RESUMO
Objetivo: Analizar la eficacia y el cumplimiento del programa de diagnóstico y tratamiento rápido (PDTR) del cáncer de pulmón. Adicionalmente se revisan datos epidemiológicos en los pacientes diagnosticados de cáncer de pulmón en el Hospital de la Santa Creu i Sant Pau. Material y métodos: Se incluyeron 58 pacientes diagnosticados de cáncer de pulmón. Veintinueve de ellos fueron incluidos en el programa PDTR desde octubre de 2005 hasta mayo de 2006, y el resto fueron seleccionados aleatoriamente de entre los pacientes diagnosticados de cáncer de pulmón durante el año anterior al inicio del programa (grupo control). Se compararon los intervalos de tiempo desde la primera visita al diagnóstico y al tratamiento, así como diferentes variables (edad, sexo, tipo histológico, estadificación TNM). Resultados: Se encontró una reducción de tiempo en el grupo PDTR (p<0,001) que mostró una media entre la primera visita y el inicio del tratamiento de 26,72 días (desviación típica [DT]=13,6), mientras que en el grupo control fue de 84 días (DT=53). La estadificación TNM fue inferior en el grupo PDTR, aunque sólo con significación estadística para la N (grado de afectación ganglionar) (p=0,007). Conclusión: Con el programa PDTR se ha conseguido reducir el tiempo desde la llegada del paciente al inicio del tratamiento a menos de 30 días en la mayoría de los pacientes, lo que representa una reducción significativa de éste. Su efecto sobre el pronóstico es controvertido y requerirá estudios a largo plazo (AU)
Objective: To analyze the efficiency of the program of quick diagnosis and treatment (PDTR, programa de diagnóstico y tratamiento rápido) of lung cancer established in the Hospital de la Santa Creu i Sant Pau of Barcelona to review the epidemiology of lung cancer. Methods and materials: Fifty-eight patients with lung cancer were studied. Twenty-nine of them were included in the program between October 2005 and May 2006, and the remaining were randomly selected among those diagnosed the year before (control group). Time between first visit, diagnosis and treatment and other variables (age, sex, histological type and TNM stage) were compared between groups. Results: Significant differences were found between the two groups. PDTR patients had a mean time between first visit and treatment of 26.7 days (Standard Deviation [SD]=13.6), whereas this was 84 days (SD=53) in the control group. The PDTR group had a lower TNM stage, but statistical significance was only found in N (lymph node involvement) (p=0.007). Conclusion: Most patients included in the PDTR program spend less than 30 days between first visit and treatment, which represents a significant reduction in time (p<0.001). The effect on prognosis is controversial and will need long term studies (AU)
Assuntos
Humanos , Masculino , Feminino , Neoplasias Pulmonares/diagnóstico , Neoplasias Pulmonares/terapia , /métodos , Prognóstico , Neoplasias Pulmonares/fisiopatologia , Neoplasias Pulmonares , Estudos Retrospectivos , Planos de ContingênciaRESUMO
OBJECTIVE: To analyze the efficiency of the program of quick diagnosis and treatment (PDTR, programa de diagnóstico y tratamiento rápido) of lung cancer established in the Hospital de la Santa Creu i Sant Pau of Barcelona to review the epidemiology of lung cancer. METHODS AND MATERIALS: Fifty-eight patients with lung cancer were studied. Twenty-nine of them were included in the program between October 2005 and May 2006, and the remaining were randomly selected among those diagnosed the year before (control group). Time between first visit, diagnosis and treatment and other variables (age, sex, histological type and TNM stage) were compared between groups. RESULTS: Significant differences were found between the two groups. PDTR patients had a mean time between first visit and treatment of 26.7 days (Standard Deviation [SD]=13.6), whereas this was 84 days (SD=53) in the control group. The PDTR group had a lower TNM stage, but statistical significance was only found in N (lymph node involvement) (p=0.007). CONCLUSION: Most patients included in the PDTR program spend less than 30 days between first visit and treatment, which represents a significant reduction in time (p<0.001). The effect on prognosis is controversial and will need long term studies.
