{"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\/fr_fr\/longer-waiting-times-linked-to-higher-mortality-for-cancer-patients\/","title":{"rendered":"Des d\u00e9lais d\u2019attente plus longs li\u00e9s \u00e0 une mortalit\u00e9 plus \u00e9lev\u00e9e pour les patients atteints de cancer"},"content":{"rendered":"

Une \u00e9tude r\u00e9cente publi\u00e9e dans le British Medical Journal (BMJ) a conclu qu'un retard dans le traitement du cancer est associ\u00e9 \u00e0 une augmentation de la mortalit\u00e9 toutes causes confondues.<\/p>\n

Depuis le d\u00e9but de la pand\u00e9mie de Covid-19, l'acc\u00e8s des patients au traitement contre le cancer a \u00e9t\u00e9 retard\u00e9 dans de nombreux \u00e9tablissements de sant\u00e9 \u00e0 travers le monde, ce qui a suscit\u00e9 des inqui\u00e9tudes quant aux cons\u00e9quences involontaires des mesures de contr\u00f4le de la pand\u00e9mie pour les patients atteints de cancer.<\/p>\n

Bien qu'un certain nombre d'\u00e9tudes aient \u00e9t\u00e9 entreprises \u00e0 l'\u00e9chelle mondiale sur la relation entre les retards de traitement et la mortalit\u00e9, les efforts de mod\u00e9lisation ont \u00e9t\u00e9 entrav\u00e9s par le manque de preuves concr\u00e8tes de qualit\u00e9. L'\u00e9quipe de recherche a donc men\u00e9 une \u00e9tude examen complet<\/a> de 34 \u00e9tudes d\u00e9j\u00e0 existantes sur sept principaux types de cancer.<\/p>\n

Les r\u00e9sultats ont montr\u00e9 que chaque d\u00e9lai de quatre semaines entre le diagnostic et la chirurgie est associ\u00e9 \u00e0 une augmentation relative de la mortalit\u00e9 toutes causes confondues avec le 6-8%.<\/p>\n

Les types de cancer inclus dans l'\u00e9tude repr\u00e9sentent 44% de tous les cancers incidents<\/a> \u00e0 l'\u00e9chelle mondiale. Il couvrait cinq cancers courants\u00a0; cancer de la vessie, du sein, du c\u00f4lon, du rectum et du poumon\u00a0; le cancer du col de l'ut\u00e9rus, qui est le quatri\u00e8me cancer le plus r\u00e9pandu chez les femmes ; et le cancer de la t\u00eate et du cou\u00a0; et ont constat\u00e9 que, pour les sept types de cancer, un retard de traitement de quatre semaines est associ\u00e9 \u00e0 une augmentation du risque de d\u00e9c\u00e8s.<\/p>\n

En outre, l\u2019\u00e9tude a r\u00e9v\u00e9l\u00e9 que des retards allant jusqu\u2019\u00e0 huit semaines et douze semaines augmentent encore le risque de d\u00e9c\u00e8s. Un retard de huit semaines dans la chirurgie du cancer du sein augmenterait le risque de d\u00e9c\u00e8s de 17% et un retard de 12 semaines, comme cela a \u00e9t\u00e9 le cas par exemple lors du confinement et de la gu\u00e9rison de Covid-19 dans certains pays, augmenterait le risque de 26%.<\/p>\n

L\u2019impact des retards de traitement sur les r\u00e9sultats pour les patients est un sujet qui a \u00e9t\u00e9 mis au premier plan pendant la pand\u00e9mie de Covid-19. Bien que la plupart des interventions chirurgicales urgentes contre le cancer aient eu lieu, les interventions chirurgicales \u00e9lectives contre le cancer et la radioth\u00e9rapie ont \u00e9t\u00e9 report\u00e9es ou retard\u00e9es dans de nombreux pays, les ressources ayant \u00e9t\u00e9 r\u00e9affect\u00e9es pour faire face \u00e0 la pand\u00e9mie.<\/p>\n

Jusqu\u2019\u00e0 pr\u00e9sent, il n\u2019a pas \u00e9t\u00e9 possible de quantifier de mani\u00e8re fiable l\u2019impact des mesures de confinement li\u00e9es au Covid-19 sur les mod\u00e8les de soins et les r\u00e9sultats pour les patients, et l\u2019accent est mis sur la n\u00e9cessit\u00e9 d\u2019un effort international pour \u00e9tablir des syst\u00e8mes permettant de produire des donn\u00e9es de haute qualit\u00e9 pour informer des recherches plus approfondies \u00e0 ce sujet.<\/p>\n

La r\u00e9alit\u00e9 est que l\u2019impact des retards de traitement, y compris pour la chirurgie du cancer, est probablement bien plus important, tant pour les patients que pour les syst\u00e8mes de sant\u00e9 des pays, que ne le sugg\u00e8rent les r\u00e9sultats de cette \u00e9tude. Il ne prend pas en compte l\u2019impact d\u2019une aggravation de l\u2019\u00e9tat du patient ; la n\u00e9cessit\u00e9 de traitements plus \u00e9tendus et le risque accru de complications en raison de la progression au cours des retards\u00a0; et l'impact sur la qualit\u00e9 de vie des patients. Cela peut \u00e9galement entra\u00eener un fardeau \u00e9conomique plus lourd en raison des co\u00fbts directs des soins plus \u00e9lev\u00e9s.<\/p>\n

Bien que cela ne rentre pas dans le cadre de cette \u00e9tude, il est \u00e9galement important de prendre en compte ce qui se passe avant le diagnostic du patient. Si le temps d'attente est prolong\u00e9 pour consulter un sp\u00e9cialiste ou pour passer un examen diagnostique, comme un scanner ou une coloscopie, cela affecte la rapidit\u00e9 avec laquelle les patients sont trait\u00e9s ; et un retard peut avoir un effet n\u00e9faste sur la qualit\u00e9 de vie des patients. Plus le cancer est diagnostiqu\u00e9 tardivement, plus le traitement sera urgent et plus les r\u00e9sultats pour le patient risquent d'\u00eatre pires.<\/p>\n

La revue est accessible sur le site du BMJ<\/a><\/p>","protected":false},"excerpt":{"rendered":"

Une \u00e9tude r\u00e9cente publi\u00e9e dans le British Medical Journal (BMJ) a conclu qu'un retard dans le traitement du cancer est associ\u00e9 \u00e0 une augmentation de la mortalit\u00e9 toutes causes confondues.<\/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\/fr_fr\/longer-waiting-times-linked-to-higher-mortality-for-cancer-patients\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\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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