Sieghart S, Sonnleitner F
Wien Med Wochenschr. 1986 Nov 30;136(21-22):588-91.
The first medical department of the Poliklinik is part of a community hospital in Vienna. Out of 1500 patients admitted every year, in about 65 cases a malignant disorder is diagnosed for the first time. Recent developments in chemotherapy of solid tumors and hematologic disorders suggest the necessity to establish a specially trained oncologic working group. In this study the patient material of two years (1982-1984) is analysed. The importance of an oncologic working group integrated to the staff members of the general department of internal medicine is discussed. It is pointed out, that in about 30% of cancer patients no specific therapy was initiated due to the far advanced stage of disease and/or due to the elderly patients. Future developments should include a more intensive cooperation with the surgical departments in order to establish a careful follow-up of patients after surgical intervention and to ensure a chemotherapeutic treatment at an earlier stage of disease.
综合医院第一内科是维也纳一家社区医院的一部分。每年收治的1500名患者中，约有65例首次被诊断出患有恶性疾病。实体瘤和血液系统疾病化疗的最新进展表明有必要成立一个经过专门培训的肿瘤学工作组。本研究分析了两年（1982 - 1984年）的患者资料。讨论了将肿瘤学工作组纳入内科普通科室工作人员的重要性。指出约30%的癌症患者由于疾病晚期和/或患者年事已高而未开始进行特异性治疗。未来的发展应包括与外科科室加强合作，以便对手术干预后的患者进行仔细随访，并确保在疾病早期进行化疗。
