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        "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p class="elsevierStyleSimplePara elsevierViewall">Bronchogenic carcinoma is the main cause of tumor-related deaths among men in Spain&#46; The British Thoracic Society recommends that no longer than 4 weeks should pass from the moment a patient&#39;s name is placed on a waiting list until surgery takes place&#46; We analyzed the influence of time until surgery on survival in patients with lung cancer&#46;</p> <span class="elsevierStyleSectionTitle">Patients and Methods</span><p class="elsevierStyleSimplePara elsevierViewall">We operated on 108 patients diagnosed with bronchogenic carcinoma between January 1&#44; 2001 and December 31&#44; 2002&#46; The time until surgery was defined by the date of application for care in our department until the moment of surgery&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p class="elsevierStyleSimplePara elsevierViewall">The mean time on the waiting list was 56&#46;87 days&#46; No significant differences in mean wait-list times could be found in relation to tumor stage&#44; type of surgery&#44; patient age&#44; or complete resection rate&#46; The median survival in this patient series was 35 months&#46; No significant differences in survival were found in relation to time until surgery in either the univariate or multivariate analysis&#46; Pathologic stage&#44; complete resection of the tumor&#44; and patient age were prognostic factors&#46;</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p class="elsevierStyleSimplePara elsevierViewall">We found no evidence that delaying surgery affects survival in lung cancer patients&#46; However&#44; efforts should be made to reduce surgical wait-list times to bring them into line with the recommendations of scientific societies&#46;</p>"
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        "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p class="elsevierStyleSimplePara elsevierViewall">La primera causa de muerte de origen neopl&#225;sico en varones en nuestro medio es el carcinoma broncog&#233;nico&#46; La British Thoracic Society recomienda que el tiempo de demora quir&#250;rgica desde el momento de inclusi&#243;n en una lista de espera hasta la cirug&#237;a ha de ser menor de 4 semanas&#46; Analizamos la influencia de la espera quir&#250;rgica en la supervivencia de estos pacientes&#46;</p> <span class="elsevierStyleSectionTitle">Pacientes y M&#233;todos</span><p class="elsevierStyleSimplePara elsevierViewall">Entre el 1 de enero de 2001 y el 31 de diciembre de 2002 se intervino en nuestro servicio a 108 pacientes con el diagn&#243;stico de carcinoma broncog&#233;nico&#46; El tiempo de espera quir&#250;rgica se consider&#243; desde la fecha de solicitud de asistencia en nuestro servicio hasta el momento de la cirug&#237;a&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p class="elsevierStyleSimplePara elsevierViewall">La media de los tiempos de espera fue de 56&#44;87 d&#237;as&#46; No se hallaron diferencias significativas en las medias de los tiempos de espera seg&#250;n el estadio tumoral&#44; el tipo de cirug&#237;a practicada&#44; la edad del paciente o el &#237;ndice de resecci&#243;n completa&#46; La mediana de supervivencia de la serie fue de 35 meses&#46; No se apreciaron diferencias significativas en la supervivencia en relaci&#243;n con la demora quir&#250;rgica en el estudio univariante ni en el multivariante&#46; El estadio patol&#243;gico&#44; la resecci&#243;n completa del tumor y la edad del paciente demostraron ser factores pron&#243;sticos&#46;</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p class="elsevierStyleSimplePara elsevierViewall">No hemos encontrado evidencia de que nuestra demora quir&#250;rgica influya en la supervivencia de estos pacientes&#46; No obstante&#44; nuestros esfuerzos deben dirigirse a la reducci&#243;n de estos tiempos de espera quir&#250;rgica hasta que se aproximen a las recomendaciones de las sociedades cient&#237;ficas&#46;</p>"
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Original Articles
Influence of Delay of Surgery on the Survival of Patients With Bronchogenic Carcinom
Miguel Ángel Cañizares Carreteroa,
Corresponding author
macaniz@telefonica.net

Correspondence: Dr. M.A. Cañizares Carretero. Servicio de Cirugía Torácica. Complexo Hospitalario Universitario de Vigo (Hospital Xeral). Pizarro, 22. 36204 Vigo. Pontevedra. España
, José Eduardo Rivo Vázqueza, Montserrat Blanco Ramosa, Alberto Toscano Novellaa, Eva María García Fontána, María Jesús Purriños Hermidab
a Servicio de Cirugía Torácica, Complexo Hospitalario Universitario de Vigo, Vigo, Pontevedra, Spain
b Unidad de Investigación Clinicoepidemiológica, Complexo Hospitalario Universitario de Vigo, Vigo, Pontevedra, Spain
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        "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p class="elsevierStyleSimplePara elsevierViewall">Bronchogenic carcinoma is the main cause of tumor-related deaths among men in Spain&#46; The British Thoracic Society recommends that no longer than 4 weeks should pass from the moment a patient&#39;s name is placed on a waiting list until surgery takes place&#46; We analyzed the influence of time until surgery on survival in patients with lung cancer&#46;</p> <span class="elsevierStyleSectionTitle">Patients and Methods</span><p class="elsevierStyleSimplePara elsevierViewall">We operated on 108 patients diagnosed with bronchogenic carcinoma between January 1&#44; 2001 and December 31&#44; 2002&#46; The time until surgery was defined by the date of application for care in our department until the moment of surgery&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p class="elsevierStyleSimplePara elsevierViewall">The mean time on the waiting list was 56&#46;87 days&#46; No significant differences in mean wait-list times could be found in relation to tumor stage&#44; type of surgery&#44; patient age&#44; or complete resection rate&#46; The median survival in this patient series was 35 months&#46; No significant differences in survival were found in relation to time until surgery in either the univariate or multivariate analysis&#46; Pathologic stage&#44; complete resection of the tumor&#44; and patient age were prognostic factors&#46;</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p class="elsevierStyleSimplePara elsevierViewall">We found no evidence that delaying surgery affects survival in lung cancer patients&#46; However&#44; efforts should be made to reduce surgical wait-list times to bring them into line with the recommendations of scientific societies&#46;</p>"
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        "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p class="elsevierStyleSimplePara elsevierViewall">La primera causa de muerte de origen neopl&#225;sico en varones en nuestro medio es el carcinoma broncog&#233;nico&#46; La British Thoracic Society recomienda que el tiempo de demora quir&#250;rgica desde el momento de inclusi&#243;n en una lista de espera hasta la cirug&#237;a ha de ser menor de 4 semanas&#46; Analizamos la influencia de la espera quir&#250;rgica en la supervivencia de estos pacientes&#46;</p> <span class="elsevierStyleSectionTitle">Pacientes y M&#233;todos</span><p class="elsevierStyleSimplePara elsevierViewall">Entre el 1 de enero de 2001 y el 31 de diciembre de 2002 se intervino en nuestro servicio a 108 pacientes con el diagn&#243;stico de carcinoma broncog&#233;nico&#46; El tiempo de espera quir&#250;rgica se consider&#243; desde la fecha de solicitud de asistencia en nuestro servicio hasta el momento de la cirug&#237;a&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p class="elsevierStyleSimplePara elsevierViewall">La media de los tiempos de espera fue de 56&#44;87 d&#237;as&#46; No se hallaron diferencias significativas en las medias de los tiempos de espera seg&#250;n el estadio tumoral&#44; el tipo de cirug&#237;a practicada&#44; la edad del paciente o el &#237;ndice de resecci&#243;n completa&#46; La mediana de supervivencia de la serie fue de 35 meses&#46; No se apreciaron diferencias significativas en la supervivencia en relaci&#243;n con la demora quir&#250;rgica en el estudio univariante ni en el multivariante&#46; El estadio patol&#243;gico&#44; la resecci&#243;n completa del tumor y la edad del paciente demostraron ser factores pron&#243;sticos&#46;</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p class="elsevierStyleSimplePara elsevierViewall">No hemos encontrado evidencia de que nuestra demora quir&#250;rgica influya en la supervivencia de estos pacientes&#46; No obstante&#44; nuestros esfuerzos deben dirigirse a la reducci&#243;n de estos tiempos de espera quir&#250;rgica hasta que se aproximen a las recomendaciones de las sociedades cient&#237;ficas&#46;</p>"
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