{"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\/hr_hr\/longer-waiting-times-linked-to-higher-mortality-for-cancer-patients\/","title":{"rendered":"Dulje vrijeme \u010dekanja povezano je s ve\u0107om smrtno\u0161\u0107u pacijenata oboljelih od raka"},"content":{"rendered":"

Nedavno istra\u017eivanje objavljeno u British Medical Journalu (BMJ) pokazalo je da je odgoda u lije\u010denju raka povezana s pove\u0107anjem smrtnosti od svih uzroka.<\/p>\n

Od po\u010detka pandemije Covid-19 pristup pacijenata lije\u010denju raka odgo\u0111en je u mnogim zdravstvenim ustanovama diljem svijeta, a to je dovelo do zabrinutosti o ne\u017eeljenim posljedicama mjera kontrole pandemije za oboljele od raka.<\/p>\n

Iako su globalno provedene brojne studije o odnosu izme\u0111u odgode lije\u010denja i smrtnosti, poku\u0161aji modeliranja bili su ometeni 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 \u010detverotjedna odgoda izme\u0111u dijagnoze i operacije povezana s 6-8% relativnim pove\u0107anjem smrtnosti od svih uzroka.<\/p>\n

Vrste raka uklju\u010dene u studiju predstavljaju 44% svih incidenata karcinoma<\/a> globalno. Obuhva\u0107a pet uobi\u010dajenih vrsta raka; rak mjehura, dojke, debelog crijeva, rektuma i plu\u0107a; rak vrata maternice, koji je \u010detvrti naj\u010de\u0161\u0107i rak kod \u017eena; i rak glave i vrata; i otkrili da je, za svih sedam vrsta raka, odgoda lije\u010denja od \u010detiri tjedna povezana s pove\u0107anjem rizika od smrti.<\/p>\n

Osim toga, studija je otkrila da ka\u0161njenja do osam i dvanaest tjedana dodatno pove\u0107avaju rizik od smrti. Odgoda od osam tjedana u operaciji raka dojke pove\u0107ala bi rizik od smrti za 17%, a odgoda od 12 tjedana, kao \u0161to se dogodilo tijekom karantene i oporavka od Covid-19 u nekim zemljama, pove\u0107ala bi rizik za 26%.<\/p>\n

Utjecaj odgode lije\u010denja na ishode pacijenata ne\u0161to je \u0161to je do\u0161lo u prvi plan tijekom pandemije Covid-19. Iako se ve\u0107im dijelom provodi hitna kirurgija raka, elektivna kirurgija raka i radioterapija su odgo\u0111ene ili odgo\u0111ene u mnogim zemljama jer su resursi preraspodijeljeni za borbu s pandemijom.<\/p>\n

Do sada nije bilo mogu\u0107e robusno kvantificirati utjecaj mjera karantene za Covid-19 na obrasce skrbi i ishode pacijenata, a nagla\u0161ava se da postoji potreba za me\u0111unarodnim naporima za uspostavu sustava za proizvodnju visokokvalitetnih podataka koji \u0107e poslu\u017eiti za daljnja istra\u017eivanja o tome.<\/p>\n

Stvarnost je da je utjecaj odgode lije\u010denja, uklju\u010duju\u0107i operaciju raka, vjerojatno daleko ve\u0107i i za pacijente i za zdravstvene sustave zemalja nego \u0161to pokazuju rezultati ove studije. Ne uzima u obzir utjecaj pogor\u0161anja stanja na pacijenta; potreba za opse\u017enijim tretmanima i pove\u0107an rizik od komplikacija zbog progresije tijekom ka\u0161njenja; te utjecaj na kvalitetu \u017eivota pacijenata. To tako\u0111er mo\u017ee dovesti do ve\u0107eg ekonomskog optere\u0107enja kroz vi\u0161e izravne tro\u0161kove skrbi.<\/p>\n

Iako je izvan opsega ove studije, jasno je da je tako\u0111er va\u017eno uzeti u obzir ono \u0161to se doga\u0111a u vremenu prije nego \u0161to se pacijentu postavi dijagnoza. Ako se vrijeme \u010dekanja produ\u017ei za posjet specijalistu ili naru\u010divanje za dijagnosti\u010dki test, kao \u0161to je skeniranje ili kolonoskopija, to utje\u010de na brzinu kojom se pacijenti lije\u010de; a odgoda mo\u017ee imati \u0161tetan u\u010dinak na kvalitetu \u017eivota pacijenata. \u0160to se rak kasnije dijagnosticira, lije\u010denje \u0107e biti hitnije, a ishod za pacijenta \u0107e tako\u0111er 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) pokazalo je da je odgoda u lije\u010denju raka povezana 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\/hr_hr\/longer-waiting-times-linked-to-higher-mortality-for-cancer-patients\/\" \/>\n<meta property=\"og:locale\" content=\"hr_HR\" \/>\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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