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The Measurement of Delay in Diagnosis and Treatment among Moroccan Women with Cervical Cancer

机译:摩洛哥宫颈癌妇女诊断和治疗延迟的测量

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In Morocco, most of the cervical cancer patients have been reported diagnosed at advanced stage indicating delay in seeking diagnosis and treatment. The main purpose of this investigation was to measure the delay from the first symptom to treatment among Moroccan women with cervical cancer. Methods: We conducted a cross-sectional study at the National Institute of Oncology Sidi Mohammed Ben Abdellah in Rabat, Morocco. A consecutive series of patients with locally advanced cervical cancer or metastasic [stage II-IV] were recruited. We calculated delay by using two events dates of two periods in patient's pathway. Multivariate binary logistic regression analysis was performed to measure the association between all categories of delay and magnitude of total delay. Results: Four hundred and one patients were reached in this study. The median total delay was 183 days, the median patient delay was 120 days, the median diagnosis delay was 110 days, and the median Treatment delay was 57 days. Bivariate analysis showed that patients who did not have respectively patient and diagnosis delay were less likely to have total delay (p<0.001, p<0.001). Conclusions: Future studies are needed to better inform the scientific and healthcare system to effectively address a clear picture of delays.
机译:在摩洛哥,据报告大多数宫颈癌患者已被诊断为晚期,表明寻求诊断和治疗的时间有所延迟。这项研究的主要目的是测量摩洛哥宫颈癌女性从第一症状到治疗的延迟。方法:我们在摩洛哥拉巴特的国家肿瘤研究所西迪·穆罕默德·本·阿卜杜拉进行了横断面研究。招募了一系列连续的局部晚期宫颈癌或转移性[II-IV期]患者。我们通过使用患者路径中两个周期的两个事件日期来计算延迟。进行了多元二元logistic回归分析以测量所有类别的延迟与总延迟量之间的关联。结果:本研究共纳入401例患者。中位总延迟为183天,中位患者延迟为120天,中位诊断延迟为110天,中位治疗延迟为57天。双变量分析显示,分别没有患者延迟和诊断延迟的患者总延迟的可能性较小(p <0.001,p <0.001)。结论:需要进行进一步的研究以更好地为科学和医疗体系提供信息,以有效解决延误的清晰情况。

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