Letalidad del cáncer de vesícula biliar es independiente del lugar de atención o características sociodemográficas: Chile 2002-2005 / Mortality due to gallbladder cancer: Retrospective analysis in three Chilean hospitals
Rev. méd. Chile
;
138(11): 1357-1364, nov. 2010. graf, tab
Artigo
em Espanhol
| LILACS
| ID: lil-572952
ABSTRACT
Background:
Chile has the highest gallbladder cancer (GBC) death rate world-wide, affecting mainly Southern areas of the country.Aim:
To compare the survival of GBC patients treated in hospitals located in areas with low and high risk for GBC. Material andMethods:
Medical records of all patients with GBC admitted to one public hospital located in southern Chile, a public hospital and a private clinic, both located in Metropolitan Santiago, were reviewed. Cases were analyzed by age, sex, stage at diagnosis, ethnicity, socioeconomic status (SES) and rural residence. Survival was calculated using Kaplan Meier method.Results:
A total of 598 cases (469 women), were analyzed. No differences in age or sex among hospitals were detected. At the moment of diagnosis, 75, 50 and 44 percent of cases from the hospital in southern Chile, the public hospital in Santiago and the private clinic in Santiago, were in stage IV, respectively. Five years survival was lower in the public hospital in southern Chile than in the public hospital in Santiago (10.7 and 14.4 percent respectively, p < 0.05) but not statistically different from the figure at the private clinic in Santiago (13.0 percent). However, when adjusting for stage at the moment of diagnosis, no difference in survival between the three hospitals, was found. The median days of survival were 1,559, 188, 70 and 69 for stages I, II, III and IV respectively.Conclusions:
GBC mortality is high. The stage at the moment of diagnosis is only significant predictor of survival.
Texto completo:
DisponíveL
Índice:
LILACS (Américas)
Assunto principal:
Mortalidade Hospitalar
/
Setor Público
/
Setor Privado
/
Neoplasias da Vesícula Biliar
Tipo de estudo:
Estudo de etiologia
/
Estudo observacional
/
Estudo prognóstico
/
Fatores de risco
Limite:
Adulto
/
Idoso
/
Aged80
/
Feminino
/
Humanos
/
Masculino
País/Região como assunto:
América do Sul
/
Chile
Idioma:
Espanhol
Revista:
Rev. méd. Chile
Assunto da revista:
Medicina
Ano de publicação:
2010
Tipo de documento:
Artigo
País de afiliação:
Chile
Instituição/País de afiliação:
Hospital Base de Valdivia/CL
/
Hospital Dr. Sótero del Río/CL
/
Pontificia Universidad Católica de Chile/CL
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