Effect of care-delivery delays on the survival of Mexican women with breast cancer

被引：25

作者：

Angeles-Llerenas, Angelica ^{[1
]}

Torres-Mejia, Gabriela ^{[1
]}

Lazcano-Ponce, Eduardo ^{[1
]}

Uscanga-Sanchez, Santos ^{[2
,3
]}

Mainero-Ratchelous, Fernando ^{[4
]}

Eugenio Hernandez-Avila, Juan ^{[5
]}

Morales-Carmona, Evangelina ^{[5
]}

Hernandez-Avila, Mauricio ^{[1
]}

机构：

[1] Inst Nacl Salud Publ, Ctr Invest Salud Poblac, Cuernavaca 62100, Morelos, Mexico

[2] Unidad Med Atenc Med, MAGNI Ginecoobstetras Asociados, Mexico City, DF, Mexico

[3] Invest Clin SC, Mexico City, DF, Mexico

[4] Inst Mexicano Seguro Social, Hosp Gineco Obstet, Unidad Med Alta Especialidad, 4 Luis Castelazo Ayala, Mexico City, DF, Mexico

[5] Inst Nacl Salud Publ, Ctr Informac Decis Salud Publ, Mexico City, DF, Mexico

来源：

SALUD PUBLICA DE MEXICO | 2016年 / 58卷 / 02期

关键词：

breast cancer; delay in health care; survival; Mexico; SELF-EXAMINATION; COLORECTAL-CANCER; INSURANCE STATUS; MEDICAL-CARE; FOLLOW-UP; DIAGNOSIS; STAGE; AGE; MORTALITY; DETERMINANTS;

D O I：

10.21149/spm.v58i2.7793

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Objective. To estimate the effect of care-delivery delays on survival among women with breast cancer. Materials and methods. A retrospective analysis of 854 women attending 11 hospitals from 2007-2009 was carried out. Kaplan-Meier estimators and a Cox proportional-risk model were employed. Results. A total of 10.5% of cases were diagnosed in stage 1.82% of sampled women delayed care for more than 67 days between noticing a symptom and initiating treatment. The median time from receipt of results of the mammography to biopsy was 31 days (IQR 14-56). Compared with those who were in quartile I (Q I), survival was lower among those in Q3 and Q4 (HR=1.68, 95%CI 0.94-3.00; HR=1.76, 95% CI 1.04-2.98, respectively). Conclusions. To increase survival, it is suggested that the time between receipt of the mammography results and diagnostic biopsy be reduced.

引用

页码：237 / 250

页数：14

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