{"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\/pt_pt\/longer-waiting-times-linked-to-higher-mortality-for-cancer-patients\/","title":{"rendered":"Tempos de espera mais longos associados a maior mortalidade de pacientes com c\u00e2ncer"},"content":{"rendered":"

Uma pesquisa recente publicada no British Medical Journal (BMJ) concluiu que um atraso no tratamento do c\u00e2ncer est\u00e1 associado a um aumento na mortalidade por todas as causas.<\/p>\n

Desde o in\u00edcio da pandemia de Covid-19, o acesso dos pacientes ao tratamento do cancro tem sido atrasado em muitos ambientes de sa\u00fade em todo o mundo, o que levou a preocupa\u00e7\u00f5es sobre as consequ\u00eancias n\u00e3o intencionais das medidas de controlo da pandemia para os pacientes com cancro.<\/p>\n

Embora tenham sido realizados v\u00e1rios estudos a n\u00edvel mundial sobre a rela\u00e7\u00e3o entre atrasos no tratamento e mortalidade, os esfor\u00e7os de modeliza\u00e7\u00e3o foram dificultados pela falta de evid\u00eancias de qualidade no mundo real, pelo que a equipa de investiga\u00e7\u00e3o conduziu um estudo revis\u00e3o compreensiva<\/a> de 34 estudos j\u00e1 existentes sobre sete tipos principais de c\u00e2ncer.<\/p>\n

Os resultados mostraram que cada atraso de quatro semanas entre o diagn\u00f3stico e a cirurgia est\u00e1 associado a um aumento relativo de 6-8% na mortalidade por todas as causas.<\/p>\n

Os tipos de c\u00e2ncer inclu\u00eddos no estudo representam 44% de todos os c\u00e2nceres incidentes<\/a> globalmente. Abrangeu cinco tipos de c\u00e2ncer comuns; c\u00e2ncer de bexiga, mama, c\u00f3lon, reto e pulm\u00e3o; c\u00e2ncer cervical, que \u00e9 o quarto tipo de c\u00e2ncer mais comum entre as mulheres; e c\u00e2ncer de cabe\u00e7a e pesco\u00e7o; e descobriram que, para todos os sete tipos de cancro, um atraso de quatro semanas no tratamento est\u00e1 associado a um aumento no risco de morte.<\/p>\n

Al\u00e9m disso, o estudo constatou que atrasos de at\u00e9 oito semanas e doze semanas aumentam ainda mais o risco de morte. Um atraso de oito semanas na cirurgia do cancro da mama aumentaria o risco de morte em 17% e um atraso de 12 semanas, como ocorreu, por exemplo, durante o confinamento e recupera\u00e7\u00e3o da Covid-19 em alguns pa\u00edses, aumentaria o risco em 26%.<\/p>\n

O impacto dos atrasos no tratamento nos resultados dos pacientes \u00e9 algo que ganhou destaque durante a pandemia de Covid-19. Embora, na maior parte dos casos, a cirurgia oncol\u00f3gica urgente tenha prosseguido, a cirurgia oncol\u00f3gica eletiva e a radioterapia foram adiadas ou adiadas em muitos pa\u00edses, \u00e0 medida que os recursos foram reatribu\u00eddos para lidar com a pandemia.<\/p>\n

At\u00e9 agora, n\u00e3o foi poss\u00edvel quantificar de forma robusta o impacto das medidas de confinamento da Covid-19 nos padr\u00f5es de cuidados e nos resultados dos pacientes, e o relat\u00f3rio sublinha que h\u00e1 necessidade de um esfor\u00e7o internacional para estabelecer sistemas para a produ\u00e7\u00e3o de dados de alta qualidade para informar mais pesquisas sobre isso.<\/p>\n

A realidade \u00e9 que o impacto dos atrasos no tratamento, incluindo a cirurgia oncol\u00f3gica, \u00e9 provavelmente muito maior tanto para os pacientes como para os sistemas de sa\u00fade dos pa\u00edses do que sugerem os resultados deste estudo. N\u00e3o leva em considera\u00e7\u00e3o o impacto do agravamento do quadro no paciente; a necessidade de tratamentos mais extensos e aumento do risco de complica\u00e7\u00f5es devido \u00e0 progress\u00e3o durante atrasos; e o impacto na qualidade de vida dos pacientes. Tamb\u00e9m pode levar a um maior fardo econ\u00f3mico atrav\u00e9s de custos diretos de cuidados mais elevados.<\/p>\n

Embora fora do escopo deste estudo, o que acontece antes do diagn\u00f3stico do paciente tamb\u00e9m \u00e9 claramente importante a ser considerado. Se o tempo de espera for prolongado para consultar um especialista ou para realizar um exame de diagn\u00f3stico, como um exame ou uma colonoscopia, isso afeta a rapidez com que os pacientes s\u00e3o tratados; e um atraso pode ter um efeito prejudicial na qualidade de vida dos pacientes. Quanto mais tarde o cancro for diagnosticado, mais urgente ser\u00e1 o tratamento e pior ser\u00e1 tamb\u00e9m o resultado do paciente.<\/p>\n

A resenha pode ser acessada no site do BMJ<\/a><\/p>","protected":false},"excerpt":{"rendered":"

Uma pesquisa recente publicada no British Medical Journal (BMJ) concluiu que um atraso no tratamento do c\u00e2ncer est\u00e1 associado a um aumento na mortalidade por todas as causas.<\/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\/pt_pt\/longer-waiting-times-linked-to-higher-mortality-for-cancer-patients\/\" \/>\n<meta property=\"og:locale\" content=\"pt_PT\" \/>\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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