Radzikowska E, Roszkowski K, Głaz P
III Kliniki Gruźlicy i Chorób Płuc Instytutu Gruźlicy i Chorób Płuc w Warszawie.
Pneumonol Alergol Pol. 2001;69(11-12):600-10.
It is commonly known that in the course of neoplastic disease a diagnosis and therapy should be perform as fast as possible. It is particularly important for lung cancer patients. The goal of this study was to assess the diagnosis and therapy delay in unselected group of lung cancer patients, registered in Pulmonary Outpatients Clinics in all parts of Poland.
20,561 lung cancer patients were registered in Pulmonary Outpatients Clinics in all parts of Poland from 1995 to 1998.
The median delay caused by patients was about 46 days. In 33 provinces symptoms of the disease preceded diagnosis 28 to 50 days and in other 26 provinces--50 to 75 days. The median delay caused by doctors (time between first visit to the doctor and the date of diagnosis) was 65 days. In 35 provinces it was 30 to 70 days and in other 14 provinces this delay was between 70-111 days. The median time between first visit to the doctor and the beginning of therapy was 84 days. The median time between diagnosis and therapy was 30 days. Because chest physicians were also involved in the diagnosis and treatment of lung cancer patients, so for patients registered in years 1996-1998 the causes of delay connected with the function of this medical speciality were assessed. Median time between first visit to the doctor and first visit to the chest specialist was 38 days. Median delay to bronchoscopy was 26 days and to the diagnosis 46 days.
Delay of diagnosis and therapy vary widely among different provinces of Poland. The delay generated by family doctors and chest physicians are very important and require a deeper evaluation on the province level in the future.
众所周知，在肿瘤疾病的病程中，诊断和治疗应尽快进行。这对肺癌患者尤为重要。本研究的目的是评估在波兰各地肺病门诊登记的未经挑选的肺癌患者群体中的诊断和治疗延迟情况。
1995年至1998年期间，波兰各地肺病门诊登记了20561例肺癌患者。
患者造成的中位延迟约为46天。在33个省份，疾病症状出现至诊断的时间为28至50天，在其他26个省份为50至75天。医生造成的中位延迟（从首次就诊到诊断日期的时间）为65天。在35个省份为30至70天，在其他14个省份，这一延迟为70 - 111天。首次就诊到开始治疗的中位时间为84天。诊断到治疗的中位时间为30天。由于胸科医生也参与肺癌患者的诊断和治疗，因此对1996 - 1998年登记的患者评估了与该医学专业功能相关的延迟原因。首次就诊到胸科专科医生首次就诊的中位时间为38天。支气管镜检查的中位延迟为26天，诊断的中位延迟为46天。
波兰不同省份之间的诊断和治疗延迟差异很大。家庭医生和胸科医生造成的延迟非常重要，未来需要在省级层面进行更深入的评估。
