突尼斯乳腺癌患者手术流程的延迟：一项描述性前瞻性研究
Delays in the Surgical Pathway in Breast cancer Patients in Tunisia: A Descriptive Prospective Study.
作者信息
Meriam Kahlaoui, Manel Limam, Jihene Sahli, Hédi Khairi, Ali Mtiraoui, Thouraya Ajmi
机构信息
Faculty of Medicine of Sousse, Department of Community and Family Medicine, Laboratory of Research in Quality of Maternal Care, "LR12ES03", University of Sousse, 4000 Sousse, Tunisia.
Faculty of Medicine of Sousse, Department of Gynecology and Obstetrics, Farhat Hached University Hospital Center, Laboratory of Research in Quality of Maternal Care, "LR12ES03", University of Sousse, 4000 Sousse, Tunisia.
出版信息
Indian J Surg Oncol. 2022 Jun;13(2):385-393. doi: 10.1007/s13193-021-01484-5. Epub 2021 Dec 2.
OBJECTIVES
Describe the surgical pathway and identify the different waiting times to surgery of women with a breast cancer in the Gynecology Department of the University Hospital of Sousse in Tunisia.
METHODS
It is a descriptive prospective study based on an assessment of professional practices using the process approach method. The study focused on the surgical management of women with breast cancer followed and scheduled for surgical treatment.The data were collected using a data collection sheet, developed according to a literature review.
RESULTS
The sample consisted of 77 women. Ten waiting times have been calculated. Global time to first treatment (surgical treatment) was 78.5 days with an interquartile range (IIQ) of [55.5-113.25 days]. The information period was 10 days with an IIQ of 3-19 days. The global time of access to surgery was 43.5 days with an IIQ of 40-54.75.
CONCLUSION
Delays in access to care appear to be a potential marker of inequalities in access to care and an indicator of the performance of the healthcare system and can influence patient prognosis. The reduction of these delays must be integrated into a continuous quality improvement approach.
目的
描述突尼斯苏塞大学医院妇科乳腺癌女性患者的手术流程，并确定不同的手术等待时间。
方法
这是一项描述性前瞻性研究，基于使用过程方法对专业实践进行评估。该研究聚焦于接受随访并计划进行手术治疗的乳腺癌女性患者的手术管理。数据通过根据文献综述制定的数据收集表进行收集。
结果
样本包括77名女性。计算了10个等待时间。首次治疗（手术治疗）的总时间为78.5天，四分位间距（IIQ）为[55.5 - 113.25天]。信息期为10天，IIQ为3 - 19天。获得手术的总时间为43.5天，IIQ为40 - 54.75天。
结论
获得医疗服务的延迟似乎是医疗服务获取不平等的潜在标志以及医疗系统绩效的指标，并且会影响患者预后。减少这些延迟必须纳入持续质量改进方法中。
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