Lung cancer from suspicion to treatment: An indicator of healthcare access in Turkey
Background: Lung cancer is the leading cause of cancer-related deaths worldwide. Before beginning lung cancer treatment, it is necessary to complete procedures such as suspecting lung cancer, obtaining a pathologic diagnosis, and staging. This study aimed to investigate the processes from suspicion...
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| Format: |
E-Artikel |
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| Sprache: |
Englisch |
| Erschienen: |
2023 |
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| Schlagwörter: |
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| Übergeordnetes Werk: |
Enthalten in: Cancer epidemiology - Amsterdam [u.a.] : Elsevier, 2009, 87 |
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| Übergeordnetes Werk: |
volume:87 |
| DOI / URN: |
10.1016/j.canep.2023.102480 |
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| Katalog-ID: |
ELV065865235 |
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| 245 | 1 | 0 | |a Lung cancer from suspicion to treatment: An indicator of healthcare access in Turkey |
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| 520 | |a Background: Lung cancer is the leading cause of cancer-related deaths worldwide. Before beginning lung cancer treatment, it is necessary to complete procedures such as suspecting lung cancer, obtaining a pathologic diagnosis, and staging. This study aimed to investigate the processes from suspicion of lung cancer to diagnosis, staging, and treatment initiation.Methods: The study was designed as a multicenter and cross-sectional study. Patients with lung cancer from various health institutions located in all geographic regions of Turkey were included in the study. The sociodemographic and clinical characteristics of the patients, the characteristics of the health institutions and geographic regions, and other variables of the lung cancer process were recorded. The time from suspicion of lung cancer to pathologic diagnosis, radiologic staging, and treatment initiation, as well as influencing factors, were investigated.Results: The study included 1410 patients from 29 different medical centers. The mean time from the initial suspicion of lung cancer to the pathologic diagnosis was 48.0 ± 52.6 days, 39.0 ± 52.7 days for radiologic staging, and 74.9 ± 65.5 days for treatment initiation. The residential areas with the most suspected lung cancer cases were highly developed socioeconomic zones. Primary healthcare services accounted for only 0.4% of patients with suspected lung cancer. The time to pathologic diagnosis was longer in the Marmara region, and the wait time for staging and treatment initiation was longer in Eastern and Southeastern Anatolia. Patients who presented to chest disease referral hospitals with peripheral lesions, those with early-stage disease, and those who were diagnosed surgically had significantly longer wait times.Conclusion: The time between pathologic diagnosis, staging, and treatment initiation in lung cancer was longer than expected. Increasing the role of primary healthcare services and distributing socioeconomic resources more equally will contribute to shortening the time to diagnosis and improve treatment processes for lung cancer. | ||
| 650 | 4 | |a Lung cancer | |
| 650 | 4 | |a Diagnosis | |
| 650 | 4 | |a Duration | |
| 650 | 4 | |a Geographic region | |
| 650 | 4 | |a Socioeconomic status | |
| 700 | 1 | |a Yılmaz Kaya, Zeynep |e verfasserin |4 aut | |
| 700 | 1 | |a Gökçimen, Gizem |e verfasserin |0 (orcid)0000-0001-6932-6007 |4 aut | |
| 700 | 1 | |a Havlucu, Yavuz |e verfasserin |4 aut | |
| 700 | 1 | |a Cengiz Özyurt, Beyhan |e verfasserin |4 aut | |
| 700 | 1 | |a Gündoğuş, Baran |e verfasserin |4 aut | |
| 700 | 1 | |a Esendağlı, Dorina |e verfasserin |4 aut | |
| 700 | 1 | |a Serez Kaya, Bilkay |e verfasserin |4 aut | |
| 700 | 1 | |a Yılmam, İlker |e verfasserin |4 aut | |
| 700 | 1 | |a Aydemir, Yusuf |e verfasserin |4 aut | |
| 700 | 1 | |a Çolak, Mücahit |e verfasserin |0 (orcid)0009-0009-4534-3617 |4 aut | |
| 700 | 1 | |a Afşin, Emine |e verfasserin |4 aut | |
| 700 | 1 | |a Çetin, Nazlı |e verfasserin |4 aut | |
| 700 | 1 | |a İdikut, Aytekin |e verfasserin |4 aut | |
| 700 | 1 | |a Değirmenci, Ceren |e verfasserin |4 aut | |
| 700 | 1 | |a Oral Tapan, Özge |e verfasserin |4 aut | |
| 700 | 1 | |a Gündüz Gürkan, Canan |e verfasserin |4 aut | |
| 700 | 1 | |a Kocatürk, Celalettin İbrahim |e verfasserin |4 aut | |
| 700 | 1 | |a Ömeroğlu Şimşek, Gökçen |e verfasserin |4 aut | |
| 700 | 1 | |a Kalafat, Cem Emrah |e verfasserin |0 (orcid)0000-0001-5451-2042 |4 aut | |
| 700 | 1 | |a Özgün Niksarlıoğlu, Elif Yelda |e verfasserin |4 aut | |
| 700 | 1 | |a Ergün Serdaroğlu, Merdiye |e verfasserin |4 aut | |
| 700 | 1 | |a Karcıoğlu, Oğuz |e verfasserin |4 aut | |
| 700 | 1 | |a Özyurt, Songül |e verfasserin |0 (orcid)0000-0002-9768-1425 |4 aut | |
| 700 | 1 | |a Karahacıoğlu Madran, Elvin |e verfasserin |4 aut | |
| 700 | 1 | |a Yaprak Bayrak, Büşra |e verfasserin |4 aut | |
| 700 | 1 | |a Alasgarova, Zenfira |e verfasserin |4 aut | |
| 700 | 1 | |a Baydar Toprak, Oya |e verfasserin |4 aut | |
| 700 | 1 | |a Yılmazel Uçar, Elif |e verfasserin |4 aut | |
| 700 | 1 | |a Topal, Burcu Nur |e verfasserin |4 aut | |
| 700 | 1 | |a Argun Barış, Serap |e verfasserin |4 aut | |
| 700 | 1 | |a Guliyev, Elif |e verfasserin |0 (orcid)0000-0002-1501-3360 |4 aut | |
| 700 | 1 | |a Güzel, Efraim |e verfasserin |0 (orcid)0000-0001-6677-9254 |4 aut | |
| 700 | 1 | |a Küçük, Salih |e verfasserin |0 (orcid)0000-0001-5242-4874 |4 aut | |
| 700 | 1 | |a Ocaklı, Birsen |e verfasserin |4 aut | |
| 700 | 1 | |a Baran Ketencioğlu, Burcu |e verfasserin |4 aut | |
| 700 | 1 | |a Selçuk, Nursel Türkoğlu |e verfasserin |4 aut | |
| 700 | 1 | |a Sarı Akyüz, Merve |e verfasserin |4 aut | |
| 700 | 1 | |a Sercan Özgür, Eylem |e verfasserin |4 aut | |
| 700 | 1 | |a Yetkin, Nur Aleyna |e verfasserin |4 aut | |
| 700 | 1 | |a Çetinkaya, Pelin Duru |e verfasserin |4 aut | |
| 700 | 1 | |a Deniz, Pelin Pınar |e verfasserin |4 aut | |
| 700 | 1 | |a Atlı, Siahmet |e verfasserin |4 aut | |
| 700 | 1 | |a Çetindoğan, Hatice |e verfasserin |4 aut | |
| 700 | 1 | |a Karakaş, Fatma Gülsüm |e verfasserin |4 aut | |
| 700 | 1 | |a Yılmaz, Emine Serap |e verfasserin |4 aut | |
| 700 | 1 | |a Ergün, Dilek |e verfasserin |0 (orcid)0000-0002-9890-2250 |4 aut | |
| 700 | 1 | |a Ergün, Recai |e verfasserin |0 (orcid)0000-0002-6702-9188 |4 aut | |
| 700 | 1 | |a Tulay, Cumhur Murat |e verfasserin |4 aut | |
| 700 | 1 | |a Ünsal, Meftun |e verfasserin |0 (orcid)0000-0001-5362-2864 |4 aut | |
| 700 | 1 | |a Demirkaya, İlker |e verfasserin |4 aut | |
| 700 | 1 | |a Marım, Feride |e verfasserin |4 aut | |
| 700 | 1 | |a Kaya, İlknur |e verfasserin |4 aut | |
| 700 | 1 | |a Demirdöğen, Ezgi |e verfasserin |4 aut | |
| 700 | 1 | |a Görek Dilektaşlı, Aslı |e verfasserin |4 aut | |
| 700 | 1 | |a Ursavaş, Ahmet |e verfasserin |4 aut | |
| 700 | 1 | |a Çelik, Pınar |e verfasserin |4 aut | |
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10.1016/j.canep.2023.102480 doi (DE-627)ELV065865235 (ELSEVIER)S1877-7821(23)00160-1 DE-627 ger DE-627 rda eng 610 VZ 44.81 bkl Kızılırmak, Deniz verfasserin aut Lung cancer from suspicion to treatment: An indicator of healthcare access in Turkey 2023 nicht spezifiziert zzz rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: Lung cancer is the leading cause of cancer-related deaths worldwide. Before beginning lung cancer treatment, it is necessary to complete procedures such as suspecting lung cancer, obtaining a pathologic diagnosis, and staging. This study aimed to investigate the processes from suspicion of lung cancer to diagnosis, staging, and treatment initiation.Methods: The study was designed as a multicenter and cross-sectional study. Patients with lung cancer from various health institutions located in all geographic regions of Turkey were included in the study. The sociodemographic and clinical characteristics of the patients, the characteristics of the health institutions and geographic regions, and other variables of the lung cancer process were recorded. The time from suspicion of lung cancer to pathologic diagnosis, radiologic staging, and treatment initiation, as well as influencing factors, were investigated.Results: The study included 1410 patients from 29 different medical centers. The mean time from the initial suspicion of lung cancer to the pathologic diagnosis was 48.0 ± 52.6 days, 39.0 ± 52.7 days for radiologic staging, and 74.9 ± 65.5 days for treatment initiation. The residential areas with the most suspected lung cancer cases were highly developed socioeconomic zones. Primary healthcare services accounted for only 0.4% of patients with suspected lung cancer. The time to pathologic diagnosis was longer in the Marmara region, and the wait time for staging and treatment initiation was longer in Eastern and Southeastern Anatolia. Patients who presented to chest disease referral hospitals with peripheral lesions, those with early-stage disease, and those who were diagnosed surgically had significantly longer wait times.Conclusion: The time between pathologic diagnosis, staging, and treatment initiation in lung cancer was longer than expected. Increasing the role of primary healthcare services and distributing socioeconomic resources more equally will contribute to shortening the time to diagnosis and improve treatment processes for lung cancer. Lung cancer Diagnosis Duration Geographic region Socioeconomic status Yılmaz Kaya, Zeynep verfasserin aut Gökçimen, Gizem verfasserin (orcid)0000-0001-6932-6007 aut Havlucu, Yavuz verfasserin aut Cengiz Özyurt, Beyhan verfasserin aut Gündoğuş, Baran verfasserin aut Esendağlı, Dorina verfasserin aut Serez Kaya, Bilkay verfasserin aut Yılmam, İlker verfasserin aut Aydemir, Yusuf verfasserin aut Çolak, Mücahit verfasserin (orcid)0009-0009-4534-3617 aut Afşin, Emine verfasserin aut Çetin, Nazlı verfasserin aut İdikut, Aytekin verfasserin aut Değirmenci, Ceren verfasserin aut Oral Tapan, Özge verfasserin aut Gündüz Gürkan, Canan verfasserin aut Kocatürk, Celalettin İbrahim verfasserin aut Ömeroğlu Şimşek, Gökçen verfasserin aut Kalafat, Cem Emrah verfasserin (orcid)0000-0001-5451-2042 aut Özgün Niksarlıoğlu, Elif Yelda verfasserin aut Ergün Serdaroğlu, Merdiye verfasserin aut Karcıoğlu, Oğuz verfasserin aut Özyurt, Songül verfasserin (orcid)0000-0002-9768-1425 aut Karahacıoğlu Madran, Elvin verfasserin aut Yaprak Bayrak, Büşra verfasserin aut Alasgarova, Zenfira verfasserin aut Baydar Toprak, Oya verfasserin aut Yılmazel Uçar, Elif verfasserin aut Topal, Burcu Nur verfasserin aut Argun Barış, Serap verfasserin aut Guliyev, Elif verfasserin (orcid)0000-0002-1501-3360 aut Güzel, Efraim verfasserin (orcid)0000-0001-6677-9254 aut Küçük, Salih verfasserin (orcid)0000-0001-5242-4874 aut Ocaklı, Birsen verfasserin aut Baran Ketencioğlu, Burcu verfasserin aut Selçuk, Nursel Türkoğlu verfasserin aut Sarı Akyüz, Merve verfasserin aut Sercan Özgür, Eylem verfasserin aut Yetkin, Nur Aleyna verfasserin aut Çetinkaya, Pelin Duru verfasserin aut Deniz, Pelin Pınar verfasserin aut Atlı, Siahmet verfasserin aut Çetindoğan, Hatice verfasserin aut Karakaş, Fatma Gülsüm verfasserin aut Yılmaz, Emine Serap verfasserin aut Ergün, Dilek verfasserin (orcid)0000-0002-9890-2250 aut Ergün, Recai verfasserin (orcid)0000-0002-6702-9188 aut Tulay, Cumhur Murat verfasserin aut Ünsal, Meftun verfasserin (orcid)0000-0001-5362-2864 aut Demirkaya, İlker verfasserin aut Marım, Feride verfasserin aut Kaya, İlknur verfasserin aut Demirdöğen, Ezgi verfasserin aut Görek Dilektaşlı, Aslı verfasserin aut Ursavaş, Ahmet verfasserin aut Çelik, Pınar verfasserin aut Enthalten in Cancer epidemiology Amsterdam [u.a.] : Elsevier, 2009 87 Online-Ressource (DE-627)601531310 (DE-600)2498032-8 (DE-576)307465047 1877-783X nnns volume:87 GBV_USEFLAG_U GBV_ELV SYSFLAG_U SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2088 GBV_ILN_2106 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2470 GBV_ILN_2507 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4242 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.81 Onkologie VZ AR 87 |
| spelling |
10.1016/j.canep.2023.102480 doi (DE-627)ELV065865235 (ELSEVIER)S1877-7821(23)00160-1 DE-627 ger DE-627 rda eng 610 VZ 44.81 bkl Kızılırmak, Deniz verfasserin aut Lung cancer from suspicion to treatment: An indicator of healthcare access in Turkey 2023 nicht spezifiziert zzz rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: Lung cancer is the leading cause of cancer-related deaths worldwide. Before beginning lung cancer treatment, it is necessary to complete procedures such as suspecting lung cancer, obtaining a pathologic diagnosis, and staging. This study aimed to investigate the processes from suspicion of lung cancer to diagnosis, staging, and treatment initiation.Methods: The study was designed as a multicenter and cross-sectional study. Patients with lung cancer from various health institutions located in all geographic regions of Turkey were included in the study. The sociodemographic and clinical characteristics of the patients, the characteristics of the health institutions and geographic regions, and other variables of the lung cancer process were recorded. The time from suspicion of lung cancer to pathologic diagnosis, radiologic staging, and treatment initiation, as well as influencing factors, were investigated.Results: The study included 1410 patients from 29 different medical centers. The mean time from the initial suspicion of lung cancer to the pathologic diagnosis was 48.0 ± 52.6 days, 39.0 ± 52.7 days for radiologic staging, and 74.9 ± 65.5 days for treatment initiation. The residential areas with the most suspected lung cancer cases were highly developed socioeconomic zones. Primary healthcare services accounted for only 0.4% of patients with suspected lung cancer. The time to pathologic diagnosis was longer in the Marmara region, and the wait time for staging and treatment initiation was longer in Eastern and Southeastern Anatolia. Patients who presented to chest disease referral hospitals with peripheral lesions, those with early-stage disease, and those who were diagnosed surgically had significantly longer wait times.Conclusion: The time between pathologic diagnosis, staging, and treatment initiation in lung cancer was longer than expected. Increasing the role of primary healthcare services and distributing socioeconomic resources more equally will contribute to shortening the time to diagnosis and improve treatment processes for lung cancer. Lung cancer Diagnosis Duration Geographic region Socioeconomic status Yılmaz Kaya, Zeynep verfasserin aut Gökçimen, Gizem verfasserin (orcid)0000-0001-6932-6007 aut Havlucu, Yavuz verfasserin aut Cengiz Özyurt, Beyhan verfasserin aut Gündoğuş, Baran verfasserin aut Esendağlı, Dorina verfasserin aut Serez Kaya, Bilkay verfasserin aut Yılmam, İlker verfasserin aut Aydemir, Yusuf verfasserin aut Çolak, Mücahit verfasserin (orcid)0009-0009-4534-3617 aut Afşin, Emine verfasserin aut Çetin, Nazlı verfasserin aut İdikut, Aytekin verfasserin aut Değirmenci, Ceren verfasserin aut Oral Tapan, Özge verfasserin aut Gündüz Gürkan, Canan verfasserin aut Kocatürk, Celalettin İbrahim verfasserin aut Ömeroğlu Şimşek, Gökçen verfasserin aut Kalafat, Cem Emrah verfasserin (orcid)0000-0001-5451-2042 aut Özgün Niksarlıoğlu, Elif Yelda verfasserin aut Ergün Serdaroğlu, Merdiye verfasserin aut Karcıoğlu, Oğuz verfasserin aut Özyurt, Songül verfasserin (orcid)0000-0002-9768-1425 aut Karahacıoğlu Madran, Elvin verfasserin aut Yaprak Bayrak, Büşra verfasserin aut Alasgarova, Zenfira verfasserin aut Baydar Toprak, Oya verfasserin aut Yılmazel Uçar, Elif verfasserin aut Topal, Burcu Nur verfasserin aut Argun Barış, Serap verfasserin aut Guliyev, Elif verfasserin (orcid)0000-0002-1501-3360 aut Güzel, Efraim verfasserin (orcid)0000-0001-6677-9254 aut Küçük, Salih verfasserin (orcid)0000-0001-5242-4874 aut Ocaklı, Birsen verfasserin aut Baran Ketencioğlu, Burcu verfasserin aut Selçuk, Nursel Türkoğlu verfasserin aut Sarı Akyüz, Merve verfasserin aut Sercan Özgür, Eylem verfasserin aut Yetkin, Nur Aleyna verfasserin aut Çetinkaya, Pelin Duru verfasserin aut Deniz, Pelin Pınar verfasserin aut Atlı, Siahmet verfasserin aut Çetindoğan, Hatice verfasserin aut Karakaş, Fatma Gülsüm verfasserin aut Yılmaz, Emine Serap verfasserin aut Ergün, Dilek verfasserin (orcid)0000-0002-9890-2250 aut Ergün, Recai verfasserin (orcid)0000-0002-6702-9188 aut Tulay, Cumhur Murat verfasserin aut Ünsal, Meftun verfasserin (orcid)0000-0001-5362-2864 aut Demirkaya, İlker verfasserin aut Marım, Feride verfasserin aut Kaya, İlknur verfasserin aut Demirdöğen, Ezgi verfasserin aut Görek Dilektaşlı, Aslı verfasserin aut Ursavaş, Ahmet verfasserin aut Çelik, Pınar verfasserin aut Enthalten in Cancer epidemiology Amsterdam [u.a.] : Elsevier, 2009 87 Online-Ressource (DE-627)601531310 (DE-600)2498032-8 (DE-576)307465047 1877-783X nnns volume:87 GBV_USEFLAG_U GBV_ELV SYSFLAG_U SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2088 GBV_ILN_2106 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2470 GBV_ILN_2507 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4242 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.81 Onkologie VZ AR 87 |
| allfields_unstemmed |
10.1016/j.canep.2023.102480 doi (DE-627)ELV065865235 (ELSEVIER)S1877-7821(23)00160-1 DE-627 ger DE-627 rda eng 610 VZ 44.81 bkl Kızılırmak, Deniz verfasserin aut Lung cancer from suspicion to treatment: An indicator of healthcare access in Turkey 2023 nicht spezifiziert zzz rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: Lung cancer is the leading cause of cancer-related deaths worldwide. Before beginning lung cancer treatment, it is necessary to complete procedures such as suspecting lung cancer, obtaining a pathologic diagnosis, and staging. This study aimed to investigate the processes from suspicion of lung cancer to diagnosis, staging, and treatment initiation.Methods: The study was designed as a multicenter and cross-sectional study. Patients with lung cancer from various health institutions located in all geographic regions of Turkey were included in the study. The sociodemographic and clinical characteristics of the patients, the characteristics of the health institutions and geographic regions, and other variables of the lung cancer process were recorded. The time from suspicion of lung cancer to pathologic diagnosis, radiologic staging, and treatment initiation, as well as influencing factors, were investigated.Results: The study included 1410 patients from 29 different medical centers. The mean time from the initial suspicion of lung cancer to the pathologic diagnosis was 48.0 ± 52.6 days, 39.0 ± 52.7 days for radiologic staging, and 74.9 ± 65.5 days for treatment initiation. The residential areas with the most suspected lung cancer cases were highly developed socioeconomic zones. Primary healthcare services accounted for only 0.4% of patients with suspected lung cancer. The time to pathologic diagnosis was longer in the Marmara region, and the wait time for staging and treatment initiation was longer in Eastern and Southeastern Anatolia. Patients who presented to chest disease referral hospitals with peripheral lesions, those with early-stage disease, and those who were diagnosed surgically had significantly longer wait times.Conclusion: The time between pathologic diagnosis, staging, and treatment initiation in lung cancer was longer than expected. Increasing the role of primary healthcare services and distributing socioeconomic resources more equally will contribute to shortening the time to diagnosis and improve treatment processes for lung cancer. Lung cancer Diagnosis Duration Geographic region Socioeconomic status Yılmaz Kaya, Zeynep verfasserin aut Gökçimen, Gizem verfasserin (orcid)0000-0001-6932-6007 aut Havlucu, Yavuz verfasserin aut Cengiz Özyurt, Beyhan verfasserin aut Gündoğuş, Baran verfasserin aut Esendağlı, Dorina verfasserin aut Serez Kaya, Bilkay verfasserin aut Yılmam, İlker verfasserin aut Aydemir, Yusuf verfasserin aut Çolak, Mücahit verfasserin (orcid)0009-0009-4534-3617 aut Afşin, Emine verfasserin aut Çetin, Nazlı verfasserin aut İdikut, Aytekin verfasserin aut Değirmenci, Ceren verfasserin aut Oral Tapan, Özge verfasserin aut Gündüz Gürkan, Canan verfasserin aut Kocatürk, Celalettin İbrahim verfasserin aut Ömeroğlu Şimşek, Gökçen verfasserin aut Kalafat, Cem Emrah verfasserin (orcid)0000-0001-5451-2042 aut Özgün Niksarlıoğlu, Elif Yelda verfasserin aut Ergün Serdaroğlu, Merdiye verfasserin aut Karcıoğlu, Oğuz verfasserin aut Özyurt, Songül verfasserin (orcid)0000-0002-9768-1425 aut Karahacıoğlu Madran, Elvin verfasserin aut Yaprak Bayrak, Büşra verfasserin aut Alasgarova, Zenfira verfasserin aut Baydar Toprak, Oya verfasserin aut Yılmazel Uçar, Elif verfasserin aut Topal, Burcu Nur verfasserin aut Argun Barış, Serap verfasserin aut Guliyev, Elif verfasserin (orcid)0000-0002-1501-3360 aut Güzel, Efraim verfasserin (orcid)0000-0001-6677-9254 aut Küçük, Salih verfasserin (orcid)0000-0001-5242-4874 aut Ocaklı, Birsen verfasserin aut Baran Ketencioğlu, Burcu verfasserin aut Selçuk, Nursel Türkoğlu verfasserin aut Sarı Akyüz, Merve verfasserin aut Sercan Özgür, Eylem verfasserin aut Yetkin, Nur Aleyna verfasserin aut Çetinkaya, Pelin Duru verfasserin aut Deniz, Pelin Pınar verfasserin aut Atlı, Siahmet verfasserin aut Çetindoğan, Hatice verfasserin aut Karakaş, Fatma Gülsüm verfasserin aut Yılmaz, Emine Serap verfasserin aut Ergün, Dilek verfasserin (orcid)0000-0002-9890-2250 aut Ergün, Recai verfasserin (orcid)0000-0002-6702-9188 aut Tulay, Cumhur Murat verfasserin aut Ünsal, Meftun verfasserin (orcid)0000-0001-5362-2864 aut Demirkaya, İlker verfasserin aut Marım, Feride verfasserin aut Kaya, İlknur verfasserin aut Demirdöğen, Ezgi verfasserin aut Görek Dilektaşlı, Aslı verfasserin aut Ursavaş, Ahmet verfasserin aut Çelik, Pınar verfasserin aut Enthalten in Cancer epidemiology Amsterdam [u.a.] : Elsevier, 2009 87 Online-Ressource (DE-627)601531310 (DE-600)2498032-8 (DE-576)307465047 1877-783X nnns volume:87 GBV_USEFLAG_U GBV_ELV SYSFLAG_U SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2088 GBV_ILN_2106 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2470 GBV_ILN_2507 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4242 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.81 Onkologie VZ AR 87 |
| allfieldsGer |
10.1016/j.canep.2023.102480 doi (DE-627)ELV065865235 (ELSEVIER)S1877-7821(23)00160-1 DE-627 ger DE-627 rda eng 610 VZ 44.81 bkl Kızılırmak, Deniz verfasserin aut Lung cancer from suspicion to treatment: An indicator of healthcare access in Turkey 2023 nicht spezifiziert zzz rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: Lung cancer is the leading cause of cancer-related deaths worldwide. Before beginning lung cancer treatment, it is necessary to complete procedures such as suspecting lung cancer, obtaining a pathologic diagnosis, and staging. This study aimed to investigate the processes from suspicion of lung cancer to diagnosis, staging, and treatment initiation.Methods: The study was designed as a multicenter and cross-sectional study. Patients with lung cancer from various health institutions located in all geographic regions of Turkey were included in the study. The sociodemographic and clinical characteristics of the patients, the characteristics of the health institutions and geographic regions, and other variables of the lung cancer process were recorded. The time from suspicion of lung cancer to pathologic diagnosis, radiologic staging, and treatment initiation, as well as influencing factors, were investigated.Results: The study included 1410 patients from 29 different medical centers. The mean time from the initial suspicion of lung cancer to the pathologic diagnosis was 48.0 ± 52.6 days, 39.0 ± 52.7 days for radiologic staging, and 74.9 ± 65.5 days for treatment initiation. The residential areas with the most suspected lung cancer cases were highly developed socioeconomic zones. Primary healthcare services accounted for only 0.4% of patients with suspected lung cancer. The time to pathologic diagnosis was longer in the Marmara region, and the wait time for staging and treatment initiation was longer in Eastern and Southeastern Anatolia. Patients who presented to chest disease referral hospitals with peripheral lesions, those with early-stage disease, and those who were diagnosed surgically had significantly longer wait times.Conclusion: The time between pathologic diagnosis, staging, and treatment initiation in lung cancer was longer than expected. Increasing the role of primary healthcare services and distributing socioeconomic resources more equally will contribute to shortening the time to diagnosis and improve treatment processes for lung cancer. Lung cancer Diagnosis Duration Geographic region Socioeconomic status Yılmaz Kaya, Zeynep verfasserin aut Gökçimen, Gizem verfasserin (orcid)0000-0001-6932-6007 aut Havlucu, Yavuz verfasserin aut Cengiz Özyurt, Beyhan verfasserin aut Gündoğuş, Baran verfasserin aut Esendağlı, Dorina verfasserin aut Serez Kaya, Bilkay verfasserin aut Yılmam, İlker verfasserin aut Aydemir, Yusuf verfasserin aut Çolak, Mücahit verfasserin (orcid)0009-0009-4534-3617 aut Afşin, Emine verfasserin aut Çetin, Nazlı verfasserin aut İdikut, Aytekin verfasserin aut Değirmenci, Ceren verfasserin aut Oral Tapan, Özge verfasserin aut Gündüz Gürkan, Canan verfasserin aut Kocatürk, Celalettin İbrahim verfasserin aut Ömeroğlu Şimşek, Gökçen verfasserin aut Kalafat, Cem Emrah verfasserin (orcid)0000-0001-5451-2042 aut Özgün Niksarlıoğlu, Elif Yelda verfasserin aut Ergün Serdaroğlu, Merdiye verfasserin aut Karcıoğlu, Oğuz verfasserin aut Özyurt, Songül verfasserin (orcid)0000-0002-9768-1425 aut Karahacıoğlu Madran, Elvin verfasserin aut Yaprak Bayrak, Büşra verfasserin aut Alasgarova, Zenfira verfasserin aut Baydar Toprak, Oya verfasserin aut Yılmazel Uçar, Elif verfasserin aut Topal, Burcu Nur verfasserin aut Argun Barış, Serap verfasserin aut Guliyev, Elif verfasserin (orcid)0000-0002-1501-3360 aut Güzel, Efraim verfasserin (orcid)0000-0001-6677-9254 aut Küçük, Salih verfasserin (orcid)0000-0001-5242-4874 aut Ocaklı, Birsen verfasserin aut Baran Ketencioğlu, Burcu verfasserin aut Selçuk, Nursel Türkoğlu verfasserin aut Sarı Akyüz, Merve verfasserin aut Sercan Özgür, Eylem verfasserin aut Yetkin, Nur Aleyna verfasserin aut Çetinkaya, Pelin Duru verfasserin aut Deniz, Pelin Pınar verfasserin aut Atlı, Siahmet verfasserin aut Çetindoğan, Hatice verfasserin aut Karakaş, Fatma Gülsüm verfasserin aut Yılmaz, Emine Serap verfasserin aut Ergün, Dilek verfasserin (orcid)0000-0002-9890-2250 aut Ergün, Recai verfasserin (orcid)0000-0002-6702-9188 aut Tulay, Cumhur Murat verfasserin aut Ünsal, Meftun verfasserin (orcid)0000-0001-5362-2864 aut Demirkaya, İlker verfasserin aut Marım, Feride verfasserin aut Kaya, İlknur verfasserin aut Demirdöğen, Ezgi verfasserin aut Görek Dilektaşlı, Aslı verfasserin aut Ursavaş, Ahmet verfasserin aut Çelik, Pınar verfasserin aut Enthalten in Cancer epidemiology Amsterdam [u.a.] : Elsevier, 2009 87 Online-Ressource (DE-627)601531310 (DE-600)2498032-8 (DE-576)307465047 1877-783X nnns volume:87 GBV_USEFLAG_U GBV_ELV SYSFLAG_U SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2088 GBV_ILN_2106 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2470 GBV_ILN_2507 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4242 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.81 Onkologie VZ AR 87 |
| allfieldsSound |
10.1016/j.canep.2023.102480 doi (DE-627)ELV065865235 (ELSEVIER)S1877-7821(23)00160-1 DE-627 ger DE-627 rda eng 610 VZ 44.81 bkl Kızılırmak, Deniz verfasserin aut Lung cancer from suspicion to treatment: An indicator of healthcare access in Turkey 2023 nicht spezifiziert zzz rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: Lung cancer is the leading cause of cancer-related deaths worldwide. Before beginning lung cancer treatment, it is necessary to complete procedures such as suspecting lung cancer, obtaining a pathologic diagnosis, and staging. This study aimed to investigate the processes from suspicion of lung cancer to diagnosis, staging, and treatment initiation.Methods: The study was designed as a multicenter and cross-sectional study. Patients with lung cancer from various health institutions located in all geographic regions of Turkey were included in the study. The sociodemographic and clinical characteristics of the patients, the characteristics of the health institutions and geographic regions, and other variables of the lung cancer process were recorded. The time from suspicion of lung cancer to pathologic diagnosis, radiologic staging, and treatment initiation, as well as influencing factors, were investigated.Results: The study included 1410 patients from 29 different medical centers. The mean time from the initial suspicion of lung cancer to the pathologic diagnosis was 48.0 ± 52.6 days, 39.0 ± 52.7 days for radiologic staging, and 74.9 ± 65.5 days for treatment initiation. The residential areas with the most suspected lung cancer cases were highly developed socioeconomic zones. Primary healthcare services accounted for only 0.4% of patients with suspected lung cancer. The time to pathologic diagnosis was longer in the Marmara region, and the wait time for staging and treatment initiation was longer in Eastern and Southeastern Anatolia. Patients who presented to chest disease referral hospitals with peripheral lesions, those with early-stage disease, and those who were diagnosed surgically had significantly longer wait times.Conclusion: The time between pathologic diagnosis, staging, and treatment initiation in lung cancer was longer than expected. Increasing the role of primary healthcare services and distributing socioeconomic resources more equally will contribute to shortening the time to diagnosis and improve treatment processes for lung cancer. Lung cancer Diagnosis Duration Geographic region Socioeconomic status Yılmaz Kaya, Zeynep verfasserin aut Gökçimen, Gizem verfasserin (orcid)0000-0001-6932-6007 aut Havlucu, Yavuz verfasserin aut Cengiz Özyurt, Beyhan verfasserin aut Gündoğuş, Baran verfasserin aut Esendağlı, Dorina verfasserin aut Serez Kaya, Bilkay verfasserin aut Yılmam, İlker verfasserin aut Aydemir, Yusuf verfasserin aut Çolak, Mücahit verfasserin (orcid)0009-0009-4534-3617 aut Afşin, Emine verfasserin aut Çetin, Nazlı verfasserin aut İdikut, Aytekin verfasserin aut Değirmenci, Ceren verfasserin aut Oral Tapan, Özge verfasserin aut Gündüz Gürkan, Canan verfasserin aut Kocatürk, Celalettin İbrahim verfasserin aut Ömeroğlu Şimşek, Gökçen verfasserin aut Kalafat, Cem Emrah verfasserin (orcid)0000-0001-5451-2042 aut Özgün Niksarlıoğlu, Elif Yelda verfasserin aut Ergün Serdaroğlu, Merdiye verfasserin aut Karcıoğlu, Oğuz verfasserin aut Özyurt, Songül verfasserin (orcid)0000-0002-9768-1425 aut Karahacıoğlu Madran, Elvin verfasserin aut Yaprak Bayrak, Büşra verfasserin aut Alasgarova, Zenfira verfasserin aut Baydar Toprak, Oya verfasserin aut Yılmazel Uçar, Elif verfasserin aut Topal, Burcu Nur verfasserin aut Argun Barış, Serap verfasserin aut Guliyev, Elif verfasserin (orcid)0000-0002-1501-3360 aut Güzel, Efraim verfasserin (orcid)0000-0001-6677-9254 aut Küçük, Salih verfasserin (orcid)0000-0001-5242-4874 aut Ocaklı, Birsen verfasserin aut Baran Ketencioğlu, Burcu verfasserin aut Selçuk, Nursel Türkoğlu verfasserin aut Sarı Akyüz, Merve verfasserin aut Sercan Özgür, Eylem verfasserin aut Yetkin, Nur Aleyna verfasserin aut Çetinkaya, Pelin Duru verfasserin aut Deniz, Pelin Pınar verfasserin aut Atlı, Siahmet verfasserin aut Çetindoğan, Hatice verfasserin aut Karakaş, Fatma Gülsüm verfasserin aut Yılmaz, Emine Serap verfasserin aut Ergün, Dilek verfasserin (orcid)0000-0002-9890-2250 aut Ergün, Recai verfasserin (orcid)0000-0002-6702-9188 aut Tulay, Cumhur Murat verfasserin aut Ünsal, Meftun verfasserin (orcid)0000-0001-5362-2864 aut Demirkaya, İlker verfasserin aut Marım, Feride verfasserin aut Kaya, İlknur verfasserin aut Demirdöğen, Ezgi verfasserin aut Görek Dilektaşlı, Aslı verfasserin aut Ursavaş, Ahmet verfasserin aut Çelik, Pınar verfasserin aut Enthalten in Cancer epidemiology Amsterdam [u.a.] : Elsevier, 2009 87 Online-Ressource (DE-627)601531310 (DE-600)2498032-8 (DE-576)307465047 1877-783X nnns volume:87 GBV_USEFLAG_U GBV_ELV SYSFLAG_U SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2088 GBV_ILN_2106 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2470 GBV_ILN_2507 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4242 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.81 Onkologie VZ AR 87 |
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Enthalten in Cancer epidemiology 87 volume:87 |
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Enthalten in Cancer epidemiology 87 volume:87 |
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Lung cancer Diagnosis Duration Geographic region Socioeconomic status |
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Cancer epidemiology |
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Kızılırmak, Deniz @@aut@@ Yılmaz Kaya, Zeynep @@aut@@ Gökçimen, Gizem @@aut@@ Havlucu, Yavuz @@aut@@ Cengiz Özyurt, Beyhan @@aut@@ Gündoğuş, Baran @@aut@@ Esendağlı, Dorina @@aut@@ Serez Kaya, Bilkay @@aut@@ Yılmam, İlker @@aut@@ Aydemir, Yusuf @@aut@@ Çolak, Mücahit @@aut@@ Afşin, Emine @@aut@@ Çetin, Nazlı @@aut@@ İdikut, Aytekin @@aut@@ Değirmenci, Ceren @@aut@@ Oral Tapan, Özge @@aut@@ Gündüz Gürkan, Canan @@aut@@ Kocatürk, Celalettin İbrahim @@aut@@ Ömeroğlu Şimşek, Gökçen @@aut@@ Kalafat, Cem Emrah @@aut@@ Özgün Niksarlıoğlu, Elif Yelda @@aut@@ Ergün Serdaroğlu, Merdiye @@aut@@ Karcıoğlu, Oğuz @@aut@@ Özyurt, Songül @@aut@@ Karahacıoğlu Madran, Elvin @@aut@@ Yaprak Bayrak, Büşra @@aut@@ Alasgarova, Zenfira @@aut@@ Baydar Toprak, Oya @@aut@@ Yılmazel Uçar, Elif @@aut@@ Topal, Burcu Nur @@aut@@ Argun Barış, Serap @@aut@@ Guliyev, Elif @@aut@@ Güzel, Efraim @@aut@@ Küçük, Salih @@aut@@ Ocaklı, Birsen @@aut@@ Baran Ketencioğlu, Burcu @@aut@@ Selçuk, Nursel Türkoğlu @@aut@@ Sarı Akyüz, Merve @@aut@@ Sercan Özgür, Eylem @@aut@@ Yetkin, Nur Aleyna @@aut@@ Çetinkaya, Pelin Duru @@aut@@ Deniz, Pelin Pınar @@aut@@ Atlı, Siahmet @@aut@@ Çetindoğan, Hatice @@aut@@ Karakaş, Fatma Gülsüm @@aut@@ Yılmaz, Emine Serap @@aut@@ Ergün, Dilek @@aut@@ Ergün, Recai @@aut@@ Tulay, Cumhur Murat @@aut@@ Ünsal, Meftun @@aut@@ Demirkaya, İlker @@aut@@ Marım, Feride @@aut@@ Kaya, İlknur @@aut@@ Demirdöğen, Ezgi @@aut@@ Görek Dilektaşlı, Aslı @@aut@@ Ursavaş, Ahmet @@aut@@ Çelik, Pınar @@aut@@ |
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2023-01-01T00:00:00Z |
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3610 |
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ELV065865235 |
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englisch |
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Before beginning lung cancer treatment, it is necessary to complete procedures such as suspecting lung cancer, obtaining a pathologic diagnosis, and staging. This study aimed to investigate the processes from suspicion of lung cancer to diagnosis, staging, and treatment initiation.Methods: The study was designed as a multicenter and cross-sectional study. Patients with lung cancer from various health institutions located in all geographic regions of Turkey were included in the study. The sociodemographic and clinical characteristics of the patients, the characteristics of the health institutions and geographic regions, and other variables of the lung cancer process were recorded. The time from suspicion of lung cancer to pathologic diagnosis, radiologic staging, and treatment initiation, as well as influencing factors, were investigated.Results: The study included 1410 patients from 29 different medical centers. 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Kızılırmak, Deniz Yılmaz Kaya, Zeynep Gökçimen, Gizem Havlucu, Yavuz Cengiz Özyurt, Beyhan Gündoğuş, Baran Esendağlı, Dorina Serez Kaya, Bilkay Yılmam, İlker Aydemir, Yusuf Çolak, Mücahit Afşin, Emine Çetin, Nazlı İdikut, Aytekin Değirmenci, Ceren Oral Tapan, Özge Gündüz Gürkan, Canan Kocatürk, Celalettin İbrahim Ömeroğlu Şimşek, Gökçen Kalafat, Cem Emrah Özgün Niksarlıoğlu, Elif Yelda Ergün Serdaroğlu, Merdiye Karcıoğlu, Oğuz Özyurt, Songül Karahacıoğlu Madran, Elvin Yaprak Bayrak, Büşra Alasgarova, Zenfira Baydar Toprak, Oya Yılmazel Uçar, Elif Topal, Burcu Nur Argun Barış, Serap Guliyev, Elif Güzel, Efraim Küçük, Salih Ocaklı, Birsen Baran Ketencioğlu, Burcu Selçuk, Nursel Türkoğlu Sarı Akyüz, Merve Sercan Özgür, Eylem Yetkin, Nur Aleyna Çetinkaya, Pelin Duru Deniz, Pelin Pınar Atlı, Siahmet Çetindoğan, Hatice Karakaş, Fatma Gülsüm Yılmaz, Emine Serap Ergün, Dilek Ergün, Recai Tulay, Cumhur Murat Ünsal, Meftun Demirkaya, İlker Marım, Feride Kaya, İlknur Demirdöğen, Ezgi Görek Dilektaşlı, Aslı Ursavaş, Ahmet Çelik, Pınar |
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lung cancer from suspicion to treatment: an indicator of healthcare access in turkey |
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Lung cancer from suspicion to treatment: An indicator of healthcare access in Turkey |
| abstract |
Background: Lung cancer is the leading cause of cancer-related deaths worldwide. Before beginning lung cancer treatment, it is necessary to complete procedures such as suspecting lung cancer, obtaining a pathologic diagnosis, and staging. This study aimed to investigate the processes from suspicion of lung cancer to diagnosis, staging, and treatment initiation.Methods: The study was designed as a multicenter and cross-sectional study. Patients with lung cancer from various health institutions located in all geographic regions of Turkey were included in the study. The sociodemographic and clinical characteristics of the patients, the characteristics of the health institutions and geographic regions, and other variables of the lung cancer process were recorded. The time from suspicion of lung cancer to pathologic diagnosis, radiologic staging, and treatment initiation, as well as influencing factors, were investigated.Results: The study included 1410 patients from 29 different medical centers. The mean time from the initial suspicion of lung cancer to the pathologic diagnosis was 48.0 ± 52.6 days, 39.0 ± 52.7 days for radiologic staging, and 74.9 ± 65.5 days for treatment initiation. The residential areas with the most suspected lung cancer cases were highly developed socioeconomic zones. Primary healthcare services accounted for only 0.4% of patients with suspected lung cancer. The time to pathologic diagnosis was longer in the Marmara region, and the wait time for staging and treatment initiation was longer in Eastern and Southeastern Anatolia. Patients who presented to chest disease referral hospitals with peripheral lesions, those with early-stage disease, and those who were diagnosed surgically had significantly longer wait times.Conclusion: The time between pathologic diagnosis, staging, and treatment initiation in lung cancer was longer than expected. Increasing the role of primary healthcare services and distributing socioeconomic resources more equally will contribute to shortening the time to diagnosis and improve treatment processes for lung cancer. |
| abstractGer |
Background: Lung cancer is the leading cause of cancer-related deaths worldwide. Before beginning lung cancer treatment, it is necessary to complete procedures such as suspecting lung cancer, obtaining a pathologic diagnosis, and staging. This study aimed to investigate the processes from suspicion of lung cancer to diagnosis, staging, and treatment initiation.Methods: The study was designed as a multicenter and cross-sectional study. Patients with lung cancer from various health institutions located in all geographic regions of Turkey were included in the study. The sociodemographic and clinical characteristics of the patients, the characteristics of the health institutions and geographic regions, and other variables of the lung cancer process were recorded. The time from suspicion of lung cancer to pathologic diagnosis, radiologic staging, and treatment initiation, as well as influencing factors, were investigated.Results: The study included 1410 patients from 29 different medical centers. The mean time from the initial suspicion of lung cancer to the pathologic diagnosis was 48.0 ± 52.6 days, 39.0 ± 52.7 days for radiologic staging, and 74.9 ± 65.5 days for treatment initiation. The residential areas with the most suspected lung cancer cases were highly developed socioeconomic zones. Primary healthcare services accounted for only 0.4% of patients with suspected lung cancer. The time to pathologic diagnosis was longer in the Marmara region, and the wait time for staging and treatment initiation was longer in Eastern and Southeastern Anatolia. Patients who presented to chest disease referral hospitals with peripheral lesions, those with early-stage disease, and those who were diagnosed surgically had significantly longer wait times.Conclusion: The time between pathologic diagnosis, staging, and treatment initiation in lung cancer was longer than expected. Increasing the role of primary healthcare services and distributing socioeconomic resources more equally will contribute to shortening the time to diagnosis and improve treatment processes for lung cancer. |
| abstract_unstemmed |
Background: Lung cancer is the leading cause of cancer-related deaths worldwide. Before beginning lung cancer treatment, it is necessary to complete procedures such as suspecting lung cancer, obtaining a pathologic diagnosis, and staging. This study aimed to investigate the processes from suspicion of lung cancer to diagnosis, staging, and treatment initiation.Methods: The study was designed as a multicenter and cross-sectional study. Patients with lung cancer from various health institutions located in all geographic regions of Turkey were included in the study. The sociodemographic and clinical characteristics of the patients, the characteristics of the health institutions and geographic regions, and other variables of the lung cancer process were recorded. The time from suspicion of lung cancer to pathologic diagnosis, radiologic staging, and treatment initiation, as well as influencing factors, were investigated.Results: The study included 1410 patients from 29 different medical centers. The mean time from the initial suspicion of lung cancer to the pathologic diagnosis was 48.0 ± 52.6 days, 39.0 ± 52.7 days for radiologic staging, and 74.9 ± 65.5 days for treatment initiation. The residential areas with the most suspected lung cancer cases were highly developed socioeconomic zones. Primary healthcare services accounted for only 0.4% of patients with suspected lung cancer. The time to pathologic diagnosis was longer in the Marmara region, and the wait time for staging and treatment initiation was longer in Eastern and Southeastern Anatolia. Patients who presented to chest disease referral hospitals with peripheral lesions, those with early-stage disease, and those who were diagnosed surgically had significantly longer wait times.Conclusion: The time between pathologic diagnosis, staging, and treatment initiation in lung cancer was longer than expected. Increasing the role of primary healthcare services and distributing socioeconomic resources more equally will contribute to shortening the time to diagnosis and improve treatment processes for lung cancer. |
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Yılmaz Kaya, Zeynep Gökçimen, Gizem Havlucu, Yavuz Cengiz Özyurt, Beyhan Gündoğuş, Baran Esendağlı, Dorina Serez Kaya, Bilkay Yılmam, İlker Aydemir, Yusuf Çolak, Mücahit Afşin, Emine Çetin, Nazlı İdikut, Aytekin Değirmenci, Ceren Oral Tapan, Özge Gündüz Gürkan, Canan Kocatürk, Celalettin İbrahim Ömeroğlu Şimşek, Gökçen Kalafat, Cem Emrah Özgün Niksarlıoğlu, Elif Yelda Ergün Serdaroğlu, Merdiye Karcıoğlu, Oğuz Özyurt, Songül Karahacıoğlu Madran, Elvin Yaprak Bayrak, Büşra Alasgarova, Zenfira Baydar Toprak, Oya Yılmazel Uçar, Elif Topal, Burcu Nur Argun Barış, Serap Guliyev, Elif Güzel, Efraim Küçük, Salih Ocaklı, Birsen Baran Ketencioğlu, Burcu Selçuk, Nursel Türkoğlu Sarı Akyüz, Merve Sercan Özgür, Eylem Yetkin, Nur Aleyna Çetinkaya, Pelin Duru Deniz, Pelin Pınar Atlı, Siahmet Çetindoğan, Hatice Karakaş, Fatma Gülsüm Yılmaz, Emine Serap Ergün, Dilek Ergün, Recai Tulay, Cumhur Murat Ünsal, Meftun Demirkaya, İlker Marım, Feride Kaya, İlknur Demirdöğen, Ezgi Görek Dilektaşlı, Aslı Ursavaş, Ahmet Çelik, Pınar |
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Yılmaz Kaya, Zeynep Gökçimen, Gizem Havlucu, Yavuz Cengiz Özyurt, Beyhan Gündoğuş, Baran Esendağlı, Dorina Serez Kaya, Bilkay Yılmam, İlker Aydemir, Yusuf Çolak, Mücahit Afşin, Emine Çetin, Nazlı İdikut, Aytekin Değirmenci, Ceren Oral Tapan, Özge Gündüz Gürkan, Canan Kocatürk, Celalettin İbrahim Ömeroğlu Şimşek, Gökçen Kalafat, Cem Emrah Özgün Niksarlıoğlu, Elif Yelda Ergün Serdaroğlu, Merdiye Karcıoğlu, Oğuz Özyurt, Songül Karahacıoğlu Madran, Elvin Yaprak Bayrak, Büşra Alasgarova, Zenfira Baydar Toprak, Oya Yılmazel Uçar, Elif Topal, Burcu Nur Argun Barış, Serap Guliyev, Elif Güzel, Efraim Küçük, Salih Ocaklı, Birsen Baran Ketencioğlu, Burcu Selçuk, Nursel Türkoğlu Sarı Akyüz, Merve Sercan Özgür, Eylem Yetkin, Nur Aleyna Çetinkaya, Pelin Duru Deniz, Pelin Pınar Atlı, Siahmet Çetindoğan, Hatice Karakaş, Fatma Gülsüm Yılmaz, Emine Serap Ergün, Dilek Ergün, Recai Tulay, Cumhur Murat Ünsal, Meftun Demirkaya, İlker Marım, Feride Kaya, İlknur Demirdöğen, Ezgi Görek Dilektaşlı, Aslı Ursavaş, Ahmet Çelik, Pınar |
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10.1016/j.canep.2023.102480 |
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2024-07-07T00:31:09.786Z |
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Before beginning lung cancer treatment, it is necessary to complete procedures such as suspecting lung cancer, obtaining a pathologic diagnosis, and staging. This study aimed to investigate the processes from suspicion of lung cancer to diagnosis, staging, and treatment initiation.Methods: The study was designed as a multicenter and cross-sectional study. Patients with lung cancer from various health institutions located in all geographic regions of Turkey were included in the study. The sociodemographic and clinical characteristics of the patients, the characteristics of the health institutions and geographic regions, and other variables of the lung cancer process were recorded. The time from suspicion of lung cancer to pathologic diagnosis, radiologic staging, and treatment initiation, as well as influencing factors, were investigated.Results: The study included 1410 patients from 29 different medical centers. 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| score |
7.3999043 |