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Healthcare delay in breast cancer patients: a case study in a low-density population region from Mexico.
Rangel-Méndez, Jorge Aarón; Novelo-Tec, José Feliciano; Sánchez-Cruz, Juan Francisco; Cedillo-Rivera, Roberto; Moo-Puc, Rosa Esther.
Afiliação
  • Rangel-Méndez JA; Unidad de Investigación Médica Yucatán, Unidad Médica de Alta Especialidad, Hospital de Especialidades del Centro Médico Nacional "Ignacio García Téllez", Instituto Mexicano del Seguro Social, Calle 41 No. 439, Col. Industrial, Mérida, Yucatán 97150, México.
  • Novelo-Tec JF; Unidad de Medicina Familiar número 58, Delegación Estatal Yucatán, Instituto Mexicano del Seguro Social, Calle 42 999 X 127 A Y 131, Serapio Rendón II, Mérida, Yucatán 97285, México.
  • Sánchez-Cruz JF; Coordinación de Investigación, Delegación Estatal Yucatán, Instituto Mexicano del Seguro Social, Calle 41 No. 439, Col. Industrial, Mérida, Yucatán 97150, México.
  • Cedillo-Rivera R; Unidad Interinstitucional de Investigación Clínica y Epidemiológica, Facultad de Medicina, Universidad Autónoma de Yucatán, Avenida Itzáes No. 498 x 86 Y 59A, Centro, Mérida, Yucatán 97000, México.
  • Moo-Puc RE; Unidad de Investigación Médica Yucatán, Unidad Médica de Alta Especialidad, Hospital de Especialidades del Centro Médico Nacional "Ignacio García Téllez", Instituto Mexicano del Seguro Social, Calle 41 No. 439, Col. Industrial, Mérida, Yucatán 97150, México.
Future Oncol ; 14(20): 2067-2082, 2018 Aug.
Article em En | MEDLINE | ID: mdl-30027752
AIM: To describe delay intervals, their impact on clinical stage and initiation of first oncologic treatment, and evaluate associated factors in breast cancer patients in Yucatan, Mexico, a low-density population region. PATIENTS & METHODS: A retrospective analysis was done of 92 medical records, and bivariate and multivariate models applied to identify associations between healthcare delay and several factors. RESULTS: System delay accounted for most of the delay (median: 86 days; 61% of delay). Socioeconomic status and delivery to tertiary-care hospital predicted delay. Clinical stage determined initiation of first oncologic treatment. CONCLUSION: Delay in treatment was largely due to system delay. Only a few variables explained this delay. Clinical stage had the strongest effect on initiation of first oncologic treatment.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Neoplasias da Mama / Atenção à Saúde / Diagnóstico Tardio / Tempo para o Tratamento Tipo de estudo: Diagnostic_studies / Observational_studies / Prognostic_studies / Risk_factors_studies / Screening_studies Aspecto: Determinantes_sociais_saude Limite: Adult / Female / Humans / Middle aged País/Região como assunto: Mexico Idioma: En Revista: Future Oncol Ano de publicação: 2018 Tipo de documento: Article País de publicação: Reino Unido
Texto completo
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Neoplasias da Mama / Atenção à Saúde / Diagnóstico Tardio / Tempo para o Tratamento Tipo de estudo: Diagnostic_studies / Observational_studies / Prognostic_studies / Risk_factors_studies / Screening_studies Aspecto: Determinantes_sociais_saude Limite: Adult / Female / Humans / Middle aged País/Região como assunto: Mexico Idioma: En Revista: Future Oncol Ano de publicação: 2018 Tipo de documento: Article País de publicação: Reino Unido