阿根廷科尔多瓦两个诊断中心口腔鳞状细胞癌的诊断延迟情况
Diagnostic delay of oral squamous cell carcinoma in two diagnosis centers in Córdoba Argentina.
作者信息
Morelatto R A, Herrera M C, Fernández E N, Corball A G, López de Blanc S A
机构信息
Department of Oral Pathology, Clinical Stomatology I and II B, Faculty of Dentistry, National University of Córdoba, Córdoba, Argentina.
出版信息
J Oral Pathol Med. 2007 Aug;36(7):405-8. doi: 10.1111/j.1600-0714.2007.00547.x.
UNLABELLED
The aim of the present study was to investigate diagnostic delay in oral cancer (OC) in two diagnosis centers in Córdoba, Argentina. Special attention was paid to the role of the patient and the professional in the diagnostic delay.
METHODS
Seventy clinical records of patients with newly diagnosed oral squamous cell carcinoma were included.
RESULTS
Both patients and professionals were responsible for the delay in diagnosis. This delay was longer for tumors in early stages. Multiple logistic regression analysis indicated that the professional delay was the most associated variable to the stage of tumor (P = 0.03).
CONCLUSIONS
Continuing education in OC and pre-cancerous lesions is important to reduce the professional delay. The findings of the present study also indicate that 58% of the patients are partially responsible for delay in the diagnosis of OC. Intensive public promotion and educational campaigns against OC are also needed to increase patient awareness.
未标注
本研究的目的是调查阿根廷科尔多瓦两个诊断中心口腔癌（OC）的诊断延迟情况。特别关注了患者和专业人员在诊断延迟中的作用。
方法
纳入70例新诊断为口腔鳞状细胞癌患者的临床记录。
结果
患者和专业人员都对诊断延迟负有责任。早期肿瘤的这种延迟更长。多因素逻辑回归分析表明，专业人员的延迟是与肿瘤分期最相关的变量（P = 0.03）。
结论
开展口腔癌和癌前病变的继续教育对于减少专业人员的延迟很重要。本研究结果还表明，58%的患者对口腔癌诊断延迟负有部分责任。还需要开展针对口腔癌的密集公众宣传和教育活动，以提高患者意识。
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