Year 2020, Volume 4 , Issue 9, Pages 720 - 724 2020-09-01

Factors affecting delay in diagnosis and treatment of lung cancer
Akciğer kanserinde tanı ve tedavi gecikme faktörleri

Fatma İrem YEŞİLER [1] , Filiz ÇİMEN [2] , Şükran ATİKCAN [3]


Aim: Lung cancer (LC) is one of the most prominant causes of mortality in the world. Delays in diagnosis and treatment gravely affect the prognosis of the disease. Our aim is to investigate the factors that affect delay in diagnosis and treatment in patients with LC. Methods: In this retrospective cohort study, LC patients who were diagnosed in the pulmonary diseases clinic between January 2010 and August 2011 were retrospectively evaluated from patient files. The sociodemographic characteristics of the patients (age, gender, occupation and educational level), symptom type, presence of other malignancies, radiological location of the lesion, diagnostic method, histological type, presence of endobronchial lesion, stage of LC, length of times between admission, diagnosis and treatment were noted. Results: One hundred seven (87.7%) patients were male and 15 patients (12.3%) were female. Eighty-nine patients (73%) were under the age of 70 years. Ninety-eight patients were diagnosed with non-small cell (NSCLC) and 24 patients, with small cell lung cancer (SCLC). The mean duration from symptom onset to admission to the hospital (SA), from symptom onset to pathological diagnosis (SP), from symptom onset to initiating treatment (ST), from admission to the hospital until pathological diagnosis (AP), from admission to the hospital until initiating treatment (AT) were 30, 60, 75,5, 14, 33 days, respectively. There were statistically significant differences between SP, AP, AT periods (P=0.017, P=0.011 and P=0.006 respectively) with regards to education levels, and between SA, SP, ST, and from symptom onset to performing an initial radiological examination (SR) periods in terms of social security institution (P<0.05 for all). AT time of patients with SCLC was shorter than that of patients with NSCLC. Conclusion: Early diagnosis of LC is particularly important. Therefore, determination of factors affecting the delay in diagnosis and treatment of LC, probable causes, and solutions should be investigated.
Amaç: Akciğer kanseri dünya çapında en önemli mortalite nedenlerinden biridir. Tanı ve tedavi gecikmesi hastalığın prognozunu etkileyen en önemli faktörlerdendir. Amacımız; akciğer kanseri tanısı almış hastalarda tanı ve tedavi gecikmesini etkileyen faktörleri araştırmaktır. Yöntemler: Ocak 2010 – Ağustos 2011 tarihleri arasında göğüs hastalıkları kliniğinde tanı konulan akciğer kanserli hastaların dosyaları retrospektif olarak incelendi. Hastaların sosyodemografik özellikleri (yaş, cinsiyet, meslek ve eğitim düzeyi), semptom tipi, başka malignite varlığı, lezyonun radyolojik lokalizasyonu, tanı yöntemi, histolojik tip, endobronşiyal lezyon varlığı, akciğer kanseri evresi, başvuru, tanı ve tedavi arasındaki sürelerin uzunluğu kaydedildi. Çalışma, retrospektif kohort çalışmasıdır. Bulgular: Olguların 107’ si (%87,7) erkek ve 15’ i (%12,3) kadındı. 89 olgu (%73) 70 yaş altındaydı. 98 olgu küçük hücre dışı akciğer kanseri (KHDAK) iken 24 olgu küçük hücreli akciğer kanseri (KHAK) idi. Semptomlarının başlangıcından hastaneye başvurusuna (SB), semptomların başlangıcından patolojik tanıya (SP), tedavi başlangıcına (ST), başvurudan patolojik tanıya (BP), başvurudan tedavi başlangıcına (BT) kadar geçen ortalama süre sırayla 30, 60, 75,5, 14, 33 gün olarak bulundu. Öğrenim düzeyi ile SP, BP, BT süreleri (sırasıyla P=0,017, P=0,011 ve P=0,006); sosyal güvence ile SB, SP, ST, SR süreleri arasında istatistiksel olarak anlamlı farklılık saptandı (P<0,05 tümü için). KHAK’ de BT süresi KHDAK’ ye göre daha kısa olduğu saptandı Sonuç: Akciğer kanserinde erken tanı konulması oldukça önemlidir. Bu nedenle tanı ve tedaviyi geciktirecek faktörlerin saptanması, olası nedenlerinin ve çözümlerinin araştırılması gerekmektedir.
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Primary Language en
Subjects Oncology, Respiratory System
Journal Section Research article
Authors

Orcid: 0000-0002-0612-8481
Author: Fatma İrem YEŞİLER (Primary Author)
Institution: BAŞKENT ÜNİVERSİTESİ
Country: Turkey


Orcid: 0000-0003-0512-7473
Author: Filiz ÇİMEN
Institution: SAĞLIK BİLİMLERİ ÜNİVERSİTESİ, ANKARA ATATÜRK GÖĞÜS HASTALIKLARI VE GÖĞÜS CERRAHİSİ SAĞLIK UYGULAMA VE ARAŞTIRMA MERKEZİ, DAHİLİ TIP BİLİMLERİ BÖLÜMÜ
Country: Turkey


Orcid: 0000-0001-2345-6879
Author: Şükran ATİKCAN
Institution: SAĞLIK BİLİMLERİ ÜNİVERSİTESİ, ANKARA ATATÜRK GÖĞÜS HASTALIKLARI VE GÖĞÜS CERRAHİSİ SAĞLIK UYGULAMA VE ARAŞTIRMA MERKEZİ, DAHİLİ TIP BİLİMLERİ BÖLÜMÜ
Country: Turkey


Supporting Institution yok
Project Number Ethics committee approval was received from Ataturk Chest Diseases and Chest Surgery Training and Research Hospital regional ethical committee in April 2012.
Dates

Publication Date : September 1, 2020

Bibtex @research article { josam710475, journal = {Journal of Surgery and Medicine}, issn = {}, eissn = {2602-2079}, address = {jsurgmed@gmail.com}, publisher = {Fatih BAŞAK}, year = {2020}, volume = {4}, pages = {720 - 724}, doi = {10.28982/josam.710475}, title = {Factors affecting delay in diagnosis and treatment of lung cancer}, key = {cite}, author = {Yeşi̇ler, Fatma İrem and Çi̇men, Filiz and Ati̇kcan, Şükran} }
APA Yeşi̇ler, F , Çi̇men, F , Ati̇kcan, Ş . (2020). Factors affecting delay in diagnosis and treatment of lung cancer . Journal of Surgery and Medicine , 4 (9) , 720-724 . DOI: 10.28982/josam.710475
MLA Yeşi̇ler, F , Çi̇men, F , Ati̇kcan, Ş . "Factors affecting delay in diagnosis and treatment of lung cancer" . Journal of Surgery and Medicine 4 (2020 ): 720-724 <http://jsurgmed.com/en/pub/issue/56766/710475>
Chicago Yeşi̇ler, F , Çi̇men, F , Ati̇kcan, Ş . "Factors affecting delay in diagnosis and treatment of lung cancer". Journal of Surgery and Medicine 4 (2020 ): 720-724
RIS TY - JOUR T1 - Factors affecting delay in diagnosis and treatment of lung cancer AU - Fatma İrem Yeşi̇ler , Filiz Çi̇men , Şükran Ati̇kcan Y1 - 2020 PY - 2020 N1 - doi: 10.28982/josam.710475 DO - 10.28982/josam.710475 T2 - Journal of Surgery and Medicine JF - Journal JO - JOR SP - 720 EP - 724 VL - 4 IS - 9 SN - -2602-2079 M3 - doi: 10.28982/josam.710475 UR - https://doi.org/10.28982/josam.710475 Y2 - 2020 ER -
EndNote %0 Journal of Surgery and Medicine Factors affecting delay in diagnosis and treatment of lung cancer %A Fatma İrem Yeşi̇ler , Filiz Çi̇men , Şükran Ati̇kcan %T Factors affecting delay in diagnosis and treatment of lung cancer %D 2020 %J Journal of Surgery and Medicine %P -2602-2079 %V 4 %N 9 %R doi: 10.28982/josam.710475 %U 10.28982/josam.710475
ISNAD Yeşi̇ler, Fatma İrem , Çi̇men, Filiz , Ati̇kcan, Şükran . "Factors affecting delay in diagnosis and treatment of lung cancer". Journal of Surgery and Medicine 4 / 9 (September 2020): 720-724 . https://doi.org/10.28982/josam.710475
AMA Yeşi̇ler F , Çi̇men F , Ati̇kcan Ş . Factors affecting delay in diagnosis and treatment of lung cancer. J Surg Med. 2020; 4(9): 720-724.
Vancouver Yeşi̇ler F , Çi̇men F , Ati̇kcan Ş . Factors affecting delay in diagnosis and treatment of lung cancer. Journal of Surgery and Medicine. 2020; 4(9): 720-724.