{"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\/sq_al\/longer-waiting-times-linked-to-higher-mortality-for-cancer-patients\/","title":{"rendered":"Koha m\u00eb e gjat\u00eb e pritjes lidhet me vdekshm\u00ebrin\u00eb m\u00eb t\u00eb lart\u00eb p\u00ebr pacient\u00ebt me kancer"},"content":{"rendered":"<p>Nj\u00eb pjes\u00eb e fundit e hulumtimit t\u00eb botuar n\u00eb British Medical Journal (BMJ) ka arritur n\u00eb p\u00ebrfundimin se nj\u00eb vones\u00eb n\u00eb trajtimin e kancerit shoq\u00ebrohet me nj\u00eb rritje t\u00eb vdekshm\u00ebris\u00eb nga t\u00eb gjitha shkaqet.<\/p>\n<p>Q\u00eb nga fillimi i pandemis\u00eb Covid-19, aksesi i pacient\u00ebve n\u00eb trajtimin e kancerit \u00ebsht\u00eb vonuar n\u00eb shum\u00eb mjedise t\u00eb kujdesit sh\u00ebndet\u00ebsor n\u00eb mbar\u00eb bot\u00ebn dhe kjo ka \u00e7uar n\u00eb shqet\u00ebsim p\u00ebr pasojat e pad\u00ebshiruara t\u00eb masave t\u00eb kontrollit t\u00eb pandemis\u00eb p\u00ebr pacient\u00ebt me kancer.<\/p>\n<p>Megjith\u00ebse nj\u00eb num\u00ebr studimesh jan\u00eb nd\u00ebrmarr\u00eb n\u00eb nivel global mbi marr\u00ebdh\u00ebniet midis vonesave t\u00eb trajtimit dhe vdekshm\u00ebris\u00eb, p\u00ebrpjekjet e modelimit ishin penguar nga mungesa e provave cil\u00ebsore t\u00eb bot\u00ebs reale, k\u00ebshtu q\u00eb ekipi hulumtues kreu nj\u00eb <a href=\"https:\/\/www.bmj.com\/content\/371\/bmj.m4087\">rishikim gjith\u00ebp\u00ebrfshir\u00ebs<\/a> nga 34 studime tashm\u00eb ekzistuese n\u00eb shtat\u00eb lloje kryesore t\u00eb kancerit.<\/p>\n<p>Gjetjet treguan se \u00e7do kat\u00ebr jav\u00eb vones\u00eb midis diagnoz\u00ebs dhe operacionit shoq\u00ebrohet me nj\u00eb rritje relative 6-8% n\u00eb vdekshm\u00ebrin\u00eb nga t\u00eb gjitha shkaqet.<\/p>\n<p>Llojet e kancerit t\u00eb p\u00ebrfshira n\u00eb studim p\u00ebrfaq\u00ebsojn\u00eb <a href=\"https:\/\/gco.iarc.fr\/today\/data\/factsheets\/cancers\/39-All-cancers-fact-sheet.pdf\">44% e t\u00eb gjith\u00eb kancereve t\u00eb incidentit<\/a> globalisht. Ai mbuloi pes\u00eb kancere t\u00eb zakonshme; kanceri i fshik\u00ebz\u00ebs, gjirit, zorr\u00ebs s\u00eb trash\u00eb, rektumit dhe mushk\u00ebrive; kanceri i qaf\u00ebs s\u00eb mitr\u00ebs, i cili \u00ebsht\u00eb kanceri i kat\u00ebrt m\u00eb i zakonsh\u00ebm tek grat\u00eb; dhe kanceri i kok\u00ebs dhe qaf\u00ebs; dhe zbuloi se, p\u00ebr t\u00eb shtat\u00eb llojet e kancerit, nj\u00eb vones\u00eb e trajtimit prej kat\u00ebr jav\u00ebsh shoq\u00ebrohet me nj\u00eb rritje t\u00eb rrezikut t\u00eb vdekjes.<\/p>\n<p>P\u00ebrve\u00e7 k\u00ebsaj, studimi zbuloi se vonesat deri n\u00eb tet\u00eb jav\u00eb dhe dymb\u00ebdhjet\u00eb jav\u00eb rrisin m\u00eb tej rrezikun e vdekjes. Nj\u00eb vones\u00eb tet\u00eb-javore n\u00eb operacionin e kancerit t\u00eb gjirit do t\u00eb rriste rrezikun e vdekjes me 17% dhe nj\u00eb vones\u00eb 12-javore, si\u00e7 p\u00ebrjetohet p\u00ebr shembull gjat\u00eb bllokimit dhe rikuperimit t\u00eb Covid-19 n\u00eb disa vende, do t\u00eb rriste rrezikun me 26%.<\/p>\n<p>Ndikimi i vonesave t\u00eb trajtimit n\u00eb rezultatet e pacient\u00ebve \u00ebsht\u00eb di\u00e7ka q\u00eb ka dal\u00eb n\u00eb ball\u00eb gjat\u00eb pandemis\u00eb Covid-19. Megjith\u00ebse n\u00eb pjes\u00ebn m\u00eb t\u00eb madhe, operacioni urgjent i kancerit ka vazhduar, operacioni i zgjedhur i kancerit dhe radioterapia jan\u00eb shtyr\u00eb ose vonuar n\u00eb shum\u00eb vende pasi burimet jan\u00eb ricaktuar p\u00ebr t&#039;u marr\u00eb me pandemin\u00eb.<\/p>\n<p>Deri m\u00eb tani, nuk ka qen\u00eb e mundur t\u00eb p\u00ebrcaktohet me forc\u00eb ndikimi i masave t\u00eb bllokimit t\u00eb Covid-19 n\u00eb modelet e kujdesit dhe rezultatet e pacient\u00ebve, dhe thekson se ka nevoj\u00eb p\u00ebr nj\u00eb p\u00ebrpjekje nd\u00ebrkomb\u00ebtare p\u00ebr t\u00eb krijuar sisteme p\u00ebr prodhimin e t\u00eb dh\u00ebnave me cil\u00ebsi t\u00eb lart\u00eb p\u00ebr t\u00eb informuar hulumtime t\u00eb m\u00ebtejshme p\u00ebr k\u00ebt\u00eb.<\/p>\n<p>Realiteti \u00ebsht\u00eb se ndikimi i vonesave t\u00eb trajtimit, p\u00ebrfshir\u00eb kirurgjin\u00eb e kancerit, \u00ebsht\u00eb ndoshta shum\u00eb m\u00eb i madh si p\u00ebr pacient\u00ebt ashtu edhe p\u00ebr sistemet e kujdesit sh\u00ebndet\u00ebsor t\u00eb vendeve, sesa sugjerojn\u00eb rezultatet e k\u00ebtij studimi. Nuk merr parasysh ndikimin e nj\u00eb p\u00ebrkeq\u00ebsimi t\u00eb gjendjes tek pacienti; nevoja p\u00ebr trajtime m\u00eb t\u00eb gjera dhe rritje e rrezikut t\u00eb komplikimeve p\u00ebr shkak t\u00eb p\u00ebrparimit gjat\u00eb vonesave; dhe ndikimi n\u00eb cil\u00ebsin\u00eb e jet\u00ebs s\u00eb pacient\u00ebve. Mund t\u00eb \u00e7oj\u00eb gjithashtu n\u00eb nj\u00eb barr\u00eb m\u00eb t\u00eb madhe ekonomike p\u00ebrmes kostove m\u00eb t\u00eb larta t\u00eb kujdesit direkt.<\/p>\n<p>Edhe pse jasht\u00eb q\u00ebllimit t\u00eb k\u00ebtij studimi, ajo q\u00eb ndodh n\u00eb koh\u00ebn para se pacienti t\u00eb diagnostikohet \u00ebsht\u00eb gjithashtu e r\u00ebnd\u00ebsishme t\u00eb merret parasysh. N\u00ebse koha e pritjes zgjatet p\u00ebr t\u00eb par\u00eb nj\u00eb specialist ose p\u00ebr t&#039;u rezervuar p\u00ebr nj\u00eb test diagnostik, si skanimi ose kolonoskopia, kjo ndikon n\u00eb shpejt\u00ebsin\u00eb me t\u00eb cil\u00ebn trajtohen pacient\u00ebt; dhe nj\u00eb vones\u00eb mund t\u00eb ket\u00eb nj\u00eb efekt t\u00eb d\u00ebmsh\u00ebm n\u00eb cil\u00ebsin\u00eb e jet\u00ebs s\u00eb pacient\u00ebve. Sa m\u00eb von\u00eb t\u00eb diagnostikohet kanceri, aq m\u00eb urgjent do t\u00eb jet\u00eb trajtimi dhe aq m\u00eb i keq ka t\u00eb ngjar\u00eb t\u00eb jet\u00eb edhe rezultati i pacientit.<\/p>\n<p>Rishikimi mund t\u00eb arrihet <a href=\"https:\/\/www.bmj.com\/content\/371\/bmj.m4087\">n\u00eb faqen e internetit t\u00eb BMJ<\/a><\/p>","protected":false},"excerpt":{"rendered":"<p>Nj\u00eb pjes\u00eb e fundit e hulumtimit t\u00eb botuar n\u00eb British Medical Journal (BMJ) ka arritur n\u00eb p\u00ebrfundimin se nj\u00eb vones\u00eb n\u00eb trajtimin e kancerit shoq\u00ebrohet me nj\u00eb rritje t\u00eb vdekshm\u00ebris\u00eb nga t\u00eb gjitha shkaqet.<\/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 v27.5 - 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