{"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\/da_dk\/longer-waiting-times-linked-to-higher-mortality-for-cancer-patients\/","title":{"rendered":"L\u00e6ngere ventetid forbundet med h\u00f8jere d\u00f8delighed for kr\u00e6ftpatienter"},"content":{"rendered":"

Et nyligt stykke forskning offentliggjort i British Medical Journal (BMJ) har konkluderet, at en forsinkelse i behandlingen af kr\u00e6ft er forbundet med en stigning i d\u00f8deligheden af alle \u00e5rsager.<\/p>\n

Siden starten af Covid-19-pandemien er patienters adgang til kr\u00e6ftbehandling blevet forsinket i mange sundhedsmilj\u00f8er verden over, og det har f\u00f8rt til bekymring for de utilsigtede konsekvenser af pandemiske kontrolforanstaltninger for kr\u00e6ftpatienter.<\/p>\n

Selvom der er blevet gennemf\u00f8rt en r\u00e6kke unders\u00f8gelser globalt om forholdet mellem behandlingsforsinkelser og d\u00f8delighed, var modelleringsindsatsen blevet h\u00e6mmet af mangel p\u00e5 kvalitetsbevis fra den virkelige verden, s\u00e5 forskerholdet gennemf\u00f8rte en omfattende gennemgang<\/a> af 34 allerede eksisterende unders\u00f8gelser p\u00e5 tv\u00e6rs af syv store kr\u00e6fttyper.<\/p>\n

Resultaterne viste, at hver fire ugers forsinkelse mellem diagnose og operation er forbundet med en relativ stigning p\u00e5 6-8% i d\u00f8deligheden af alle \u00e5rsager.<\/p>\n

De kr\u00e6fttyper, der indg\u00e5r i unders\u00f8gelsen, repr\u00e6senterer 44% af alle kr\u00e6fttilf\u00e6lde<\/a> globalt. Den d\u00e6kkede fem almindelige kr\u00e6ftformer; bl\u00e6re-, bryst-, tyktarms-, endetarms- og lungecancer; livmoderhalskr\u00e6ft, som er den fjerde hyppigste kr\u00e6ftform blandt kvinder; og hoved- og halskr\u00e6ft; og fandt, at for alle syv kr\u00e6fttyper er en behandlingsforsinkelse p\u00e5 fire uger forbundet med en stigning i risikoen for d\u00f8d.<\/p>\n

Derudover viste unders\u00f8gelsen, at forsinkelser p\u00e5 op til otte uger og tolv uger \u00f8ger risikoen for d\u00f8dsfald yderligere. En otte ugers forsinkelse i brystkr\u00e6ftoperation ville \u00f8ge risikoen for d\u00f8d med 17% og en 12 ugers forsinkelse, som f.eks. oplevet under Covid-19-lockdown og bedring i nogle lande, ville \u00f8ge risikoen med 26%.<\/p>\n

Indvirkningen af behandlingsforsinkelser p\u00e5 patientresultater er noget, der er kommet i h\u00f8js\u00e6det under Covid-19-pandemien. Selvom akut kr\u00e6ftkirurgi for det meste har v\u00e6ret i gang, er elektiv kr\u00e6ftkirurgi og str\u00e5lebehandling blevet udskudt eller forsinket i mange lande, da ressourcer er blevet omfordelt til at h\u00e5ndtere pandemien.<\/p>\n

Hidtil har det ikke v\u00e6ret muligt robust at kvantificere effekten af Covid-19 lockdown-tiltag p\u00e5 plejem\u00f8nstre og patientresultater, og det understreger, at der er behov for en international indsats for at etablere systemer til at producere data af h\u00f8j kvalitet til at informere yderligere forskning i dette.<\/p>\n

Virkeligheden er, at virkningen af behandlingsforsinkelser, herunder for kr\u00e6ftkirurgi, sandsynligvis er langt st\u00f8rre for b\u00e5de patienter og landes sundhedssystemer, end resultaterne af denne unders\u00f8gelse antyder. Den tager ikke h\u00f8jde for virkningen af en forv\u00e6rring af tilstanden p\u00e5 patienten; behovet for mere omfattende behandlinger og \u00f8get risiko for komplikationer p\u00e5 grund af progression under forsinkelser; og indvirkningen p\u00e5 patienternes livskvalitet. Det kan ogs\u00e5 f\u00f8re til en st\u00f8rre \u00f8konomisk byrde gennem h\u00f8jere direkte plejeomkostninger.<\/p>\n

Selvom det ligger uden for rammerne for denne unders\u00f8gelse, er det klart ogs\u00e5 vigtigt at overveje, hvad der sker i tiden f\u00f8r patienten bliver diagnosticeret. Hvis ventetiden forl\u00e6nges for at komme til en speciall\u00e6ge eller at blive booket ind til en diagnostisk test, s\u00e5som en scanning eller en koloskopi, p\u00e5virker det hastigheden, hvormed patienterne behandles; og en forsinkelse kan have en skadelig effekt p\u00e5 patienternes livskvalitet. Jo senere kr\u00e6ften diagnosticeres, jo mere presserende vil behandlingen v\u00e6re, og jo v\u00e6rre vil patientforl\u00f8bet sandsynligvis ogs\u00e5 blive.<\/p>\n

Anmeldelsen kan tilg\u00e5s p\u00e5 BMJ's hjemmeside<\/a><\/p>","protected":false},"excerpt":{"rendered":"

Et nyligt stykke forskning offentliggjort i British Medical Journal (BMJ) har konkluderet, at en forsinkelse i behandlingen af kr\u00e6ft er forbundet med en stigning i d\u00f8deligheden af alle \u00e5rsager.<\/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\/da_dk\/longer-waiting-times-linked-to-higher-mortality-for-cancer-patients\/\" \/>\n<meta property=\"og:locale\" content=\"da_DK\" \/>\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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