{"id":3293,"date":"2020-11-19T16:08:54","date_gmt":"2020-11-19T16:08:54","guid":{"rendered":"\/?p=3293"},"modified":"2020-11-19T16:08:54","modified_gmt":"2020-11-19T16:08:54","slug":"longer-waiting-times-linked-to-higher-mortality-for-cancer-patients","status":"publish","type":"post","link":"https:\/\/www.vanguardhealthcare.co.uk\/cs_cz\/longer-waiting-times-linked-to-higher-mortality-for-cancer-patients\/","title":{"rendered":"Del\u0161\u00ed \u010dekac\u00ed doby spojen\u00e9 s vy\u0161\u0161\u00ed \u00famrtnost\u00ed pacient\u016f s rakovinou"},"content":{"rendered":"

Ned\u00e1vn\u00fd v\u00fdzkum publikovan\u00fd v British Medical Journal (BMJ) dosp\u011bl k z\u00e1v\u011bru, \u017ee zpo\u017ed\u011bn\u00ed v l\u00e9\u010db\u011b rakoviny je spojeno se zv\u00fd\u0161en\u00edm \u00famrtnosti ze v\u0161ech p\u0159\u00ed\u010din.<\/p>\n

Od za\u010d\u00e1tku pandemie Covid-19 byl p\u0159\u00edstup pacient\u016f k l\u00e9\u010db\u011b rakoviny zpo\u017ed\u011bn v mnoha zdravotnick\u00fdch za\u0159\u00edzen\u00edch po cel\u00e9m sv\u011bt\u011b, co\u017e vedlo k obav\u00e1m z nezam\u00fd\u0161len\u00fdch d\u016fsledk\u016f opat\u0159en\u00ed pro kontrolu pandemie pro pacienty s rakovinou.<\/p>\n

P\u0159esto\u017ee byla celosv\u011btov\u011b provedena \u0159ada studi\u00ed o vztahu mezi zpo\u017ed\u011bn\u00edm l\u00e9\u010dby a \u00famrtnost\u00ed, \u00fasil\u00ed o modelov\u00e1n\u00ed bylo brzd\u011bno nedostatkem kvalitn\u00edch d\u016fkaz\u016f z re\u00e1ln\u00e9ho sv\u011bta, tak\u017ee v\u00fdzkumn\u00fd t\u00fdm provedl komplexn\u00ed recenze<\/a> z 34 ji\u017e existuj\u00edc\u00edch studi\u00ed t\u00fdkaj\u00edc\u00edch se sedmi hlavn\u00edch typ\u016f rakoviny.<\/p>\n

Zji\u0161t\u011bn\u00ed uk\u00e1zala, \u017ee ka\u017ed\u00e9 \u010dty\u0159t\u00fddenn\u00ed zpo\u017ed\u011bn\u00ed mezi diagn\u00f3zou a operac\u00ed je spojeno s relativn\u00edm zv\u00fd\u0161en\u00edm \u00famrtnosti ze v\u0161ech p\u0159\u00ed\u010din 6-8%.<\/p>\n

Typy rakoviny zahrnut\u00e9 ve studii p\u0159edstavuj\u00ed 44% v\u0161ech p\u0159\u00edpad\u016f rakoviny<\/a> glob\u00e1ln\u011b. Zahrnovalo p\u011bt b\u011b\u017en\u00fdch druh\u016f rakoviny; rakovinu mo\u010dov\u00e9ho m\u011bch\u00fd\u0159e, prsu, tlust\u00e9ho st\u0159eva, kone\u010dn\u00edku a plic; rakovina d\u011blo\u017en\u00edho \u010d\u00edpku, kter\u00e1 je \u010dtvrtou nej\u010dast\u011bj\u0161\u00ed rakovinou u \u017een; a rakoviny hlavy a krku; a zjistili, \u017ee u v\u0161ech sedmi typ\u016f rakoviny je zpo\u017ed\u011bn\u00ed l\u00e9\u010dby o \u010dty\u0159i t\u00fddny spojeno se zv\u00fd\u0161en\u00edm rizika \u00famrt\u00ed.<\/p>\n

Studie nav\u00edc zjistila, \u017ee odklady a\u017e o osm t\u00fddn\u016f a dvan\u00e1ct t\u00fddn\u016f d\u00e1le zvy\u0161uj\u00ed riziko \u00famrt\u00ed. Osmit\u00fddenn\u00ed zpo\u017ed\u011bn\u00ed operace rakoviny prsu by zv\u00fd\u0161ilo riziko \u00famrt\u00ed o 17% a 12t\u00fddenn\u00ed zpo\u017ed\u011bn\u00ed, ke kter\u00e9mu do\u0161lo nap\u0159\u00edklad b\u011bhem uzam\u010den\u00ed a obnovy Covid-19 v n\u011bkter\u00fdch zem\u00edch, by zv\u00fd\u0161ilo riziko o 26%.<\/p>\n

Vliv zpo\u017ed\u011bn\u00ed l\u00e9\u010dby na v\u00fdsledky pacient\u016f je n\u011bco, co se b\u011bhem pandemie Covid-19 dostalo do pop\u0159ed\u00ed. I kdy\u017e z v\u011bt\u0161\u00ed \u010d\u00e1sti prob\u00edh\u00e1 urgentn\u00ed operace rakoviny, elektivn\u00ed operace rakoviny a radioterapie byly v mnoha zem\u00edch odlo\u017eeny nebo odlo\u017eeny, proto\u017ee byly p\u0159erozd\u011bleny zdroje na \u0159e\u0161en\u00ed pandemie.<\/p>\n

Dosud nebylo mo\u017en\u00e9 d\u016fkladn\u011b kvantifikovat dopad blokovac\u00edch opat\u0159en\u00ed Covid-19 na vzorce p\u00e9\u010de a v\u00fdsledky pacient\u016f, a zd\u016fraz\u0148uje, \u017ee je pot\u0159eba vyvinout mezin\u00e1rodn\u00ed \u00fasil\u00ed k vytvo\u0159en\u00ed syst\u00e9m\u016f pro produkci vysoce kvalitn\u00edch dat pro informov\u00e1n\u00ed dal\u0161\u00ed v\u00fdzkum v tomto.<\/p>\n

Realita je takov\u00e1, \u017ee dopad odkl\u00e1d\u00e1n\u00ed l\u00e9\u010dby, v\u010detn\u011b operac\u00ed rakoviny, je pravd\u011bpodobn\u011b mnohem v\u011bt\u0161\u00ed jak pro pacienty, tak pro zdravotnick\u00e9 syst\u00e9my zem\u00ed, ne\u017e nazna\u010duj\u00ed v\u00fdsledky t\u00e9to studie. Nezohled\u0148uje dopad zhor\u0161en\u00ed stavu na pacienta; pot\u0159eba rozs\u00e1hlej\u0161\u00ed l\u00e9\u010dby a zv\u00fd\u0161en\u00e9 riziko komplikac\u00ed kv\u016fli progresi b\u011bhem zpo\u017ed\u011bn\u00ed; a dopad na kvalitu \u017eivota pacient\u016f. M\u016f\u017ee tak\u00e9 v\u00e9st k v\u011bt\u0161\u00ed ekonomick\u00e9 z\u00e1t\u011b\u017ei vy\u0161\u0161\u00edmi n\u00e1klady na p\u0159\u00edmou p\u00e9\u010di.<\/p>\n

I kdy\u017e je to mimo rozsah t\u00e9to studie, je zjevn\u011b d\u016fle\u017eit\u00e9 vz\u00edt v \u00favahu tak\u00e9 to, co se stane v dob\u011b, ne\u017e je pacient diagnostikov\u00e1n. Pokud se prodlou\u017e\u00ed \u010dekac\u00ed doba na n\u00e1v\u0161t\u011bvu specialisty nebo objedn\u00e1n\u00ed na diagnostick\u00fd test, jako je skenov\u00e1n\u00ed nebo kolonoskopie, m\u00e1 to vliv na rychlost l\u00e9\u010dby pacient\u016f; a zpo\u017ed\u011bn\u00ed m\u016f\u017ee m\u00edt \u0161kodliv\u00fd vliv na kvalitu \u017eivota pacient\u016f. \u010c\u00edm pozd\u011bji je rakovina diagnostikov\u00e1na, t\u00edm nal\u00e9hav\u011bj\u0161\u00ed bude l\u00e9\u010dba a t\u00edm hor\u0161\u00ed bude pravd\u011bpodobn\u011b i v\u00fdsledek pacienta.<\/p>\n

Recenze je p\u0159\u00edstupn\u00e1 na webu BMJ<\/a><\/p>","protected":false},"excerpt":{"rendered":"

Ned\u00e1vn\u00fd v\u00fdzkum publikovan\u00fd v British Medical Journal (BMJ) dosp\u011bl k z\u00e1v\u011bru, \u017ee zpo\u017ed\u011bn\u00ed v l\u00e9\u010db\u011b rakoviny je spojeno se zv\u00fd\u0161en\u00edm \u00famrtnosti ze v\u0161ech p\u0159\u00ed\u010din.<\/p>","protected":false},"author":1,"featured_media":1124,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[2],"tags":[],"class_list":["post-3293","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-news"],"acf":[],"yoast_head":"\nLonger waiting times linked to higher mortality for cancer patients - Vanguard Healthcare Solutions<\/title>\n<meta name=\"description\" content=\"British Medical Journal research has concluded longer waiting times linked to higher mortality for cancer patients.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.vanguardhealthcare.co.uk\/cs_cz\/longer-waiting-times-linked-to-higher-mortality-for-cancer-patients\/\" \/>\n<meta property=\"og:locale\" content=\"cs_CZ\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Longer waiting times linked to higher mortality for cancer patients - 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