Patient and doctor delays in the diagnosis and treatment of non-small cell lung cancer in Turkey
Bildiriler > Özet Bildiri
Yazarlar: Ahmet Yurdakul, Celalettin Kocatürk, Hülya Bayiz, Soner Gürsoy, Ahmet Bircan, Aysenaz Özcan, Atilla Akkoçlu, Funda Uluorman, Pinar Çelik, Deniz Köksal, Bahar Ulubas, Eylem Sercan, Ömer Özbudak, Tuncay GÖKSEL, Tugba Önalan, Esra Yamansavci, Figen Türk, Gökhan Yuncu, Çigdem Çopuraslan, Tugba Mardal, Esin Tuncay, Altemur Karamustafaoglu, Pinar Yildiz, Funda Seçik, Muhammet Kaplan, Emel Çaglar, Mediha Ortaköylü, Mine Önal, Akif Turna, Evlin Hekimoglu, Levent Dalar, Sedat Altin, Meral Gülhan, Eylem Akpinar, Ismail Savas, Nalan Firat, Güngör Çamsari, Gülçihan Özkan, Erdogan Çetinkaya, Emine Kamiloglu, Bülent Çelik, Yavuz Havlucu
European Respiratory Journal, , , Uluslararası, Özet Bildiri, Wos, cilt 42, ss 4830-4830
DOI: 10.1183/13993003/erj.42.suppl_57.4830
Özet
OBJECTIVE: Early diagnosis and treatment of lung cancer is very important for the prognosis of the patients with lung cancer. This study was undertaken to investigate patient delay and doctor delay in the diagnosis and the treatment of non-small cell lung cancer. In addition, the factors effect of these delays was researched. MATERIAL and METHOD: Between May 2010-May 2011 years, mean age 61.5±10.1, 1016 patients were enrolled prospectively in this study from the different countries in Turkey. 926 (91.1%) of the patients were male and 90 (8.9%) were female. RESULTS: Patient delay was found 49.96±96.96 days, doctor delay was found 87.71±99.59 days and total delay was found 131.3±135.18 days. Referral delay was found 61.55±127.23 days, diagnostic delay was found 20.35±44.46 days and treatment delay was found 24.37±54.97 days. Patient delay was more frequently in the workers but referral delay was more frequent in patients living in the village (p<0.05). We determined that referral delay, doctor delay and total delay were increased as the number of doctors who were applied by the patients was increased (p<0.05). In addition, we determined that diagnostic and treatment delay were more frequently in the early stage NSCLC patients (p<0.05). DISCUSSION: In conclusion, people must be educated about lung cancer because patient delay is very longer. To decrease doctor delay, education in the first step is a significant point and to decrease chest specialists delay, multidisipliner management and algorithims must be used regularly.