{"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\/sv_se\/longer-waiting-times-linked-to-higher-mortality-for-cancer-patients\/","title":{"rendered":"L\u00e4ngre v\u00e4ntetider kopplat till h\u00f6gre d\u00f6dlighet f\u00f6r cancerpatienter"},"content":{"rendered":"

En nyligen publicerad forskning publicerad i British Medical Journal (BMJ) har kommit fram till att en f\u00f6rsening av behandlingen av cancer \u00e4r f\u00f6rknippad med en \u00f6kning av d\u00f6dligheten av alla orsaker.<\/p>\n

Sedan starten av Covid-19-pandemin har patienters tillg\u00e5ng till cancerbehandling f\u00f6rsenats i m\u00e5nga v\u00e5rdmilj\u00f6er v\u00e4rlden \u00f6ver, och detta har lett till oro f\u00f6r de oavsiktliga konsekvenserna av pandemikontroll\u00e5tg\u00e4rder f\u00f6r cancerpatienter.<\/p>\n

\u00c4ven om ett antal studier har genomf\u00f6rts globalt om sambandet mellan behandlingsf\u00f6rseningar och d\u00f6dlighet, hade modelleringsinsatser f\u00f6rsv\u00e5rats av bristen p\u00e5 kvalitetsbevis fr\u00e5n den verkliga v\u00e4rlden, s\u00e5 forskargruppen genomf\u00f6rde en omfattande granskning<\/a> av 34 redan existerande studier \u00f6ver sju stora cancertyper.<\/p>\n

Resultaten visade att varje fyra veckors f\u00f6rdr\u00f6jning mellan diagnos och operation \u00e4r associerad med en relativ \u00f6kning av d\u00f6dligheten p\u00e5 6-8%.<\/p>\n

De cancertyper som ing\u00e5r i studien representerar 44% av alla incidenter cancer<\/a> globalt. Den t\u00e4ckte fem vanliga cancerformer; cancer i urinbl\u00e5san, br\u00f6stet, tjocktarmen, \u00e4ndtarmen och lungorna; livmoderhalscancer, som \u00e4r den fj\u00e4rde vanligaste cancerformen bland kvinnor; och huvud- och halscancer; och fann att f\u00f6r alla sju cancertyper \u00e4r en behandlingsf\u00f6rdr\u00f6jning p\u00e5 fyra veckor associerad med en \u00f6kning av risken f\u00f6r d\u00f6dsfall.<\/p>\n

Dessutom fann studien att f\u00f6rseningar p\u00e5 upp till \u00e5tta veckor och tolv veckor ytterligare \u00f6kar risken f\u00f6r d\u00f6dsfall. En \u00e5tta veckors f\u00f6rsening av br\u00f6stcancerkirurgi skulle \u00f6ka risken f\u00f6r d\u00f6dsfall med 17% och en 12-veckors f\u00f6rsening, som upplevts till exempel under Covid-19-l\u00e5sning och \u00e5terh\u00e4mtning i vissa l\u00e4nder, skulle \u00f6ka risken med 26%.<\/p>\n

Effekten av behandlingsf\u00f6rseningar p\u00e5 patientresultat \u00e4r n\u00e5got som har kommit i f\u00f6rgrunden under Covid-19-pandemin. \u00c4ven om akut cancerkirurgi f\u00f6r det mesta har p\u00e5g\u00e5tt, har elektiv cancerkirurgi och str\u00e5lbehandling skjutits upp eller f\u00f6rsenats i m\u00e5nga l\u00e4nder eftersom resurser har omf\u00f6rdelats f\u00f6r att hantera pandemin.<\/p>\n

Hittills har det inte varit m\u00f6jligt att p\u00e5 ett robust s\u00e4tt kvantifiera effekten av Covid-19-l\u00e5snings\u00e5tg\u00e4rder p\u00e5 v\u00e5rdm\u00f6nster och patientresultat, och de betonar att det finns ett behov av en internationell satsning f\u00f6r att etablera system f\u00f6r att producera h\u00f6gkvalitativ data f\u00f6r att informera vidare forskning om detta.<\/p>\n

Verkligheten \u00e4r att effekten av behandlingsf\u00f6rseningar, inklusive f\u00f6r cancerkirurgi, f\u00f6rmodligen \u00e4r mycket st\u00f6rre f\u00f6r b\u00e5de patienter och l\u00e4nders sjukv\u00e5rdssystem \u00e4n vad resultaten av denna studie antyder. Den tar inte h\u00e4nsyn till effekten av en f\u00f6rs\u00e4mring av tillst\u00e5ndet p\u00e5 patienten; behovet av mer omfattande behandlingar och \u00f6kad risk f\u00f6r komplikationer p\u00e5 grund av progression under f\u00f6rseningar; och p\u00e5verkan p\u00e5 patienternas livskvalitet. Det kan ocks\u00e5 leda till en st\u00f6rre ekonomisk b\u00f6rda genom h\u00f6gre direkta v\u00e5rdkostnader.<\/p>\n

\u00c4ven om det ligger utanf\u00f6r ramen f\u00f6r denna studie \u00e4r vad som h\u00e4nder under tiden innan patienten diagnostiseras uppenbarligen ocks\u00e5 viktigt att \u00f6verv\u00e4ga. Om v\u00e4ntetiden f\u00f6rl\u00e4ngs f\u00f6r att f\u00e5 tr\u00e4ffa en specialist eller bokas in f\u00f6r ett diagnostiskt test, till exempel en skanning eller en koloskopi, p\u00e5verkar det hur snabbt patienterna behandlas; och en f\u00f6rsening kan ha en skadlig effekt p\u00e5 patienternas livskvalitet. Ju senare cancer diagnostiseras, desto mer br\u00e5dskande blir behandlingen och desto s\u00e4mre blir patientresultatet ocks\u00e5.<\/p>\n

Recensionen kan n\u00e5s p\u00e5 BMJ:s hemsida<\/a><\/p>","protected":false},"excerpt":{"rendered":"

En nyligen publicerad forskning publicerad i British Medical Journal (BMJ) har kommit fram till att en f\u00f6rsening av behandlingen av cancer \u00e4r f\u00f6rknippad med en \u00f6kning av d\u00f6dligheten av alla orsaker.<\/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\/sv_se\/longer-waiting-times-linked-to-higher-mortality-for-cancer-patients\/\" \/>\n<meta property=\"og:locale\" content=\"sv_SE\" \/>\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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