{"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\/pl_pl\/longer-waiting-times-linked-to-higher-mortality-for-cancer-patients\/","title":{"rendered":"D\u0142u\u017cszy czas oczekiwania wi\u0105\u017ce si\u0119 z wy\u017csz\u0105 \u015bmiertelno\u015bci\u0105 pacjent\u00f3w chorych na raka"},"content":{"rendered":"

Z niedawnego badania opublikowanego w British Medical Journal (BMJ) wynika, \u017ce op\u00f3\u017anienie w leczeniu raka wi\u0105\u017ce si\u0119 ze wzrostem \u015bmiertelno\u015bci ze wszystkich przyczyn.<\/p>\n

Od pocz\u0105tku pandemii COVID-19 dost\u0119p pacjent\u00f3w do leczenia onkologicznego w wielu plac\u00f3wkach s\u0142u\u017cby zdrowia na ca\u0142ym \u015bwiecie uleg\u0142 op\u00f3\u017anieniu, co wzbudzi\u0142o obawy dotycz\u0105ce niezamierzonych skutk\u00f3w \u015brodk\u00f3w kontroli pandemii dla pacjent\u00f3w onkologicznych.<\/p>\n

Chocia\u017c na ca\u0142ym \u015bwiecie przeprowadzono szereg bada\u0144 dotycz\u0105cych zwi\u0105zku mi\u0119dzy op\u00f3\u017anieniami w leczeniu a \u015bmiertelno\u015bci\u0105, prace nad modelowaniem by\u0142y utrudnione przez brak wysokiej jako\u015bci dowod\u00f3w ze \u015bwiata rzeczywistego, dlatego zesp\u00f3\u0142 badawczy przeprowadzi\u0142 kompleksowy przegl\u0105d<\/a> z 34 ju\u017c istniej\u0105cych bada\u0144 obejmuj\u0105cych siedem g\u0142\u00f3wnych typ\u00f3w raka.<\/p>\n

Wyniki pokaza\u0142y, \u017ce ka\u017cde cztery tygodnie op\u00f3\u017anienia mi\u0119dzy diagnoz\u0105 a operacj\u0105 wi\u0105\u017c\u0105 si\u0119 ze wzgl\u0119dnym wzrostem \u015bmiertelno\u015bci z jakiejkolwiek przyczyny o 6-8%.<\/p>\n

Rodzaje nowotwor\u00f3w uwzgl\u0119dnione w badaniu stanowi\u0105 44% wszystkich zachorowa\u0144 na nowotwory<\/a> globalnie. Obj\u0119\u0142o ono pi\u0119\u0107 powszechnych nowotwor\u00f3w: rak p\u0119cherza, piersi, jelita grubego, odbytnicy i p\u0142uc; rak szyjki macicy, kt\u00f3ry jest czwartym najcz\u0119\u015bciej wyst\u0119puj\u0105cym nowotworem u kobiet; oraz rak g\u0142owy i szyi; i wykaza\u0142o, \u017ce w przypadku wszystkich siedmiu typ\u00f3w nowotwor\u00f3w op\u00f3\u017anienie w leczeniu o cztery tygodnie wi\u0105\u017ce si\u0119 ze wzrostem ryzyka zgonu.<\/p>\n

Ponadto badanie wykaza\u0142o, \u017ce op\u00f3\u017anienia do o\u015bmiu i dwunastu tygodni dodatkowo zwi\u0119kszaj\u0105 ryzyko zgonu. O\u015bmiotygodniowe op\u00f3\u017anienie w operacji raka piersi zwi\u0119kszy\u0142oby ryzyko zgonu o 17%, a 12-tygodniowe op\u00f3\u017anienie, jak mia\u0142o to miejsce na przyk\u0142ad podczas blokady Covid-19 i powrotu do zdrowia w niekt\u00f3rych krajach, zwi\u0119kszy\u0142oby ryzyko o 26%.<\/p>\n

Wp\u0142yw op\u00f3\u017anie\u0144 w leczeniu na wyniki leczenia pacjent\u00f3w to co\u015b, co wysun\u0119\u0142o si\u0119 na pierwszy plan podczas pandemii Covid-19. Chocia\u017c w wi\u0119kszo\u015bci przypadk\u00f3w pilne operacje onkologiczne by\u0142y kontynuowane, w wielu krajach planowe operacje onkologiczne i radioterapia zosta\u0142y prze\u0142o\u017cone lub op\u00f3\u017anione, poniewa\u017c zasoby zosta\u0142y przeniesione na radzenie sobie z pandemi\u0105.<\/p>\n

Jak dot\u0105d nie uda\u0142o si\u0119 precyzyjnie okre\u015bli\u0107 wp\u0142ywu \u015brodk\u00f3w blokuj\u0105cych wprowadzonych z powodu COVID-19 na wzorce opieki i wyniki leczenia pacjent\u00f3w, co podkre\u015bla potrzeb\u0119 mi\u0119dzynarodowego wysi\u0142ku na rzecz ustanowienia system\u00f3w zapewniaj\u0105cych wysokiej jako\u015bci dane, kt\u00f3re pos\u0142u\u017c\u0105 do dalszych bada\u0144 w tym zakresie.<\/p>\n

Rzeczywisto\u015b\u0107 jest taka, \u017ce wp\u0142yw op\u00f3\u017anie\u0144 w leczeniu, w tym w przypadku operacji onkologicznych, jest prawdopodobnie znacznie wi\u0119kszy zar\u00f3wno dla pacjent\u00f3w, jak i system\u00f3w opieki zdrowotnej w danym kraju, ni\u017c sugeruj\u0105 wyniki tego badania. Nie bierze ono pod uwag\u0119 wp\u0142ywu pogorszenia stanu na pacjenta; potrzeby bardziej rozleg\u0142ych zabieg\u00f3w i zwi\u0119kszonego ryzyka powik\u0142a\u0144 z powodu post\u0119pu w trakcie op\u00f3\u017anie\u0144; ani wp\u0142ywu na jako\u015b\u0107 \u017cycia pacjent\u00f3w. Mo\u017ce to r\u00f3wnie\u017c prowadzi\u0107 do wi\u0119kszego obci\u0105\u017cenia ekonomicznego poprzez wy\u017csze koszty bezpo\u015bredniej opieki.<\/p>\n

Chocia\u017c wykracza to poza zakres tego badania, to, co dzieje si\u0119 w czasie przed postawieniem diagnozy u pacjenta, jest r\u00f3wnie\u017c wyra\u017anie wa\u017cne do rozwa\u017cenia. Je\u015bli czas oczekiwania na wizyt\u0119 u specjalisty lub um\u00f3wienie si\u0119 na badanie diagnostyczne, takie jak skan lub kolonoskopia, jest wyd\u0142u\u017cony, wp\u0142ywa to na szybko\u015b\u0107, z jak\u0105 pacjenci s\u0105 leczeni; a op\u00f3\u017anienie mo\u017ce mie\u0107 szkodliwy wp\u0142yw na jako\u015b\u0107 \u017cycia pacjent\u00f3w. Im p\u00f3\u017aniej zostanie zdiagnozowany rak, tym pilniejsze b\u0119dzie leczenie i tym gorsze mog\u0105 by\u0107 r\u00f3wnie\u017c wyniki leczenia pacjenta.<\/p>\n

Recenzj\u0119 mo\u017cna przeczyta\u0107 na stronie internetowej BMJ<\/a><\/p>","protected":false},"excerpt":{"rendered":"

Z niedawnego badania opublikowanego w British Medical Journal (BMJ) wynika, \u017ce op\u00f3\u017anienie w leczeniu raka wi\u0105\u017ce si\u0119 ze wzrostem \u015bmiertelno\u015bci ze wszystkich przyczyn.<\/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\/pl_pl\/longer-waiting-times-linked-to-higher-mortality-for-cancer-patients\/\" \/>\n<meta property=\"og:locale\" content=\"pl_PL\" \/>\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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