Wildt J, Bundgaard T, Bentzen S M
Department of Otolaryngology, Aarhus University Hospital, Denmark.
Clin Otolaryngol Allied Sci. 1995 Feb;20(1):21-5. doi: 10.1111/j.1365-2273.1995.tb00006.x.
Delay in diagnosis was recorded prospectively in 167 patients with an oral squamous cell carcinoma. The median total delay was 4 months of which two-thirds was patient delay. The corrected survival did not correlate with the total delay. The patient delay was not significantly correlated with tumour or patient factors and the unreliable nature of patient delay information makes such data clinically unusable. In contrast, the professional delay correlated significantly with some of these factors. The delay was longer for women than for men and the older the patient, the longer the delay. The professional delay was longest in patients with small tumours. Thus, registration of the professional delay provides information to be used to improve the diagnostic efficiency of the health care system.
前瞻性记录了167例口腔鳞状细胞癌患者的诊断延迟情况。总延迟中位数为4个月，其中三分之二为患者延迟。校正后的生存率与总延迟无关。患者延迟与肿瘤或患者因素无显著相关性，且患者延迟信息的不可靠性使得此类数据在临床上无法使用。相比之下，专业延迟与其中一些因素显著相关。女性的延迟比男性长，患者年龄越大，延迟越长。小肿瘤患者的专业延迟最长。因此，记录专业延迟可提供用于提高医疗保健系统诊断效率的信息。
