagnosis, staging, therapeutic decision and treatment within a pulmonology department. Methods: Retrospective, single -center cohort study, with identification and analysis of the different stages of the pathway taken by patients with suspected lung cancer. The study contemplates the flow design and characterization related to waiting times. Descriptive statistical analysis of waiting times in each step and total waiting times and comparison with available guidelines. Results: 77 patients included, predominantly male (72.7%), mean age of 66. Mean time from admission to start of treatment was 68 days (±55.2). Most patients underwent bronchoscopy (71.4%), which was conclusive in 54.6%; 39 patients (50.6%) needed a second exam and 14 (18.2%) a third one. Mean time from multidisciplinary decision to treatment was 14 days (±25.6). There were great differences between modalities: 6 days (±8) to chemotherapy, 5 days (±2) to radiation therapy and 63 days (±33) to surgery. Adherence to guidelines varied between 36.4% and 50.6% concerning total time and between 44.2% and 58.4% for time from diagnosis to treatment. Conclusion: Total time of the process exceeded main guidelines in 6 to 26 days; however, there was considerable heterogeneity and results do not differ greatly from other published data. Proposing an optimized workflow may shorten critical stages and improve global performance, allowing for improvements in doctor and patient’s expectations.DF – Departamento de FísicaCeFITec – Centro de Física e Investigação TecnológicaCMA - Centro de Matemática e AplicaçõesRUNTeixeira, BernardoSequeira, TelmaGomes, Maria Isabel Azevedo Rodriguesda Silva, Filipe FerreiraBoléo-Tomé, José Pedro2021-05-06T22:43:58Z2020-12-212020-12-21T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article11application/pdfhttp://hdl.handle.net/10362/117270eng1645-9466PURE: 27296579https://doi.org/10.32932/gecp.2020.10.010info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2024-03-11T05:00:24Zoai:run.unl.pt:10362/117270Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T03:43:34.566277Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Delays in lung cancer diagnosis and treatment: real-life assessment in a tertiary care center
title Delays in lung cancer diagnosis and treatment: real-life assessment in a tertiary care center
spellingShingle Delays in lung cancer diagnosis and treatment: real-life assessment in a tertiary care center
Teixeira, Bernardo
lung cancer
waiting time
diagnosis
staging
delays
SDG 3 - Good Health and Well-being
title_short Delays in lung cancer diagnosis and treatment: real-life assessment in a tertiary care center
title_full Delays in lung cancer diagnosis and treatment: real-life assessment in a tertiary care center
title_fullStr Delays in lung cancer diagnosis and treatment: real-life assessment in a tertiary care center
title_full_unstemmed Delays in lung cancer diagnosis and treatment: real-life assessment in a tertiary care center
title_sort Delays in lung cancer diagnosis and treatment: real-life assessment in a tertiary care center
author Teixeira, Bernardo
author_facet Teixeira, Bernardo
Sequeira, Telma
Gomes, Maria Isabel Azevedo Rodrigues
da Silva, Filipe Ferreira
Boléo-Tomé, José Pedro
author_role author
author2 Sequeira, Telma
Gomes, Maria Isabel Azevedo Rodrigues
da Silva, Filipe Ferreira
Boléo-Tomé, José Pedro
author2_role author
author
author
author
dc.contributor.none.fl_str_mv DF – Departamento de Física
CeFITec – Centro de Física e Investigação Tecnológica
CMA - Centro de Matemática e Aplicações
RUN
dc.contributor.author.fl_str_mv Teixeira, Bernardo
Sequeira, Telma
Gomes, Maria Isabel Azevedo Rodrigues
da Silva, Filipe Ferreira
Boléo-Tomé, José Pedro
dc.subject.por.fl_str_mv lung cancer
waiting time
diagnosis
staging
delays
SDG 3 - Good Health and Well-being
topic lung cancer
waiting time
diagnosis
staging
delays
SDG 3 - Good Health and Well-being
description UIDB/00068/2020 UID/MAT/00297/2019
publishDate 2020
dc.date.none.fl_str_mv 2020-12-21
2020-12-21T00:00:00Z
2021-05-06T22:43:58Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://hdl.handle.net/10362/117270
url http://hdl.handle.net/10362/117270
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 1645-9466
PURE: 27296579
https://doi.org/10.32932/gecp.2020.10.010
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv 11
application/pdf
dc.source.none.fl_str_mv reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron:RCAAP
instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron_str RCAAP
institution RCAAP
reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
collection Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
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