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        "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Determinar la duraci&#243;n del proceso diagn&#243;stico del c&#225;ncer &#40;pulm&#243;n frente a tumores de &#243;rganos s&#243;lidos&#47;todos&#41; en el ION-SOLCA utilizando la modalidad de evaluaci&#243;n ambulatoria</p> <span class="elsevierStyleSectionTitle">Poblaci&#243;n Y M&#233;todos</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">La totalidad de los pacientes con c&#225;ncer de pulm&#243;n de c&#233;lulas no peque&#241;as &#40;CPCNP&#41; evaluados durante el per&#237;odo comprendido entre el 1 de enero y el 31 de diciembre de 1995 en el ION-SOLCA de Guayaquil&#44; Ecuador &#40;hospital de referencia terciario&#41;&#44; comparando con la duraci&#243;n de la evaluaci&#243;n diagn&#243;stica de otras neoplasias de &#243;rganos s&#243;lidos en la instituci&#243;n</p> <span class="elsevierStyleSectionTitle">Dise&#241;o</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Estudio retrospectivo de servicios de salud que cuantifica la duraci&#243;n de cada etapa del proceso diagn&#243;stico de los pacientes con c&#225;ncer en el ION-SOLCA&#46; Se consider&#243; como variable &#237;ndice del estudio la duraci&#243;n de la evaluaci&#243;n diagn&#243;stica de los casos estudiados en el ION-SOLCA&#46; Simult&#225;neamente se obtuvo la duraci&#243;n de cada componente de la variable &#237;ndice</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">La duraci&#243;n media &#177; DE de la evaluaci&#243;n diagn&#243;stica global en el ION-SOLCA para los tumores de &#243;rganos s&#243;lidos &#40;pulm&#243;n y otros&#41; es de 54&#44;5 &#177; 62&#44;3 d&#237;as &#40;error est&#225;ndar &#91;EE&#93;&#44; 7&#44;6&#41;&#46; No se encontr&#243; diferencia entre los dos grupos&#46; Los componentes de esta estimaci&#243;n se fraccionan del siguiente modo&#58; primer contacto con el instituto &#40;preadmisi&#243;n&#41;-visita con el especialista&#44; 12&#44;5 &#177; 11&#44;4 d&#237;as &#40;EE&#44; 1&#44;4&#41;&#59; visita con el especialista-procedimiento diagn&#243;stico&#44; 33&#44;3 &#177; 57 d&#237;as &#40;EE&#44; 7&#41;&#44; y procedimiento diagn&#243;stico-resultado de anatom&#237;a patol&#243;gica&#44; 8&#44;7 &#177; 6&#44;9 d&#237;as &#40;EE&#44; 0&#44;8&#41;</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">La valoraci&#243;n ambulatoria de los pacientes con alta probabilidad de c&#225;ncer es un proceso ineficiente&#44; lento y posiblemente peligroso&#46; Una modalidad de ingreso intervencionista podr&#237;a acelerar el proceso diagn&#243;stico en estos pacientes</p>"
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        "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">To determine the duration of the outpatient diagnostic process for lung cancer in comparison to that of other solid organ tumors&#47;all tumors at the National Oncology Institute-Society to Fight Cancer &#40;ION-SOLCA&#41; of Ecuador</p> <span class="elsevierStyleSectionTitle">Patients And methods</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">All patients with non-small cell lung cancer &#40;NSCLC&#41; seen between January 1 and December 31&#44; 1995 at the ION-SOLCA&#44; a specialized tertiary care hospital in Guayaquil&#44; Ecuador&#44; were studied&#46; The duration of the patients&#39; diagnostic process was compared to that of other patients with solid organ tumors &#40;1 control per NSCLC patient&#41;</p> <span class="elsevierStyleSectionTitle">Design</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Retrospective study of health care services to measure the duration of each stage of the diagnostic process for cancer patients at the ION-SOLCA</p> <span class="elsevierStyleSectionTitle">Measures</span><p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">The main variable was the duration of the diagnostic process&#46; The duration of each phase of the process was also recorded</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0050" class="elsevierStyleSimplePara elsevierViewall">Results are given as means &#40;&#177; standard deviations&#44; with standard errors between parentheses&#41;&#46; The overall duration of the diagnostic process for all solid organ tumors &#40;lung and others&#41; at the ION-SOLCA was 54&#46;5 days &#177; 62&#46;3 &#40;7&#46;6&#41;&#46; No differences were detected between the duration of diagnosis for lung and other tumors&#46; The durations of the different phases of diagnosis were as follows&#58; from the first preadmission contact with the hospital until a visit with a specialist&#44; 12&#46;5 days &#177; 11&#46;4 &#40;1&#46;4&#41;&#59; from the visit with a specialist until a diagnostic procedure&#44; 33&#46;3 days &#177; 57 &#40;7&#41;&#59; and from the diagnostic procedure until the pathological diagnosis&#44; 8&#46;7 days &#177; 6&#46;9 &#40;0&#46;8&#41;</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0055" class="elsevierStyleSimplePara elsevierViewall">Outpatient evaluation is an inefficient&#44; slow and potentially dangerous process in cases in which the probability of a cancer diagnosis is high&#46; A more interventionist process involving hospital admission may accelerate diagnosis in such cases</p>"
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Vol. 39. Issue 4.
Pages 167-170 (April 2003)
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Vol. 39. Issue 4.
Pages 167-170 (April 2003)
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Duración de la valoración diagnóstica del cáncer de pulmón frente a otros tumores sólidos en el Instituto Oncológico Nacional de Ecuador
Duration of the diagnostic process for lung cancer versus other solid tumors at the National Oncology Institute of Ecuador
Visits
8758
A.X. Freirea,
Corresponding author
afreire@utmem.edu

Correspondencia: Associate Professor of Medicine & Preventive Medicine. Uthsc-College of Medicine-Memphis, Coleman Bldg.956 Court Ave, Room H-314. Memphis, TN 38163. USA
, S. Benítezb, K. Brionesb, N.V. Freireb
a Servicio de Neumología, Terapia Respiratoria y Cuidados Intensivos. The Regional Medical Center.Universidad de Tennessee Health Science Center. Memphis, TN. EE.UU
b Servicio de Neumología. Instituto Oncológico Nacional Dr. Juan Tanca Marengo (Ion-Solca). Guayaquil. Ecuador
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Objetivo

Determinar la duración del proceso diagnóstico del cáncer (pulmón frente a tumores de órganos sólidos/todos) en el ION-SOLCA utilizando la modalidad de evaluación ambulatoria

Población Y Métodos

La totalidad de los pacientes con cáncer de pulmón de células no pequeñas (CPCNP) evaluados durante el período comprendido entre el 1 de enero y el 31 de diciembre de 1995 en el ION-SOLCA de Guayaquil, Ecuador (hospital de referencia terciario), comparando con la duración de la evaluación diagnóstica de otras neoplasias de órganos sólidos en la institución

Diseño

Estudio retrospectivo de servicios de salud que cuantifica la duración de cada etapa del proceso diagnóstico de los pacientes con cáncer en el ION-SOLCA. Se consideró como variable índice del estudio la duración de la evaluación diagnóstica de los casos estudiados en el ION-SOLCA. Simultáneamente se obtuvo la duración de cada componente de la variable índice

Resultados

La duración media ± DE de la evaluación diagnóstica global en el ION-SOLCA para los tumores de órganos sólidos (pulmón y otros) es de 54,5 ± 62,3 días (error estándar [EE], 7,6). No se encontró diferencia entre los dos grupos. Los componentes de esta estimación se fraccionan del siguiente modo: primer contacto con el instituto (preadmisión)-visita con el especialista, 12,5 ± 11,4 días (EE, 1,4); visita con el especialista-procedimiento diagnóstico, 33,3 ± 57 días (EE, 7), y procedimiento diagnóstico-resultado de anatomía patológica, 8,7 ± 6,9 días (EE, 0,8)

Conclusiones

La valoración ambulatoria de los pacientes con alta probabilidad de cáncer es un proceso ineficiente, lento y posiblemente peligroso. Una modalidad de ingreso intervencionista podría acelerar el proceso diagnóstico en estos pacientes

Palabras clave:
Cáncer
Diagnóstico
Pulmón
Objective

To determine the duration of the outpatient diagnostic process for lung cancer in comparison to that of other solid organ tumors/all tumors at the National Oncology Institute-Society to Fight Cancer (ION-SOLCA) of Ecuador

Patients And methods

All patients with non-small cell lung cancer (NSCLC) seen between January 1 and December 31, 1995 at the ION-SOLCA, a specialized tertiary care hospital in Guayaquil, Ecuador, were studied. The duration of the patients' diagnostic process was compared to that of other patients with solid organ tumors (1 control per NSCLC patient)

Design

Retrospective study of health care services to measure the duration of each stage of the diagnostic process for cancer patients at the ION-SOLCA

Measures

The main variable was the duration of the diagnostic process. The duration of each phase of the process was also recorded

Results

Results are given as means (± standard deviations, with standard errors between parentheses). The overall duration of the diagnostic process for all solid organ tumors (lung and others) at the ION-SOLCA was 54.5 days ± 62.3 (7.6). No differences were detected between the duration of diagnosis for lung and other tumors. The durations of the different phases of diagnosis were as follows: from the first preadmission contact with the hospital until a visit with a specialist, 12.5 days ± 11.4 (1.4); from the visit with a specialist until a diagnostic procedure, 33.3 days ± 57 (7); and from the diagnostic procedure until the pathological diagnosis, 8.7 days ± 6.9 (0.8)

Conclusions

Outpatient evaluation is an inefficient, slow and potentially dangerous process in cases in which the probability of a cancer diagnosis is high. A more interventionist process involving hospital admission may accelerate diagnosis in such cases

Keywords:
Cancer
Lung
Diagnosis
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