Original Articles
Influence of Delay of Surgery on the Survival of Patients With Bronchogenic Carcinom
Miguel Ángel Cañizares Carreteroa,
, José Eduardo Rivo Vázqueza, Montserrat Blanco Ramosa, Alberto Toscano Novellaa, Eva María García Fontána, María Jesús Purriños Hermidab
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
Correspondence: Dr. M.A. Cañizares Carretero. Servicio de Cirugía Torácica. Complexo Hospitalario Universitario de Vigo (Hospital Xeral). Pizarro, 22. 36204 Vigo. Pontevedra. España
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Servicio de Cirugía Torácica. Complexo Hospitalario Universitario de Vigo (Hospital Xeral). Pizarro, 22. 36204 Vigo. Pontevedra. España" ] ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2005-05-03" "fechaAceptado" => "2006-10-24" "PalabrasClave" => array:2 [ "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec154806" "palabras" => array:3 [ 0 => "Bronchogenic carcinoma" 1 => "Waiting lists: surgery" 2 => "Tumor resection" ] ] ] "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec154807" "palabras" => array:3 [ 0 => "Carcinoma broncogénico" 1 => "Demora quirúrgica" 2 => "Resección tumoral" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "en" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p class="elsevierStyleSimplePara elsevierViewall">Bronchogenic carcinoma is the main cause of tumor-related deaths among men in Spain. The British Thoracic Society recommends that no longer than 4 weeks should pass from the moment a patient's name is placed on a waiting list until surgery takes place. We analyzed the influence of time until surgery on survival in patients with lung cancer.</p> <span class="elsevierStyleSectionTitle">Patients and Methods</span><p class="elsevierStyleSimplePara elsevierViewall">We operated on 108 patients diagnosed with bronchogenic carcinoma between January 1, 2001 and December 31, 2002. The time until surgery was defined by the date of application for care in our department until the moment of surgery.</p> <span class="elsevierStyleSectionTitle">Results</span><p class="elsevierStyleSimplePara elsevierViewall">The mean time on the waiting list was 56.87 days. No significant differences in mean wait-list times could be found in relation to tumor stage, type of surgery, patient age, or complete resection rate. The median survival in this patient series was 35 months. No significant differences in survival were found in relation to time until surgery in either the univariate or multivariate analysis. Pathologic stage, complete resection of the tumor, and patient age were prognostic factors.</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p class="elsevierStyleSimplePara elsevierViewall">We found no evidence that delaying surgery affects survival in lung cancer patients. However, efforts should be made to reduce surgical wait-list times to bring them into line with the recommendations of scientific societies.</p>" ] "es" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p class="elsevierStyleSimplePara elsevierViewall">La primera causa de muerte de origen neoplásico en varones en nuestro medio es el carcinoma broncogénico. La British Thoracic Society recomienda que el tiempo de demora quirúrgica desde el momento de inclusión en una lista de espera hasta la cirugía ha de ser menor de 4 semanas. Analizamos la influencia de la espera quirúrgica en la supervivencia de estos pacientes.</p> <span class="elsevierStyleSectionTitle">Pacientes y Métodos</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 diagnóstico de carcinoma broncogénico. El tiempo de espera quirúrgica se consideró desde la fecha de solicitud de asistencia en nuestro servicio hasta el momento de la cirugía.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p class="elsevierStyleSimplePara elsevierViewall">La media de los tiempos de espera fue de 56,87 días. No se hallaron diferencias significativas en las medias de los tiempos de espera según el estadio tumoral, el tipo de cirugía practicada, la edad del paciente o el índice de resección completa. La mediana de supervivencia de la serie fue de 35 meses. No se apreciaron diferencias significativas en la supervivencia en relación con la demora quirúrgica en el estudio univariante ni en el multivariante. El estadio patológico, la resección completa del tumor y la edad del paciente demostraron ser factores pronósticos.</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p class="elsevierStyleSimplePara elsevierViewall">No hemos encontrado evidencia de que nuestra demora quirúrgica influya en la supervivencia de estos pacientes. No obstante, nuestros esfuerzos deben dirigirse a la reducción de estos tiempos de espera quirúrgica hasta que se aproximen a las recomendaciones de las sociedades científicas.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "REFERENCES" "seccion" => array:1 [ 0 => array:1 [ "bibliografiaReferencia" => array:24 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Cancer statistics, 1999" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "SH Landis" 1 => "T Murray" 2 => "S Bolden" 3 => "PA Wingo" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "CA Cancer J Clin" "fecha" => "1999" "volumen" => "49" "paginaInicial" => "8" "paginaFinal" => "31" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10200775" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib2" 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| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 November | 5 | 2 | 7 |
| 2024 October | 24 | 21 | 45 |
| 2024 September | 29 | 19 | 48 |
| 2024 August | 52 | 34 | 86 |
| 2024 July | 23 | 27 | 50 |
| 2024 June | 23 | 23 | 46 |
| 2024 May | 29 | 33 | 62 |
| 2024 April | 17 | 26 | 43 |
| 2024 March | 15 | 14 | 29 |
| 2024 February | 17 | 23 | 40 |
| 2023 March | 1 | 1 | 2 |
| 2023 February | 14 | 22 | 36 |
| 2023 January | 18 | 35 | 53 |
| 2022 December | 19 | 30 | 49 |
| 2022 November | 14 | 22 | 36 |
| 2022 October | 17 | 26 | 43 |
| 2022 September | 16 | 26 | 42 |
| 2022 August | 16 | 36 | 52 |
| 2022 July | 19 | 40 | 59 |
| 2022 June | 17 | 24 | 41 |
| 2022 May | 14 | 34 | 48 |
| 2022 April | 15 | 29 | 44 |
| 2022 March | 16 | 33 | 49 |
| 2022 February | 15 | 30 | 45 |
| 2022 January | 13 | 29 | 42 |
| 2021 December | 13 | 37 | 50 |
| 2021 November | 12 | 44 | 56 |
| 2021 October | 40 | 48 | 88 |
| 2021 September | 31 | 69 | 100 |
| 2021 August | 20 | 36 | 56 |
| 2021 July | 11 | 22 | 33 |
| 2021 June | 26 | 22 | 48 |
| 2021 May | 10 | 31 | 41 |
| 2021 April | 23 | 30 | 53 |
| 2021 March | 14 | 18 | 32 |
| 2021 February | 11 | 16 | 27 |
| 2021 January | 5 | 11 | 16 |
| 2020 December | 5 | 8 | 13 |
| 2020 November | 5 | 8 | 13 |
| 2020 October | 8 | 4 | 12 |
| 2020 September | 4 | 4 | 8 |
| 2020 August | 8 | 7 | 15 |
| 2020 July | 6 | 11 | 17 |
| 2020 June | 7 | 2 | 9 |
| 2020 May | 6 | 12 | 18 |
| 2020 April | 7 | 14 | 21 |
| 2020 March | 10 | 14 | 24 |
| 2020 February | 21 | 13 | 34 |
| 2020 January | 32 | 14 | 46 |
| 2019 December | 7 | 15 | 22 |
| 2019 November | 7 | 4 | 11 |
| 2019 October | 7 | 7 | 14 |
| 2019 September | 11 | 8 | 19 |
| 2019 August | 10 | 8 | 18 |
| 2019 July | 9 | 13 | 22 |
| 2019 June | 1 | 2 | 3 |
| 2019 May | 3 | 6 | 9 |
| 2019 April | 8 | 8 | 16 |
| 2019 March | 2 | 15 | 17 |
| 2019 February | 2 | 6 | 8 |
| 2019 January | 5 | 5 | 10 |
| 2018 December | 2 | 10 | 12 |
| 2018 November | 12 | 11 | 23 |
| 2018 October | 29 | 11 | 40 |
| 2018 September | 17 | 5 | 22 |
| 2018 May | 4 | 0 | 4 |
| 2018 April | 7 | 8 | 15 |
| 2018 March | 3 | 1 | 4 |
| 2018 February | 8 | 7 | 15 |
| 2018 January | 3 | 9 | 12 |
| 2017 December | 4 | 4 | 8 |
| 2017 November | 2 | 7 | 9 |
| 2017 October | 3 | 5 | 8 |
| 2017 September | 4 | 3 | 7 |
| 2017 August | 5 | 8 | 13 |
| 2017 July | 1 | 1 | 2 |
| 2017 June | 12 | 13 | 25 |
| 2017 May | 6 | 6 | 12 |
| 2017 April | 2 | 0 | 2 |
| 2017 March | 4 | 0 | 4 |
| 2017 February | 3 | 2 | 5 |
| 2017 January | 1 | 0 | 1 |
| 2016 December | 9 | 9 | 18 |
| 2016 November | 12 | 6 | 18 |
| 2016 October | 15 | 9 | 24 |
| 2016 September | 16 | 9 | 25 |
| 2016 August | 9 | 6 | 15 |
| 2016 July | 3 | 5 | 8 |
| 2016 March | 1 | 0 | 1 |
| 2016 February | 1 | 0 | 1 |
| 2015 December | 2 | 0 | 2 |
| 2015 October | 30 | 7 | 37 |
| 2015 September | 36 | 4 | 40 |
| 2015 August | 37 | 8 | 45 |
| 2015 July | 37 | 2 | 39 |
| 2015 June | 27 | 7 | 34 |
| 2015 May | 52 | 5 | 57 |
| 2015 April | 28 | 7 | 35 |
| 2015 March | 36 | 5 | 41 |
| 2015 February | 35 | 5 | 40 |
| 2015 January | 26 | 4 | 30 |
| 2014 December | 16 | 2 | 18 |
| 2014 November | 32 | 10 | 42 |
| 2014 October | 38 | 12 | 50 |
| 2014 September | 32 | 6 | 38 |
| 2014 August | 31 | 8 | 39 |
| 2014 July | 25 | 3 | 28 |
| 2014 June | 45 | 7 | 52 |
| 2014 May | 46 | 10 | 56 |
| 2014 April | 45 | 11 | 56 |
| 2014 March | 49 | 10 | 59 |
| 2014 February | 39 | 10 | 49 |
| 2014 January | 34 | 7 | 41 |
| 2013 December | 32 | 11 | 43 |
| 2013 November | 23 | 4 | 27 |
| 2013 October | 19 | 9 | 28 |
| 2013 September | 23 | 5 | 28 |
| 2013 August | 30 | 10 | 40 |
| 2013 July | 50 | 13 | 63 |
| 2013 June | 25 | 5 | 30 |
| 2013 May | 25 | 2 | 27 |
| 2013 April | 7 | 2 | 9 |
| 2013 March | 5 | 1 | 6 |
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