Delays in the diagnosis and surgical treatment of lung cancer
Delays in the diagnosis and surgical treatment of lung cancer
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DOI：
10.1136/thx.51.9.903
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发表时间：
1996-09-01
期刊：
影响因子：
10
通讯作者：
Wells, FC
中科院分区：
文献类型：
--
作者：
Billing, JS;Wells, FC
背景-肺肿瘤切除术的患者在诊断和术前检查方面经常经历长时间的延迟。进行这项研究，以量化这种延迟之间的介绍和明确的治疗，并评估负责这种delay.Methods的因素-所有患者进行肺切除肿瘤在一个单一的外科单位在1993年进行了研究。确定每次咨询、调查和转诊的日期，并确定任何延迟的程度。结果-从就诊到手术的平均总延迟时间为109天。在此期间，平均一个月的时间发生在转诊给呼吸科专家之前，呼吸科专家随后花了两个月的时间对患者进行调查。转介给外科医生后，手术发生在平均间隔34 days.Conclusions -这些延迟到明确的治疗似乎是不可接受的。在诊断过程的效率可以提高点进行了讨论。在这项研究中，延迟的长度与肿瘤分期无关。
Background - Patients admitted for resection of lung tumours frequently experience lengthy delays in diagnosis and preoperative investigations. This study was conducted to quantify this delay between presentation and definitive treatment and to assess the factors responsible for such a delay.Methods - All patients undergoing lung resection for a tumour at a single surgical unit in 1993 were studied. The date of each consultation, investigation, and referral was identified, and the extent of any delay determined.Results - The mean total delay from presentation to operation was 109 days. Within this period an average of one month occurred before referral to a respiratory specialist who then spent two months investigating the patient. After referral to a surgeon, surgery took place within a mean interval of 34 days.Conclusions - These delays to definitive treatment appear unacceptable. Points at which the efficiency of the diagnostic process could be improved are discussed. The length of delay did not correlate with tumour stage in this study.