{"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\/hu_hu\/longer-waiting-times-linked-to-higher-mortality-for-cancer-patients\/","title":{"rendered":"A hosszabb v\u00e1rakoz\u00e1si id\u0151 a r\u00e1kos betegek magasabb hal\u00e1loz\u00e1si ar\u00e1ny\u00e1hoz kapcsol\u00f3dik"},"content":{"rendered":"<p>A British Medical Journal (BMJ) nemr\u00e9giben megjelent kutat\u00e1sa arra a k\u00f6vetkeztet\u00e9sre jutott, hogy a r\u00e1k kezel\u00e9s\u00e9nek k\u00e9s\u00e9se a minden okb\u00f3l kifoly\u00f3lag bek\u00f6vetkez\u0151 hal\u00e1loz\u00e1s n\u00f6veked\u00e9s\u00e9vel j\u00e1r.<\/p>\n<p>A Covid-19 vil\u00e1gj\u00e1rv\u00e1ny kezdete \u00f3ta a betegek r\u00e1kkezel\u00e9shez val\u00f3 hozz\u00e1f\u00e9r\u00e9se vil\u00e1gszerte sz\u00e1mos eg\u00e9szs\u00e9g\u00fcgyi int\u00e9zm\u00e9nyben k\u00e9sett, \u00e9s ez aggodalomra ad okot a vil\u00e1gj\u00e1rv\u00e1ny elleni v\u00e9dekez\u00e9si int\u00e9zked\u00e9sek r\u00e1kos betegekre gyakorolt nem sz\u00e1nd\u00e9kos k\u00f6vetkezm\u00e9nyei miatt.<\/p>\n<p>B\u00e1r vil\u00e1gszerte sz\u00e1mos tanulm\u00e1ny k\u00e9sz\u00fclt a kezel\u00e9si k\u00e9s\u00e9sek \u00e9s a hal\u00e1loz\u00e1s k\u00f6z\u00f6tti \u00f6sszef\u00fcgg\u00e9sr\u0151l, a modellez\u00e9si er\u0151fesz\u00edt\u00e9seket h\u00e1tr\u00e1ltatta a min\u0151s\u00e9gi val\u00f3s bizony\u00edt\u00e9kok hi\u00e1nya, ez\u00e9rt a kutat\u00f3csoport egy <a href=\"https:\/\/www.bmj.com\/content\/371\/bmj.m4087\">\u00e1tfog\u00f3 \u00e1ttekint\u00e9s<\/a> h\u00e9t f\u0151 r\u00e1kt\u00edpusra kiterjed\u0151 34 m\u00e1r l\u00e9tez\u0151 tanulm\u00e1nyb\u00f3l.<\/p>\n<p>Az eredm\u00e9nyek azt mutatt\u00e1k, hogy a diagn\u00f3zis \u00e9s a m\u0171t\u00e9t k\u00f6z\u00f6tti minden n\u00e9gyhetes k\u00e9s\u00e9s a 6-8% relat\u00edv n\u00f6veked\u00e9ssel j\u00e1r a minden okb\u00f3l kifoly\u00f3lagos hal\u00e1loz\u00e1sban.<\/p>\n<p>A vizsg\u00e1latba bevont r\u00e1kt\u00edpusok k\u00e9pviselik <a href=\"https:\/\/gco.iarc.fr\/today\/data\/factsheets\/cancers\/39-All-cancers-fact-sheet.pdf\">44% az \u00f6sszes el\u0151fordul\u00f3 r\u00e1kos megbeteged\u00e9s k\u00f6z\u00fcl<\/a> glob\u00e1lisan. \u00d6t gyakori r\u00e1kra terjedt ki; h\u00f3lyag-, mell-, vastagb\u00e9l-, v\u00e9gb\u00e9l- \u00e9s t\u00fcd\u0151r\u00e1k; m\u00e9hnyakr\u00e1k, amely a negyedik leggyakoribb r\u00e1k a n\u0151k k\u00f6r\u00e9ben; \u00e9s fej-nyaki r\u00e1k; \u00e9s meg\u00e1llap\u00edtotta, hogy mind a h\u00e9t r\u00e1kt\u00edpus eset\u00e9ben a kezel\u00e9s n\u00e9gyhetes k\u00e9s\u00e9se a hal\u00e1loz\u00e1si kock\u00e1zat n\u00f6veked\u00e9s\u00e9vel j\u00e1r.<\/p>\n<p>Ezenk\u00edv\u00fcl a tanulm\u00e1ny meg\u00e1llap\u00edtotta, hogy a nyolc h\u00e9tig \u00e9s tizenk\u00e9t hetes k\u00e9s\u00e9sek tov\u00e1bb n\u00f6velik a hal\u00e1loz\u00e1s kock\u00e1zat\u00e1t. A mellr\u00e1km\u0171t\u00e9t nyolchetes k\u00e9s\u00e9se 17%-vel n\u00f6veln\u00e9 a hal\u00e1loz\u00e1s kock\u00e1zat\u00e1t, \u00e9s 12 hetes k\u00e9s\u00e9s, amint azt p\u00e9ld\u00e1ul a Covid-19-z\u00e1rlat \u00e9s egyes orsz\u00e1gok fel\u00e9p\u00fcl\u00e9se sor\u00e1n tapasztalt\u00e1k, 26%-vel n\u00f6veln\u00e9 a kock\u00e1zatot.<\/p>\n<p>A k\u00e9sedelmes kezel\u00e9s hat\u00e1sa a betegek kimenetel\u00e9re olyan dolog, amely a Covid-19 vil\u00e1gj\u00e1rv\u00e1ny idej\u00e9n el\u0151t\u00e9rbe ker\u00fclt. Noha a legt\u00f6bb esetben s\u00fcrg\u0151s r\u00e1km\u0171t\u00e9tet hajtanak v\u00e9gre, az elekt\u00edv r\u00e1km\u0171t\u00e9tet \u00e9s a sug\u00e1rter\u00e1pi\u00e1t sok orsz\u00e1gban elhalasztott\u00e1k vagy elhalasztott\u00e1k, mivel er\u0151forr\u00e1sokat csoportos\u00edtottak \u00e1t a j\u00e1rv\u00e1ny kezel\u00e9s\u00e9re.<\/p>\n<p>A Covid-19-elz\u00e1r\u00e1si int\u00e9zked\u00e9seknek az ell\u00e1t\u00e1si mint\u00e1kra \u00e9s a betegek kimenetel\u00e9re gyakorolt hat\u00e1s\u00e1t eddig nem lehetett megb\u00edzhat\u00f3an sz\u00e1mszer\u0171s\u00edteni, \u00e9s hangs\u00falyozza, hogy nemzetk\u00f6zi er\u0151fesz\u00edt\u00e9sekre van sz\u00fcks\u00e9g annak \u00e9rdek\u00e9ben, hogy olyan rendszereket hozzanak l\u00e9tre, amelyek j\u00f3 min\u0151s\u00e9g\u0171 adatokat \u00e1ll\u00edtanak el\u0151, amelyek megalapozz\u00e1k a tov\u00e1bbi kutat\u00e1sokat.<\/p>\n<p>A val\u00f3s\u00e1g az, hogy a k\u00e9sedelmes kezel\u00e9sek hat\u00e1sa \u2013 bele\u00e9rtve a r\u00e1km\u0171t\u00e9teket is \u2013 val\u00f3sz\u00edn\u0171leg sokkal nagyobb hat\u00e1ssal van mind a betegekre, mind az orsz\u00e1gok eg\u00e9szs\u00e9g\u00fcgyi ell\u00e1t\u00f3rendszer\u00e9re, mint azt a jelen tanulm\u00e1ny eredm\u00e9nyei sugallj\u00e1k. Nem veszi figyelembe az \u00e1llapot rosszabbod\u00e1s\u00e1nak a betegre gyakorolt hat\u00e1s\u00e1t; kiterjedtebb kezel\u00e9sek sz\u00fcks\u00e9gess\u00e9ge \u00e9s a sz\u00f6v\u0151dm\u00e9nyek fokozott kock\u00e1zata a k\u00e9s\u00e9sek sor\u00e1n bek\u00f6vetkez\u0151 progresszi\u00f3 miatt; \u00e9s a betegek \u00e9letmin\u0151s\u00e9g\u00e9re gyakorolt hat\u00e1s. A magasabb k\u00f6zvetlen gondoz\u00e1si k\u00f6lts\u00e9gek r\u00e9v\u00e9n nagyobb gazdas\u00e1gi teherhez is vezethet.<\/p>\n<p>J\u00f3llehet a vizsg\u00e1lat keretein k\u00edv\u00fcl esik, egy\u00e9rtelm\u0171en azt is figyelembe kell venni, hogy mi t\u00f6rt\u00e9nik a beteg diagn\u00f3zisa el\u0151tt. Ha a v\u00e1rakoz\u00e1si id\u0151 meghosszabbodik a szakorvosi l\u00e1togat\u00e1sra vagy egy diagnosztikai vizsg\u00e1latra, p\u00e9ld\u00e1ul szkennel\u00e9sre vagy kolonoszk\u00f3pi\u00e1ra, az befoly\u00e1solja a betegek kezel\u00e9s\u00e9nek sebess\u00e9g\u00e9t; a k\u00e9s\u00e9s pedig k\u00e1ros hat\u00e1ssal lehet a betegek \u00e9letmin\u0151s\u00e9g\u00e9re. Min\u00e9l k\u00e9s\u0151bb diagnosztiz\u00e1lj\u00e1k a r\u00e1kot, ann\u00e1l s\u00fcrg\u0151sebb lesz a kezel\u00e9s, \u00e9s ann\u00e1l rosszabb lesz a beteg kimenetele is.<\/p>\n<p>Az ismertet\u0151 el\u00e9rhet\u0151 <a href=\"https:\/\/www.bmj.com\/content\/371\/bmj.m4087\">a BMJ honlapj\u00e1n<\/a><\/p>","protected":false},"excerpt":{"rendered":"<p>A British Medical Journal (BMJ) nemr\u00e9giben megjelent kutat\u00e1sa arra a k\u00f6vetkeztet\u00e9sre jutott, hogy a r\u00e1k kezel\u00e9s\u00e9nek k\u00e9s\u00e9se a minden okb\u00f3l kifoly\u00f3lag bek\u00f6vetkez\u0151 hal\u00e1loz\u00e1s n\u00f6veked\u00e9s\u00e9vel j\u00e1r.<\/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 - 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