{"id":2541,"date":"2020-11-19T16:11:34","date_gmt":"2020-11-19T16:11:34","guid":{"rendered":"https:\/\/www.q-bital.com\/?p=2541"},"modified":"2020-11-19T16:11:34","modified_gmt":"2020-11-19T16:11:34","slug":"longer-waiting-times-linked-to-higher-mortality-for-cancer-patients","status":"publish","type":"post","link":"https:\/\/www.q-bital.com\/bs_ba\/longer-waiting-times-linked-to-higher-mortality-for-cancer-patients\/","title":{"rendered":"Du\u017ee vrijeme \u010dekanja povezano je sa ve\u0107om smrtno\u0161\u0107u oboljelih od raka"},"content":{"rendered":"

Nedavno istra\u017eivanje objavljeno u British Medical Journalu (BMJ) zaklju\u010dilo je da je ka\u0161njenje u lije\u010denju raka povezano s pove\u0107anjem smrtnosti od svih uzroka.<\/p>\n

Od po\u010detka pandemije Covid-19, pristup pacijenata lije\u010denju raka je odgo\u0111en u mnogim zdravstvenim ustanovama \u0161irom svijeta, \u0161to je dovelo do zabrinutosti zbog nenamjernih posljedica mjera kontrole pandemije za pacijente s rakom.<\/p>\n

Iako je u cijelom svijetu proveden veliki broj studija o odnosu izme\u0111u ka\u0161njenja u lije\u010denju i mortaliteta, poku\u0161aji modeliranja bili su ote\u017eani nedostatkom kvalitetnih dokaza iz stvarnog svijeta, pa je istra\u017eiva\u010dki tim proveo sveobuhvatan pregled<\/a> od 34 ve\u0107 postoje\u0107e studije o sedam glavnih tipova raka.<\/p>\n

Nalazi su pokazali da je svaka \u010detiri tjedna ka\u0161njenja izme\u0111u dijagnoze i operacije povezana s 6-8% relativnim pove\u0107anjem smrtnosti od svih uzroka.<\/p>\n

Tipovi raka uklju\u010deni u studiju predstavljaju 44% svih incidentnih karcinoma<\/a> globalno. Pokriva pet uobi\u010dajenih karcinoma; rak mokra\u0107ne be\u0161ike, dojke, debelog creva, rektuma i plu\u0107a; rak grli\u0107a materice, koji je \u010detvrti naj\u010de\u0161\u0107i rak me\u0111u \u017eenama; i rak glave i vrata; i otkrili da je, za svih sedam tipova raka, odgoda lije\u010denja od \u010detiri sedmice povezana s pove\u0107anjem rizika od smrti.<\/p>\n

Osim toga, studija je pokazala da ka\u0161njenja do osam i dvanaest sedmica dodatno pove\u0107avaju rizik od smrti. Ka\u0161njenje u operaciji raka dojke od osam sedmica pove\u0107alo bi rizik od smrti za 17%, a ka\u0161njenje od 12 sedmica, kao \u0161to je, na primjer, tokom blokade i oporavka od Covid-19 u nekim zemljama, pove\u0107alo bi rizik za 26%.<\/p>\n

Utjecaj ka\u0161njenja lije\u010denja na ishode pacijenata je ne\u0161to \u0161to je do\u0161lo do izra\u017eaja tokom pandemije Covid-19. Iako je u ve\u0107ini slu\u010dajeva hitna operacija raka u tijeku, elektivna operacija raka i radioterapija su odgo\u0111ene ili odgo\u0111ene u mnogim zemljama jer su resursi preraspodijeljeni za suo\u010davanje s pandemijom.<\/p>\n

Do sada nije bilo mogu\u0107e robusno kvantifikovati uticaj mjera zatvaranja Covid-19 na obrasce njege i ishode pacijenata, te se nagla\u0161ava da postoji potreba za me\u0111unarodnim naporima da se uspostave sistemi za proizvodnju visokokvalitetnih podataka za informisanje. dalje istra\u017eivanje o tome.<\/p>\n

Realnost je da je uticaj ka\u0161njenja u le\u010denju, uklju\u010duju\u0107i operacije raka, verovatno daleko ve\u0107i i za pacijente i za zdravstvene sisteme zemalja nego \u0161to sugeri\u0161u rezultati ove studije. Ne uzima u obzir uticaj pogor\u0161anja stanja na pacijenta; potreba za opse\u017enijim tretmanima i pove\u0107an rizik od komplikacija zbog progresije tokom ka\u0161njenja; i uticaj na kvalitet \u017eivota pacijenata. To tako\u0111er mo\u017ee dovesti do ve\u0107eg ekonomskog optere\u0107enja kroz ve\u0107e direktne tro\u0161kove njege.<\/p>\n

Iako izvan okvira ove studije, jasno je da je va\u017eno uzeti u obzir ono \u0161to se de\u0161ava u vremenu prije nego \u0161to se pacijentu dijagnosticira. Ako se vrijeme \u010dekanja produ\u017ei za posjet specijalistu ili zakazivanje na dijagnosti\u010dki test, kao \u0161to je skeniranje ili kolonoskopija, to uti\u010de na brzinu kojom se pacijenti lije\u010de; a ka\u0161njenje mo\u017ee imati \u0161tetan uticaj na kvalitet \u017eivota pacijenata. \u0160to se kasnije dijagnosticira rak, to \u0107e lije\u010denje biti hitnije i vjerovatnije je da \u0107e ishod biti lo\u0161iji.<\/p>\n

Pregledu se mo\u017ee pristupiti na web stranici BMJ-a<\/a><\/p>","protected":false},"excerpt":{"rendered":"

Nedavno istra\u017eivanje objavljeno u British Medical Journalu (BMJ) zaklju\u010dilo je da je ka\u0161njenje u lije\u010denju raka povezano s pove\u0107anjem smrtnosti od svih uzroka.<\/p>","protected":false},"author":1,"featured_media":693,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[2],"tags":[],"class_list":["post-2541","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-news"],"acf":[],"yoast_head":"\nLonger waiting times linked to higher mortality for cancer patients - Q-bital Healthcare Solutions<\/title>\n<meta name=\"description\" content=\"Recent research from the BMJ concludes longer waiting times linked to higher mortality for cancer patients.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.q-bital.com\/bs_ba\/longer-waiting-times-linked-to-higher-mortality-for-cancer-patients\/\" \/>\n<meta property=\"og:locale\" content=\"bs_BA\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Longer waiting times linked to higher mortality for cancer patients - 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