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首页> 外文期刊>Ciencia e Saude Coletiva >Breast cancer: diagnosis-to-treatment waiting times for elderly women at a reference hospital of S?o Paulo, Brazil
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Breast cancer: diagnosis-to-treatment waiting times for elderly women at a reference hospital of S?o Paulo, Brazil

机译：乳腺癌：巴西圣保罗参考医院的老年妇女从诊断到治疗的等待时间

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摘要

This study compares waiting time from diagnosis of breast cancer to start of treatment with patientsa€? social-demographic and clinical profiles in women aged 60 or more at the P??rolaByington Hospital, S?￡o Paulo, over the years 2001a€“2006.It is a descriptive study based on secondary data in a sample of 1,299 cases. Social-demographic, clinical and temporal variables were collected. Patients were divided into two groups: those with period between diagnosis and start of treatment less than 60 days, and greater than 60 days. The average time between diagnosis and start of treatment was 74.7 days (SD = 212.6), and the median time was 45 days. This waiting time was lower for subjects without diagnosis and without prior treatment (p = 0.001), and also for those with tumors at Stage 0, in situ or Stage I(p = 0.001). Time was significant for the outcomes of relapse (p = 0.004) and metastasis (p = 0.038). Having established diagnosis and treatment also resulted in lower time to start of the required care. Improvement to the structuring and functioning of the health service is an essential need, for dealing with the cases of the disease in an efficient manner, an important challenge for Brazila€?s Unified Health System.
机译：本研究比较了从诊断乳腺癌到开始治疗的等待时间。 2001到2006年间，圣保罗州P？rolaByington医院60岁及以上女性的社会人口统计学和临床​​概况。该研究是基于1,299例样本的二级数据的描述性研究。收集社会人口，临床和时间变量。将患者分为两组：诊断和开始治疗之间的时间少于60天且大于60天的患者。从诊断到开始治疗的平均时间为74.7天（SD = 212.6），中位时间为45天。对于没有诊断和未经事先治疗的受试者（p = 0.001），以及那些处于0期，原位或I期肿瘤的受试者，等待时间较短（p = 0.001）。时间对于复发（p = 0.004）和转移（p = 0.038）的结果很重要。确定的诊断和治疗方法还可以减少开始所需护理的时间。改进卫生服务的结构和功能是基本需求，以有效方式处理疾病病例是巴西统一卫生系统的一项重要挑战。

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