NDLI: Retard diagnostique du cancer bronchique primitif. Étude réalisée dans le service de pneumologie du CHU Ibn Sina de Rabat (Maroc).

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Retard diagnostique du cancer bronchique primitif. Étude réalisée dans le service de pneumologie du CHU Ibn Sina de Rabat (Maroc).

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Retard diagnostique du cancer bronchique primitif. Étude réalisée dans le service de pneumologie du CHU Ibn Sina de Rabat (Maroc).

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	El Ouazzani, H. Menchafou, I. Achachi, L. El Ftouh, M. El Fassy Fihry, M. T.
Spatial Coverage	Morocco
Description	Author Affiliation: El Ouazzani H ( Service de pneumologie, hôpital Ibn Sina de Rabat, Maroc. elouazzani hanane@yahoo.fr)
Abstract	INTRODUCTION: Primary bronchial cancer (PBC) is a major public health problem. The diagnosis is often late resulting in a poor prognosis. PURPOSE: To determine the factors leading to a late diagnosis. PATIENTS AND METHODS: All PBCs diagnosed between 01 January and 31 December were included. The factors studied were: 'age, sex, smoking, place of residence, socioeconomic level, clinical signs, diagnostic means, histological types, the stages and date of treatment'. The date of the first symptom (D1s), the date of care (Dpch), the date of the diagnosis (Ddg) and the date of the beginning of treatment (Dttt) were used to determine the delay before care. RESULTS: One hundred and three cases of PBC were included. The medium delay before hospitalisation (D1s to Dpch) was 76 days, the delay before the diagnosis (Dpch to Ddg) was 25 days, the time before treatment (Ddg to Dttt) was 27 days, the time between hospitalisation and treatment (Dpch to Dttt) was 69 days, the overall delay (D1s to Dttt) was 160 days. The time before the diagnosis was longer in cases with a low socioeconomic level (30 days vs. 21 days, p: 0.06). The time before treatment was shorter for small cell carcinomas (SCC) (23 days vs. 31 days: p: 0.06). The time between hospitalisation and treatment was shorter for stages IIIB and IV of NSCBC (60 days vs. 67 days, p: 0.03). The overall delay was shorter for SCC (152 days vs. 168 days, p: 0.001). CONCLUSION: The study confirms the problem of a delay in diagnosis. The effect of these delays on the prognosis has not been demonstrated and requires further study.
File Format	HTM / HTML
ISSN	07618417
Issue Number	6
Volume Number	66
Journal	Revue de Pneumologie Clinique
Language	French
Publisher	Elsevier
Publisher Date	2010-12-01
Publisher Place	France
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Discipline Pulmonary Medicine Carcinoma, Bronchogenic Diagnosis Developing Countries Lung Neoplasms Adenocarcinoma Epidemiology Pathology Therapy Adult Aged Aged, 80 And Over Carcinoma, Large Cell Carcinoma, Squamous Cell Female Health Services Accessibility Statistics & Numerical Data Hospitals, University Humans Male Middle Aged Morocco Neoplasm Staging Patient Admission Smoking Adverse Effects Socioeconomic Factors Uncompensated Care English Abstract Journal Article
Content Type	Text
Resource Type	Article
Subject	Pulmonary and Respiratory Medicine

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