TIME DELAY AND ITS EFFECT ON SURVIVAL IN MALAYSIAN PATIENTS WITH NON-SMALL CELL LUNG CARCINOMA

被引:0
作者
Loh, Li-Cher [1 ]
Chan, Li-Yen [1 ]
Tan, Ru-Yu [1 ]
Govindaraju, Selvaratnam [2 ]
Ratnavelu, Kananathan [2 ]
Kumar, Shalini [3 ]
Raman, Sree [4 ]
Vijayasingham, Pillai [4 ]
Thayaparan, Tamizi [4 ]
机构
[1] Int Med Univ, Clin Sch, Lung Res Unit, Seremban, Malaysia
[2] Nilai Canc Inst, Nilai, Malaysia
[3] Seremban Hosp, Dept Pathol, Seremban, Malaysia
[4] Seremban Hosp, Dept Med, Seremban, Malaysia
来源
MALAYSIAN JOURNAL OF MEDICAL SCIENCES | 2006年 / 13卷 / 01期
关键词
non-small cell lung cancer; Malaysia; survival; time delay;
D O I
暂无
中图分类号
R-3 [医学研究方法]; R3 [基础医学];
学科分类号
1001 ;
摘要
While evidence indicates that early stage disease has better prognosis, the effect of delay in presentation and treatment of patients with non-small cell lung cancer (NSCLC) on survival is debatable. A retrospective study of 122 Malaysian patients with NSCLC was performed to examine the presentation and treatment delay, and its relation with patient survival. Median (25-75% IQR) interval between onset of symptoms and first hospital consultation (patient delay) and between first hospital consultation and treatment or decision to treat (doctor delay) were 2 (1.05.0) and 1.1 (0.6-2.4) months respectively. The median survival rates in patient delay of <1, 1 to 3, and >3 months were 4.1 (9.9-1.7), 5.1 (10.9-3.2) and 5.7 (12.32.1) months respectively (log rank p=0.648), while in doctor delay, < 30, 30-60, >60 days, the rates were 4.1 (10.8-1.8), 7.6 (13.7-3.2) and 5.3 (16.0-3.0) months respectively (p=0.557). Most patients presented and were treated in a relatively short time, and delays did not appear to influence survival. This Asian data is consistent with those from Western population, reiterating the need for public health measures that can identify disease early..
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页码:37 / 42
页数:6
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