Barros Ângela Ferreira, Uemura Gilberto, de Macedo Jefferson Lessa Soares
Rev Bras Ginecol Obstet. 2013 Oct;35(10):458-63. doi: 10.1590/s0100-72032013001000006.
To analyze the time between the first symptom and treatment in patients treated for breast cancer in public hospitals in the Federal District.
This was a cross-sectional analysis. We interviewed 250 women diagnosed with breast cancer treated in six hospitals of the State Department of Health of the Federal District from November 2009 to January 2011. The time intervals studied were the time between the detection of the symptoms and treatment subdivided into intervals until and after the first medical appointment. The variables were: age, menopausal status, color, educational level, average monthly household income, origin, reason for the initial consultation, staging, tumor size, laterality, metastasis to axillary lymph nodes, neoadjuvant chemotherapy, and type of surgery. The Mann-Whtney test was used to assess the association of these variables with the time intervals until treatment.
The mean age was 52 years, with a predominance of white women (57.6%), from the Federal District (62.4%), with a family income of up to 2 minimum wages (78%), and up to four years of schooling (52.4%). The staging of the disease ranged from II to IV in 78.8% of the women. The time between the first symptom and treatment was 229 days (median). After detection of the first symptom, 52.9% of the women attended a consultation within 30 days and 88.8% took more than 90 days to start treatment. Women with elementary school education had a greater delay to the start of treatment (p=0.049).
There was a significant delay to start treatment of women with breast cancer in public hospitals of the Federal District, suggesting that efforts should be made to reduce the time needed to schedule medical appointments and to diagnose and treat these patients.
分析在联邦区公立医院接受乳腺癌治疗的患者从出现首个症状到接受治疗之间的时间。
这是一项横断面分析。我们对2009年11月至2011年1月期间在联邦区卫生部的六家医院接受乳腺癌诊断的250名女性进行了访谈。所研究的时间间隔是从症状出现到治疗之间的时间，细分为首次就诊之前和之后的时间段。变量包括：年龄、绝经状态、肤色、教育水平、家庭月平均收入、籍贯、初诊原因、分期、肿瘤大小、患侧、腋窝淋巴结转移、新辅助化疗以及手术类型。采用曼-惠特尼检验来评估这些变量与治疗前时间间隔之间的关联。
平均年龄为52岁，以白人女性为主（57.6%），来自联邦区（62.4%），家庭收入至多为2份最低工资（78%），且受教育年限至多为四年（52.4%）。78.8%的女性疾病分期为II至IV期。从首个症状出现到接受治疗的时间为中位数229天。在出现首个症状后，52.9%的女性在30天内就诊，88.8%的女性超过90天才开始治疗。小学文化程度的女性开始治疗的延迟时间更长（p = 0.
