ABSTRACT
In the published article, the following information was missing.
ABSTRACT
Colorectal cancer (CRC) is one of the tumours with the highest incidence and mortality in the Spanish population. Nevertheless, the advances in prevention and treatment have contributed to an increased number of patients who survive for prolonged periods of time. In addition, despite recurrences, improved survival following metastasis resection is likewise on the rise. This underscores the importance of carrying out follow-up programmes even in low-risk patients for the early detection of recurrence. The main objective of this article is to provide a set of recommendations for optimising the follow-up of CRC survivors as well as for managing the sequelae that result from either pharmacological or surgical treatment.
Subject(s)
Cancer Survivors , Colonic Neoplasms/diagnosis , Continuity of Patient Care , Neoplasm Recurrence, Local/diagnosis , Population Surveillance , Rectal Neoplasms/diagnosis , Antineoplastic Agents/adverse effects , Carcinoembryonic Antigen/analysis , Colonic Neoplasms/pathology , Colonic Neoplasms/therapy , Colonoscopy , Female , Humans , Liver Neoplasms/diagnostic imaging , Liver Neoplasms/secondary , Lung Neoplasms/diagnostic imaging , Lung Neoplasms/secondary , Male , Neoplasm Recurrence, Local/prevention & control , Neoplasm Staging , Oxaliplatin/adverse effects , Patient Care Team , Postoperative Complications , Primary Prevention , Radiotherapy/adverse effects , Rectal Neoplasms/pathology , Rectal Neoplasms/therapy , Secondary Prevention , Sexual Dysfunction, Physiological/etiology , Time FactorsABSTRACT
Introducción: El consejo médico es un arma poderosa para controlarel tabaquismo.Objetivo: Medir la anamnesis tabáquica y el consejo antitabaco enlos informes de alta del Servicio de Neumología de un Hospital Universitario.Materiales y método: Se revisaron la anamnesis y el consejo antitabacoen 100 informes de alta sucesivos de Neumología en junio del2003. Se hicieron comparaciones estadísticas con X2 y odds-ratio conlos intervalos de confianza.Resultados: correspondían a 76 varones y 24 mujeres con una edadmedia de 71 ± 15,55. 27 eran ingresos nuevos y 73 reingresos.La mayor parte de los diagnósticos principales eran enfermedadesrelacionadas etiológicamente con el tabaquismo.El 48% de los pacientes tenían anamnesis, 14 eran fumadores y 11tenían consejo escrito en el informe. De los 52 sin anamnesis, 16 resultaronfumadores a posteriori (30,66%) y, lógicamente, no constabael consejo.Los primeros ingresos tenían 5,96 más probabilidades de tener anamnesisque los reingresos.El 36,66% de los fumadores (11 de 30) tenían consejo, 18 no teníanconsejo (60%), 1 fue exitus.Los médicos fumadores hacían anamnesis de tabaquismo en menorproporción que los médicos no fumadores (32,4% frente a 57,1%) condiferencias estadísticamente significativas (X2 = 570, p = 0,017, oddsratio 2,8 [1,1 7,1]).Conclusiones: El tabaquismo de los pacientes ingresados en esteServicio de Neumología es elevado y la anamnesis y el consejo antitabacoson francamente mejorables, especialmente en los reingresos.La anamnesis de los médicos fumadores es menor
Introduction: Medical advice is a powerful arm to control smoking.Objective: Measure the smoking anamnesis and anti-tobacco advicein discharge reports of the Pneumology Service of a UniversityHospital.Material and methods: The anamnesis and anti-tobacco advice in100 successive discharge reports of Pneumology in June 2003 are reviewed.Statistical comparisons were made with X2 and odds-ratio withconfidence interval.Results: They corresponded to 76 males and 24 females whose meanage was 71 ± 15.55. Twenty-seven were new admissions and 73 readmissions.Most of the main diagnoses were diseases etiologically related withsmoking.The proportion of smokers was 30% (26% of the first admissionsand 30% of the re-admissions). Atotal of 48% of the patients had anamnesis,14 were smokers and 11 have written advice in the report. Ofthe 52 patients without anamnesis, 16 were smokers a posteriori (30.66%)and logically, there was no advice.The first admissions had more likelihood of having anamnesis thanthe re-admissions (P < 0.0003).A total of 37.9% of the smokers (11 of 29) had advice, 18 had noadvice (60%), 1 was exitus.Physicians who smoke make a lower rate of smoking anamnesisthan those who do not smoke (32.4% verses 57.1%) with statisticallysignificant differences (X2 = 5.70, P = 0.017, odds ratio 2.8 (1.1 7.1))Conclusions: Smoking of patients hospitalized in this PneumologyService is high and smoking anamnesis and anti-tobacco advice in the dischargereports could be greatly improved, especially in the re-admissions.The anamnesis of physicians who smoke is less
