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Revista Cubana de Cirugía
On-line version ISSN 1561-2945
Abstract
GARCIA RODRIGUEZ, Miguel Emilio et al. Outcome Analysis of the Multidisciplinary Evaluation of Patients with Lung Cancer. Rev Cubana Cir [online]. 2019, vol.58, n.1 Epub June 30, 2019. ISSN 1561-2945.
Introduction:
Lung cancer represents a great burden of disease worldwide. Patient care centralization for diagnosis and treatment adds a leap in the quality of health care.
Objective:
To evaluate the results of the multidisciplinary consultation of lung cancer in the province of Camagüey.
Methods:
A retrospective, analytical, observational study was conducted from November 2015 to February 2017. The study population consisted of 182 patients with lung cancer who were evaluated in the multidisciplinary consultation. The sample, which was probabilistic, was made up of 182 patients diagnosed with lung cancer, coinciding with the population. We worked with an objective population made up of all the adult patients who attended the aforementioned consultation and who were diagnosed with lung cancer in the diagnostic systematics.
Results:
There was a predominance of the male sex and the age group between 60 and 69 years old. All the patients were associated with the smoking habit, and had at least one chest radiograph at the time of the first evaluation. The main symptom was coughing. More than half of the patients came before 60 days after the onset of symptoms, were diagnosed and started treatment before the month. The adenocarcinoma was the most frequent histological type, as the peripheral tumor location. The functional state was deteriorated in relation to the clinical stage and the surgical treatment was the most indicated.
Conclusions:
Multidisciplinary care in patients with lung cancer has become the standard of care. The centralization of care, as well as the application of a clinical approach, optimizes the use of available technology appropriate to each particular case.
Keywords : lung cancer; multidisciplinary consultation; clinical approach; diagnosis; treatment; delayed diagnosis.