{"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\/fr_fr\/longer-waiting-times-linked-to-higher-mortality-for-cancer-patients\/","title":{"rendered":"Des d\u00e9lais d\u2019attente plus longs li\u00e9s \u00e0 une mortalit\u00e9 plus \u00e9lev\u00e9e pour les patients atteints de cancer"},"content":{"rendered":"

Une \u00e9tude r\u00e9cente publi\u00e9e dans le British Medical Journal (BMJ) a conclu qu'un retard dans le traitement du cancer est associ\u00e9 \u00e0 une augmentation de la mortalit\u00e9 toutes causes confondues.<\/p>\n

Depuis le d\u00e9but de la pand\u00e9mie de Covid-19, l\u2019acc\u00e8s des patients au traitement du cancer a \u00e9t\u00e9 retard\u00e9 dans de nombreux \u00e9tablissements de sant\u00e9 \u00e0 travers le monde, ce qui a suscit\u00e9 des inqui\u00e9tudes quant aux cons\u00e9quences impr\u00e9vues des mesures de contr\u00f4le de la pand\u00e9mie pour les patients atteints de cancer.<\/p>\n

Bien qu'un certain nombre d'\u00e9tudes aient \u00e9t\u00e9 men\u00e9es \u00e0 l'\u00e9chelle mondiale sur la relation entre les retards de traitement et la mortalit\u00e9, les efforts de mod\u00e9lisation ont \u00e9t\u00e9 entrav\u00e9s par un manque de preuves concr\u00e8tes de qualit\u00e9. L'\u00e9quipe de recherche a donc men\u00e9 une examen complet<\/a> des 34 \u00e9tudes d\u00e9j\u00e0 existantes portant sur sept principaux types de cancer.<\/p>\n

Les r\u00e9sultats ont montr\u00e9 que chaque d\u00e9lai de quatre semaines entre le diagnostic et la chirurgie est associ\u00e9 \u00e0 une augmentation relative de 6-8% de la mortalit\u00e9 toutes causes confondues.<\/p>\n

Les types de cancer inclus dans l\u2019\u00e9tude repr\u00e9sentent 44% de tous les cancers incidents<\/a> L\u2019\u00e9tude a port\u00e9 sur cinq cancers courants : le cancer de la vessie, du sein, du c\u00f4lon, du rectum et du poumon ; le cancer du col de l\u2019ut\u00e9rus, qui est le quatri\u00e8me cancer le plus fr\u00e9quent chez les femmes ; et le cancer de la t\u00eate et du cou. Elle a r\u00e9v\u00e9l\u00e9 que, pour les sept types de cancer, un retard de traitement de quatre semaines est associ\u00e9 \u00e0 une augmentation du risque de d\u00e9c\u00e8s.<\/p>\n

En outre, l\u2019\u00e9tude a r\u00e9v\u00e9l\u00e9 que des retards allant jusqu\u2019\u00e0 huit et douze semaines augmentent encore le risque de d\u00e9c\u00e8s. Un retard de huit semaines dans la chirurgie du cancer du sein augmenterait le risque de d\u00e9c\u00e8s de 17% et un retard de 12 semaines, comme cela a \u00e9t\u00e9 le cas par exemple pendant le confinement et la convalescence du Covid-19 dans certains pays, augmenterait le risque de 26%.<\/p>\n

L\u2019impact des retards de traitement sur les r\u00e9sultats des patients est devenu un sujet de pr\u00e9occupation majeur pendant la pand\u00e9mie de Covid-19. Bien que la plupart des interventions chirurgicales urgentes contre le cancer aient eu lieu, les interventions chirurgicales \u00e9lectives contre le cancer et la radioth\u00e9rapie ont \u00e9t\u00e9 report\u00e9es ou retard\u00e9es dans de nombreux pays, les ressources ayant \u00e9t\u00e9 r\u00e9affect\u00e9es pour faire face \u00e0 la pand\u00e9mie.<\/p>\n

Jusqu\u2019\u00e0 pr\u00e9sent, il n\u2019a pas \u00e9t\u00e9 possible de quantifier de mani\u00e8re fiable l\u2019impact des mesures de confinement li\u00e9es au Covid-19 sur les modes de soins et les r\u00e9sultats des patients, et souligne qu\u2019il est n\u00e9cessaire de d\u00e9ployer un effort international pour \u00e9tablir des syst\u00e8mes de production de donn\u00e9es de haute qualit\u00e9 afin d\u2019\u00e9clairer les recherches ult\u00e9rieures sur ce sujet.<\/p>\n

En r\u00e9alit\u00e9, les retards de traitement, notamment en mati\u00e8re de chirurgie du cancer, ont probablement des cons\u00e9quences bien plus importantes pour les patients et les syst\u00e8mes de sant\u00e9 que ne le sugg\u00e8rent les r\u00e9sultats de cette \u00e9tude. Elle ne tient pas compte de l'impact d'une aggravation de l'\u00e9tat du patient, de la n\u00e9cessit\u00e9 de traitements plus lourds et d'un risque accru de complications en raison de la progression de la maladie pendant les retards, ni de l'impact sur la qualit\u00e9 de vie des patients. Elle peut \u00e9galement entra\u00eener une charge \u00e9conomique plus lourde en raison de co\u00fbts de soins directs plus \u00e9lev\u00e9s.<\/p>\n

Bien que cela ne soit pas le sujet de cette \u00e9tude, il est \u00e9galement important de prendre en compte ce qui se passe avant que le patient ne soit diagnostiqu\u00e9. Si le temps d'attente pour consulter un sp\u00e9cialiste ou prendre rendez-vous pour un examen diagnostique, comme un scanner ou une coloscopie, est plus long, cela affecte la rapidit\u00e9 avec laquelle les patients sont trait\u00e9s ; et un retard peut avoir un effet n\u00e9faste sur la qualit\u00e9 de vie des patients. Plus le cancer est diagnostiqu\u00e9 tard, plus le traitement sera urgent et plus le pronostic du patient sera mauvais.<\/p>\n

La revue est accessible sur le site du BMJ<\/a><\/p>","protected":false},"excerpt":{"rendered":"

Une \u00e9tude r\u00e9cente publi\u00e9e dans le British Medical Journal (BMJ) a conclu qu'un retard dans le traitement du cancer est associ\u00e9 \u00e0 une augmentation de la mortalit\u00e9 toutes causes confondues.<\/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\/fr_fr\/longer-waiting-times-linked-to-higher-mortality-for-cancer-patients\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\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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