{"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\/fi_fi\/longer-waiting-times-linked-to-higher-mortality-for-cancer-patients\/","title":{"rendered":"Pidemm\u00e4t odotusajat liittyv\u00e4t sy\u00f6p\u00e4potilaiden korkeampaan kuolleisuuteen"},"content":{"rendered":"

\u00c4skett\u00e4in British Medical Journalissa (BMJ) julkaistussa tutkimuksessa todettiin, ett\u00e4 sy\u00f6v\u00e4n hoidon viiv\u00e4styminen liittyy kaiken aiheuttaman kuolleisuuden lis\u00e4\u00e4ntymiseen.<\/p>\n

Covid-19-pandemian alkamisen j\u00e4lkeen potilaiden p\u00e4\u00e4sy sy\u00f6p\u00e4hoitoon on viiv\u00e4stynyt monissa terveydenhuollon tiloissa maailmanlaajuisesti, ja t\u00e4m\u00e4 on johtanut huoleen pandemian torjuntatoimenpiteiden tahattomista seurauksista sy\u00f6p\u00e4potilaille.<\/p>\n

Vaikka maailmanlaajuisesti on tehty useita tutkimuksia hoidon viiv\u00e4stysten ja kuolleisuuden v\u00e4lisest\u00e4 suhteesta, mallinnuspyrkimyksi\u00e4 oli haitannut laadukkaan todellisen n\u00e4yt\u00f6n puute, joten tutkimusryhm\u00e4 suoritti kattava katsaus<\/a> 34:st\u00e4 jo olemassa olevasta tutkimuksesta seitsem\u00e4ll\u00e4 suurella sy\u00f6p\u00e4tyypill\u00e4.<\/p>\n

L\u00f6yd\u00f6kset osoittivat, ett\u00e4 jokainen nelj\u00e4n viikon viive diagnoosin ja leikkauksen v\u00e4lill\u00e4 liittyy 6-8%:n suhteelliseen lis\u00e4\u00e4ntymiseen kaikesta kuolleisuudesta.<\/p>\n

Tutkimukseen sis\u00e4ltyv\u00e4t sy\u00f6p\u00e4tyypit edustavat 44% kaikista tapauksista sy\u00f6vist\u00e4<\/a> maailmanlaajuisesti. Se kattoi viisi yleist\u00e4 sy\u00f6p\u00e4\u00e4; virtsarakko-, rinta-, paksusuolen-, per\u00e4suolen- ja keuhkosy\u00f6p\u00e4; kohdunkaulan sy\u00f6p\u00e4, joka on naisten nelj\u00e4nneksi yleisin sy\u00f6p\u00e4; ja p\u00e4\u00e4n ja kaulan sy\u00f6p\u00e4; ja havaitsi, ett\u00e4 kaikkien seitsem\u00e4n sy\u00f6p\u00e4tyypin kohdalla nelj\u00e4n viikon hoidon viiv\u00e4styminen liittyy lis\u00e4\u00e4ntyneeseen kuolemanriskiin.<\/p>\n

Lis\u00e4ksi tutkimuksessa havaittiin, ett\u00e4 jopa kahdeksan viikon ja kahdentoista viikon viiv\u00e4stykset lis\u00e4\u00e4v\u00e4t edelleen kuolemanriski\u00e4. Kahdeksan viikon viiv\u00e4styminen rintasy\u00f6p\u00e4leikkauksessa lis\u00e4isi kuolemanriski\u00e4 17%:ll\u00e4 ja 12 viikon viiv\u00e4stys, kuten koettiin esimerkiksi Covid-19-sulku- ja toipumisvaiheessa joissakin maissa, lis\u00e4isi riski\u00e4 26%:ll\u00e4.<\/p>\n

Hoidon viiv\u00e4stymisen vaikutus potilaiden tuloksiin on noussut etualalle Covid-19-pandemian aikana. Vaikka suurimmaksi osaksi kiireelliset sy\u00f6p\u00e4leikkaukset ovat olleet k\u00e4ynniss\u00e4, elektiivist\u00e4 sy\u00f6p\u00e4leikkausta ja s\u00e4dehoitoa on lyk\u00e4tty tai viiv\u00e4stynyt monissa maissa, koska resursseja on osoitettu uudelleen pandemian torjuntaan.<\/p>\n

Toistaiseksi ei ole ollut mahdollista arvioida tarkasti Covid-19-sulkutoimenpiteiden vaikutusta hoitotottumuksiin ja potilaiden tuloksiin, ja korostaa, ett\u00e4 tarvitaan kansainv\u00e4lisi\u00e4 ponnisteluja j\u00e4rjestelmien luomiseksi korkealaatuisen tiedon tuottamiseksi. lis\u00e4tutkimuksia t\u00e4st\u00e4.<\/p>\n

Tosiasia on, ett\u00e4 hoidon viiv\u00e4stymiset, mukaan lukien sy\u00f6p\u00e4leikkaukset, ovat luultavasti paljon suuremmat sek\u00e4 potilaille ett\u00e4 maiden terveydenhuoltoj\u00e4rjestelmille kuin t\u00e4m\u00e4n tutkimuksen tulokset antavat ymm\u00e4rt\u00e4\u00e4. Siin\u00e4 ei oteta huomioon tilan heikkenemisen vaikutusta potilaaseen; laajempien hoitojen tarve ja lis\u00e4\u00e4ntynyt komplikaatioiden riski viiv\u00e4stysten aikana tapahtuvan etenemisen vuoksi; ja vaikutus potilaiden el\u00e4m\u00e4nlaatuun. Se voi my\u00f6s lis\u00e4t\u00e4 taloudellista taakkaa korkeampien suorien hoitokustannusten vuoksi.<\/p>\n

Vaikka t\u00e4m\u00e4 tutkimus ei kuulukaan t\u00e4m\u00e4n tutkimuksen piiriin, se, mit\u00e4 tapahtuu ennen potilaan diagnoosia, on my\u00f6s selv\u00e4sti t\u00e4rke\u00e4\u00e4 ottaa huomioon. Jos odotusaika pitenee erikoisl\u00e4\u00e4k\u00e4rin vastaanotolle tai diagnostiseen tutkimukseen, kuten skannaukseen tai kolonoskopiaan, varataan, t\u00e4m\u00e4 vaikuttaa potilaiden hoidon nopeuteen; ja viiv\u00e4styminen voi vaikuttaa haitallisesti potilaiden el\u00e4m\u00e4nlaatuun. Mit\u00e4 my\u00f6hemmin sy\u00f6p\u00e4 diagnosoidaan, sit\u00e4 kiireellisempi hoito on ja sit\u00e4 huonompi on my\u00f6s potilaan lopputulos.<\/p>\n

Arvostelu on luettavissa BMJ:n verkkosivuilla<\/a><\/p>","protected":false},"excerpt":{"rendered":"

\u00c4skett\u00e4in British Medical Journalissa (BMJ) julkaistussa tutkimuksessa todettiin, ett\u00e4 sy\u00f6v\u00e4n hoidon viiv\u00e4styminen liittyy kaiken aiheuttaman kuolleisuuden lis\u00e4\u00e4ntymiseen.<\/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\/fi_fi\/longer-waiting-times-linked-to-higher-mortality-for-cancer-patients\/\" \/>\n<meta property=\"og:locale\" content=\"fi_FI\" \/>\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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