Delays in lung cancer diagnosis and treatment: real-life assessment in a tertiary care center
Autor(a) principal: | |
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Data de Publicação: | 2020 |
Outros Autores: | , , , |
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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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository_id_str |
7160 |
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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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|
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1799138045321019392 |