Risberg T, Sørbye S W, Norum J, Wist E A
Department of Oncology, University Hospital of Tromsø, Norway.
Anticancer Res. 1996 Mar-Apr;16(2):995-9.
From July 1990 to July 1991, 263 consecutive cancer patients admitted to our oncological unit for the first time were invited to participate in a questionnaire based study. 252 patients responded and were included in the final analysis. The aim of the survey was to examine the delays involved in diagnosis and treatment of cancer and the possible psychological distress associated to the different periods of delay. A shorter patient delay was found among patients under the age of 30 years (P < 0.005). Patients with higher education had a significantly shorter delay from the time of contact with the GP to admittance to the local hospital (P <0.005). The diagnostic delay was reported to be significantly more distressing for females compared to males (P <0.05). The reported psychological distress, however, correlated positively to the actual length of total delay (P<0.005) for both sexes. All patients reported that the delay between local hospital referral and admittance to the oncological unit to be the most distressing delay period to cope with.
1990年7月至1991年7月，首次入住我们肿瘤科室的263例连续癌症患者受邀参与一项基于问卷调查的研究。252例患者做出回应并纳入最终分析。该调查的目的是研究癌症诊断和治疗过程中的延误以及不同延误阶段可能伴随的心理困扰。30岁以下患者的患者延误时间较短（P<0.005）。受过高等教育的患者从与全科医生接触到入住当地医院的延误时间明显更短（P<0.005）。据报告，女性的诊断延误比男性更令人痛苦（P<0.05）。然而，报告的心理困扰与两性总的实际延误时长呈正相关（P<0.005）。所有患者均表示，从当地医院转诊到入住肿瘤科室之间的延误是最难应对的延误阶段。
