López Encuentra A, Martín de Nicolás J L, Casado López M, de Miguel Poch E, Marrón Fernández C
Servicio de Neumología, Hospital Universitario 12 de Octubre, Madrid.
Arch Bronconeumol. 1998 Mar;34(3):123-6.
The aim of this study was to determine the delay between clinical suspicion and diagnosis of bronchogenic carcinoma, and between diagnosis and performance of therapeutic thoracotomy. The study population included 598 patients undergoing surgery between October 1995 and September 1996 registered in the Bronchogenic Carcinoma Cooperation Group of SEPAR (BCCG-S), and 49 patients from our hospital undergoing surgery during the same period. The mean delay between diagnosis and thoracotomy was 45.15 days (SD 34.7 days) for BCCG-S patients and 53.5 days (SD 22 days) for our hospital patients. In the second group, mean time elapsing between diagnosis suspicion and performance of bronchoscopy was known to be 9.5 days (SD 14.7 days), with the lowest periods recorded for inpatients (3.1 +/- 1.7 days) and for patients who did not require chest x ray guided bronchoscopy (5 +/- 5.8 days). These data are similar to those published for hospitals in other countries. They must be considered long delays and should be shortened.
本研究的目的是确定支气管源性癌临床怀疑与诊断之间以及诊断与治疗性开胸手术实施之间的延迟时间。研究人群包括1995年10月至1996年9月期间在西班牙肺癌协作组（BCCG-S）登记接受手术的598例患者，以及同期在我院接受手术的49例患者。BCCG-S组患者诊断与开胸手术之间的平均延迟时间为45.15天（标准差34.7天），我院患者为53.5天（标准差22天）。在第二组中，已知诊断怀疑与支气管镜检查实施之间的平均时间为9.5天（标准差14.7天），住院患者（3.1±1.7天）和不需要胸部X光引导支气管镜检查的患者（5±5.8天）记录的时间最短。这些数据与其他国家医院公布的数据相似。这些延迟时间必须被视为较长，应该缩短。
