{"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\/cy_gb-wls\/longer-waiting-times-linked-to-higher-mortality-for-cancer-patients\/","title":{"rendered":"Amseroedd aros hirach yn gysylltiedig \u00e2 marwolaethau uwch ar gyfer cleifion canser"},"content":{"rendered":"<p>Mae darn o ymchwil diweddar a gyhoeddwyd yn y British Medical Journal (BMJ) wedi dod i\u2019r casgliad bod oedi wrth drin canser yn gysylltiedig \u00e2 chynnydd mewn marwolaethau o bob achos.<\/p>\n<p>Ers dechrau&#039;r pandemig Covid-19, mae mynediad cleifion i driniaeth canser wedi&#039;i ohirio mewn llawer o leoliadau gofal iechyd ledled y byd, ac mae hyn wedi arwain at bryder ynghylch canlyniadau anfwriadol mesurau rheoli pandemig i gleifion canser.<\/p>\n<p>Er bod nifer o astudiaethau wedi&#039;u cynnal yn fyd-eang ar y berthynas rhwng oedi wrth drin a marwolaethau, roedd ymdrechion modelu wedi&#039;u rhwystro gan ddiffyg tystiolaeth byd go iawn o ansawdd, felly cynhaliodd y t\u00eem ymchwil adolygiad <a href=\"https:\/\/www.bmj.com\/content\/371\/bmj.m4087\">adolygiad cynhwysfawr<\/a> o 34 o astudiaethau sydd eisoes yn bodoli ar draws saith prif fath o ganser.<\/p>\n<p>Dangosodd y canfyddiadau fod pob oedi o bedair wythnos rhwng diagnosis a llawdriniaeth yn gysylltiedig \u00e2 chynnydd cymharol 6-8% ym mhob achos o farwolaethau.<\/p>\n<p>Mae&#039;r mathau o ganser sydd wedi&#039;u cynnwys yn yr astudiaeth yn cynrychioli <a href=\"https:\/\/gco.iarc.fr\/today\/data\/factsheets\/cancers\/39-All-cancers-fact-sheet.pdf\">44% o bob achos o ganser<\/a> yn fyd-eang. Roedd yn cwmpasu pum canser cyffredin; canser y bledren, y fron, y colon, y rectwm a&#039;r ysgyfaint; canser ceg y groth, sef y pedwerydd canser mwyaf cyffredin ymhlith menywod; a chanser y pen a&#039;r gwddf; a chanfuwyd, ar gyfer pob un o\u2019r saith math o ganser, bod oedi o bedair wythnos mewn triniaeth yn gysylltiedig \u00e2 chynnydd yn y risg o farwolaeth.<\/p>\n<p>Yn ogystal, canfu&#039;r astudiaeth fod oedi o hyd at wyth wythnos a deuddeg wythnos yn cynyddu&#039;r risg o farwolaeth ymhellach. Byddai oedi wyth wythnos mewn llawdriniaeth canser y fron yn cynyddu&#039;r risg o farwolaeth 17% a byddai oedi o 12 wythnos, fel y profwyd er enghraifft yn ystod cloi ac adferiad Covid-19 mewn rhai gwledydd, yn cynyddu&#039;r risg o 26%.<\/p>\n<p>Mae effaith oedi triniaeth ar ganlyniadau cleifion yn rhywbeth sydd wedi dod i\u2019r amlwg yn ystod pandemig Covid-19. Er bod llawdriniaeth ganser frys wedi bod yn mynd rhagddi ar y cyfan, mae llawdriniaethau canser dewisol a radiotherapi wedi&#039;u gohirio neu eu gohirio mewn llawer o wledydd wrth i adnoddau gael eu hailneilltuo i ddelio \u00e2&#039;r pandemig.<\/p>\n<p>Hyd yn hyn, ni fu\u2019n bosibl meintioli\u2019n gadarn effaith mesurau cloi Covid-19 ar batrymau gofal a chanlyniadau cleifion, ac mae\u2019n pwysleisio bod angen ymdrech ryngwladol i sefydlu systemau ar gyfer cynhyrchu data o ansawdd uchel i lywio ymchwil pellach i hyn.<\/p>\n<p>Y gwir amdani yw bod effaith oedi triniaeth, gan gynnwys ar gyfer llawdriniaeth canser, yn \u00f4l pob tebyg yn llawer mwy ar gyfer cleifion a systemau gofal iechyd gwledydd nag y mae canlyniadau&#039;r astudiaeth hon yn ei awgrymu. Nid yw&#039;n cymryd i ystyriaeth effaith gwaethygu&#039;r cyflwr ar y claf; yr angen am driniaethau mwy helaeth a risg uwch o gymhlethdodau oherwydd dilyniant yn ystod oedi; a&#039;r effaith ar ansawdd bywyd cleifion. Gall hefyd arwain at fwy o faich economaidd drwy gostau gofal uniongyrchol uwch.<\/p>\n<p>Er ei fod y tu allan i gwmpas yr astudiaeth hon, mae&#039;n amlwg bod yr hyn sy&#039;n digwydd yn yr amser cyn i&#039;r claf gael diagnosis hefyd yn bwysig i&#039;w ystyried. Os yw&#039;r amser aros yn cael ei ymestyn ar gyfer gweld arbenigwr neu gael apwyntiad ar gyfer prawf diagnostig, fel sgan neu colonosgopi, mae hyn yn effeithio ar ba mor gyflym y mae cleifion yn cael eu trin; a gall oedi gael effaith andwyol ar ansawdd bywyd cleifion. Po hwyraf y canfyddir canser, y mwyaf brys fydd y driniaeth a&#039;r gwaethaf y bydd y canlyniad i&#039;r claf hefyd yn debygol o fod.<\/p>\n<p>Gellir cyrchu&#039;r adolygiad <a href=\"https:\/\/www.bmj.com\/content\/371\/bmj.m4087\">ar wefan y BMJ<\/a><\/p>","protected":false},"excerpt":{"rendered":"<p>Mae darn o ymchwil diweddar a gyhoeddwyd yn y British Medical Journal (BMJ) wedi dod i\u2019r casgliad bod oedi wrth drin canser yn gysylltiedig \u00e2 chynnydd mewn marwolaethau o bob achos.<\/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":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Longer waiting times linked to higher mortality for cancer patients - 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