{"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\/pt_pt\/longer-waiting-times-linked-to-higher-mortality-for-cancer-patients\/","title":{"rendered":"Tempos de espera mais longos associados a maior mortalidade de pacientes com c\u00e2ncer"},"content":{"rendered":"

Uma pesquisa recente publicada no British Medical Journal (BMJ) concluiu que um atraso no tratamento do c\u00e2ncer est\u00e1 associado a um aumento na mortalidade por todas as causas.<\/p>\n

Desde o in\u00edcio da pandemia de Covid-19, o acesso dos pacientes ao tratamento do c\u00e2ncer tem sido adiado em muitos ambientes de sa\u00fade no mundo todo, o que gerou preocupa\u00e7\u00e3o sobre as consequ\u00eancias n\u00e3o intencionais das medidas de controle da pandemia para pacientes com c\u00e2ncer.<\/p>\n

Embora tenham sido realizados v\u00e1rios estudos a n\u00edvel mundial sobre a rela\u00e7\u00e3o entre atrasos no tratamento e mortalidade, os esfor\u00e7os de modela\u00e7\u00e3o foram dificultados pela falta de evid\u00eancias de qualidade no mundo real, pelo que a equipa de investiga\u00e7\u00e3o conduziu uma revis\u00e3o abrangente<\/a> de 34 estudos j\u00e1 existentes sobre sete principais tipos de c\u00e2ncer.<\/p>\n

Os resultados mostraram que cada atraso de quatro semanas entre o diagn\u00f3stico e a cirurgia est\u00e1 associado a um aumento relativo de 6-8% na mortalidade por todas as causas.<\/p>\n

Os tipos de c\u00e2ncer inclu\u00eddos no estudo representam 44% de todos os c\u00e2nceres incidentes<\/a> globalmente. Ele cobriu cinco tipos comuns de c\u00e2ncer; c\u00e2ncer de bexiga, mama, c\u00f3lon, reto e pulm\u00e3o; c\u00e2ncer cervical, que \u00e9 o quarto tipo mais comum de c\u00e2ncer entre mulheres; e c\u00e2ncer de cabe\u00e7a e pesco\u00e7o; e descobriu que, para todos os sete tipos de c\u00e2ncer, um atraso de quatro semanas no tratamento est\u00e1 associado a um aumento no risco de morte.<\/p>\n

Al\u00e9m disso, o estudo descobriu que atrasos de at\u00e9 oito semanas e doze semanas aumentam ainda mais o risco de morte. Um atraso de oito semanas na cirurgia de c\u00e2ncer de mama aumentaria o risco de morte em 17% e um atraso de 12 semanas, como experimentado por exemplo durante o bloqueio e a recupera\u00e7\u00e3o da Covid-19 em alguns pa\u00edses, aumentaria o risco em 26%.<\/p>\n

O impacto dos atrasos no tratamento nos resultados dos pacientes \u00e9 algo que veio \u00e0 tona durante a pandemia da Covid-19. Embora, na maior parte, a cirurgia de c\u00e2ncer urgente tenha acontecido, a cirurgia eletiva de c\u00e2ncer e a radioterapia foram adiadas ou atrasadas em muitos pa\u00edses, pois os recursos foram realocados para lidar com a pandemia.<\/p>\n

At\u00e9 o momento, n\u00e3o foi poss\u00edvel quantificar de forma robusta o impacto das medidas de bloqueio da Covid-19 nos padr\u00f5es de atendimento e nos resultados dos pacientes, e enfatiza que h\u00e1 necessidade de um esfor\u00e7o internacional para estabelecer sistemas de produ\u00e7\u00e3o de dados de alta qualidade para informar pesquisas futuras sobre isso.<\/p>\n

A realidade \u00e9 que o impacto dos atrasos no tratamento, incluindo cirurgias de c\u00e2ncer, \u00e9 provavelmente muito maior para os pacientes e para os sistemas de sa\u00fade dos pa\u00edses do que os resultados deste estudo sugerem. Ele n\u00e3o leva em considera\u00e7\u00e3o o impacto de uma piora da condi\u00e7\u00e3o no paciente; a necessidade de tratamentos mais extensos e o aumento do risco de complica\u00e7\u00f5es devido \u00e0 progress\u00e3o durante os atrasos; e o impacto na qualidade de vida dos pacientes. Tamb\u00e9m pode levar a um maior fardo econ\u00f4mico por meio de maiores custos diretos de assist\u00eancia.<\/p>\n

Embora fora do escopo deste estudo, o que acontece no tempo antes do diagn\u00f3stico do paciente tamb\u00e9m \u00e9 claramente importante a ser considerado. Se o tempo de espera for estendido para consultar um especialista ou ser agendado para um teste de diagn\u00f3stico, como uma tomografia ou uma colonoscopia, isso afeta a velocidade com que os pacientes s\u00e3o tratados; e um atraso pode ter um efeito prejudicial na qualidade de vida dos pacientes. Quanto mais tarde o c\u00e2ncer for diagnosticado, mais urgente ser\u00e1 o tratamento e pior tamb\u00e9m provavelmente ser\u00e1 o resultado do paciente.<\/p>\n

A revis\u00e3o pode ser acessada no site do BMJ<\/a><\/p>","protected":false},"excerpt":{"rendered":"

Uma pesquisa recente publicada no British Medical Journal (BMJ) concluiu que um atraso no tratamento do c\u00e2ncer est\u00e1 associado a um aumento na mortalidade por todas as causas.<\/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\/pt_pt\/longer-waiting-times-linked-to-higher-mortality-for-cancer-patients\/\" \/>\n<meta property=\"og:locale\" content=\"pt_PT\" \/>\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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