拉各斯一家三级医院中宫颈癌患者的晚就诊情况：原因何在？

Late presentation of patients with cervical cancer to a tertiary hospital in Lagos: what is responsible?

作者信息

Anorlu R I, Orakwue C O, Oyeneyin L, Abudu O O

机构信息

Department of Obstetrics and Gynecology, College of Medicine of the University of Lagos, Lagos University Teaching Hospital, Surulere-Lagos, Nigeria.

出版信息

Eur J Gynaecol Oncol. 2004;25(6):729-32.

PMID:15597852

Abstract

OBJECTIVES

To determine the factors contributing to late presentation of patients with cervical cancer to a tertiary hospital in Lagos.

METHODS

Cervical cancer patients who attended the hospital between September 2000 and December 2001 were interviewed to determine the healthcare facilities visited at the onset of symptoms and time interval between presentation and referral.

RESULTS

There were 127 patients with a mean age of 54.6 +/- 13.4 years. Common symptoms at onset of disease were post-menopausal bleeding (55.9%) and vaginal discharge (48.8%). Of the patients, 60.7.1% first went to private hospitals. The interval between onset of symptoms and seeking healthcare was 6.10 +/- 9.31 months; time elapsing between seeking healthcare and referral to a tertiary hospital was 9.35 +/- 12.9 months. Stage 3A cervical cancer was diagnosed in 71.8%.

CONCLUSION

Patients' delay in seeking healthcare and care providers' delay in referring patients to a tertiary hospital contributed to the late presentation.

摘要

目的

确定导致拉各斯一家三级医院宫颈癌患者就诊延迟的因素。

方法

对2000年9月至2001年12月期间到该医院就诊的宫颈癌患者进行访谈，以确定症状出现时所就诊的医疗保健机构以及就诊与转诊之间的时间间隔。

结果

共有127例患者，平均年龄为54.6±13.4岁。疾病初发时的常见症状为绝经后出血（55.9%）和阴道分泌物异常（48.8%）。其中，60.7%的患者首先前往私立医院就诊。症状出现与寻求医疗保健之间的间隔为6.10±9.31个月；寻求医疗保健与转诊至三级医院之间的时间为9.35±12.9个月。71.8%的患者被诊断为3A期宫颈癌。