el Mrini T, Chaplain G, Tazi M A, Bolard P, Milan C, Faivre J
Registre des Cancers Gynécologiques de Côte-d'Or, Faculté de Médecine, Dijon.
J Gynecol Obstet Biol Reprod (Paris). 1998 Sep;27(5):495-500.
The aim of this study was to describe the implication of the different health care structures in the treatment of breast cancer.
In Côte-d'Or, from 1982 to 1992, there were 2432 cases of breast cancer. Surgery came first as treatment for 93% of the patients, radiotherapy came second (77%). The department is subdivided in several geographic areas (ZPIU):--Dijon, equipped with university hospital (UH) and with private hospitals (PH),--cities with general hospitals (GH)--and areas without hospitals. Demographic, geographic and clinical variables were studied in order to explain the patient distribution between the various hospitals.
52% of the cases were operated in PH, 37% in UH and 11% in GH. The main users of the GH were women who lived nearby. Age over 75 was associated with a treatment in GH. Women with clinical signs of severity were twice as often operated in UH rather than PH. Post-operative radiotherapy was done in 95% of the cases in the same structure where surgery was done.
No matter how popular university and private hospitals were in our regional capital, general hospitals played a proximity role.
本研究旨在描述不同医疗保健结构在乳腺癌治疗中的影响。
在科多尔省，1982年至1992年期间有2432例乳腺癌病例。手术是93%患者的首选治疗方法，放疗次之（77%）。该部门分为几个地理区域（ZPIU）：——第戎，设有大学医院（UH）和私立医院（PH）；——设有综合医院（GH）的城市；——以及没有医院的地区。研究了人口统计学、地理和临床变量，以解释患者在各医院之间的分布情况。
52%的病例在私立医院接受手术，37%在大学医院，11%在综合医院。综合医院的主要使用者是住在附近的女性。75岁以上的女性与在综合医院接受治疗有关。有严重临床症状的女性在大学医院接受手术的频率是在私立医院的两倍。95%的病例在进行手术的同一机构接受术后放疗。
无论大学医院和私立医院在我们的地区首府有多受欢迎，综合医院都发挥着就近服务的作用。
