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Oral and oropharyngeal cancer: time from first symptoms to treatment initiation and associated factors
COSTA, Adriana Aparecida Silva da; CALDEIRA, Patrícia Carlos; SOUSA, Alexandre Andrade; TIBÚRCIO, Jacqueline Domingues; BELLIGOLI, Leonardo de Queiroz Gomes; SANTOS, Viviane Bigodeiro dos; BRETAS, Pedro Messeder Caldeira; NUNES, Louise Lanna; PRADO NETO, Severino Correia do; SILVA, Gustavo Waldolato; SOARES, João Marcos Arantes.
  • COSTA, Adriana Aparecida Silva da; Universidade Federal de Minas Gerais. School of Dentistry. Department of Oral Pathology and Surgery. Belo Horizonte. BR
  • CALDEIRA, Patrícia Carlos; Universidade Federal de Minas Gerais. School of Dentistry. Department of Oral Pathology and Surgery. Belo Horizonte. BR
  • SOUSA, Alexandre Andrade; Universidade Federal de Minas Gerais. Hospital das Clínicas. Instituto Alfa de Gastroenterologia. Belo Horizonte. BR
  • TIBÚRCIO, Jacqueline Domingues; Universidade Federal de São João Del-Rey. School of Medicine. Department of Surgery. Divinópolis. BR
  • BELLIGOLI, Leonardo de Queiroz Gomes; Universidade Federal de São João Del-Rey. School of Medicine. Department of Surgery. Divinópolis. BR
  • SANTOS, Viviane Bigodeiro dos; Universidade Federal de São João Del-Rey. School of Medicine. Department of Surgery. Divinópolis. BR
  • BRETAS, Pedro Messeder Caldeira; Universidade Federal de São João Del-Rey. School of Medicine. Department of Surgery. Divinópolis. BR
  • NUNES, Louise Lanna; Universidade Federal de São João Del-Rey. School of Medicine. Department of Surgery. Divinópolis. BR
  • PRADO NETO, Severino Correia do; Universidade Federal de São João Del-Rey. School of Medicine. Department of Surgery. Divinópolis. BR
  • SILVA, Gustavo Waldolato; Universidade Federal de São João Del-Rey. School of Medicine. Department of Surgery. Divinópolis. BR
  • SOARES, João Marcos Arantes; Universidade Federal de São João Del-Rey. School of Medicine. Department of Surgery. Divinópolis. BR
Braz. oral res. (Online) ; 37: e054, 2023. tab, graf
Article Dans Anglais | LILACS-Express | LILACS, BBO | ID: biblio-1439750
ABSTRACT
Abstract The aim of this study was to evaluate the time elapsed from first symptoms to the treatment of oral and oropharyngeal cancer (OOC) and to identify variables associated with treatment delay. This is an observational study with retrospective and prospective data collection. Patients with a diagnosis of OOC seen at the Head and Neck Surgery outpatient clinic of a Brazilian public hospital were included and followed up to treatment initiation. Participants answered a questionnaire for the collection of socioeconomic, demographic, cultural, and clinical information, as well as information about the time elapsed from first symptoms to the first appointment with a head and neck surgeon. Time to treatment was classified into four intervals 1- first symptoms to first medical appointment; 2- first medical appointment to specialized medical care; 3- specialized medical care to preparation for treatment; and 4- preparation for treatment to treatment initiation. Bivariate statistics were computed. Out of 100 participants, nine died before treatment. Mean time to treatment was 217 days. Highest mean time was observed for interval 2 (94 days), followed by interval 1 (63 days), interval 4 (39 days), and interval 3 (21 days). At interval 1, a longer time was associated with severe alcohol consumption, severe smoking, and family history of cancer. At interval 2, the delay was associated with appointment with a general practitioner, clinical diagnosis of disease other than cancer, and antibiotic prescription. At interval 4, delay in treatment was associated with surgical treatment. Patients with OOC experience delays from symptom onset to treatment initiation. The longest interval was associated with professional delay, followed by patient delay in help-seeking.


Texte intégral: Disponible Indice: LILAS (Amériques) Type d'étude: Etude diagnostique / Étude observationnelle / Étude pronostique / Facteurs de risque langue: Anglais Texte intégral: Braz. oral res. (Online) Thème du journal: Dentisterie Année: 2023 Type: Article / descriptif de projet Pays d'affiliation: Brésil Institution/Pays d'affiliation: Universidade Federal de Minas Gerais/BR / Universidade Federal de São João Del-Rey/BR

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Texte intégral: Disponible Indice: LILAS (Amériques) Type d'étude: Etude diagnostique / Étude observationnelle / Étude pronostique / Facteurs de risque langue: Anglais Texte intégral: Braz. oral res. (Online) Thème du journal: Dentisterie Année: 2023 Type: Article / descriptif de projet Pays d'affiliation: Brésil Institution/Pays d'affiliation: Universidade Federal de Minas Gerais/BR / Universidade Federal de São João Del-Rey/BR