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Time spans from first symptom to treatment in patients with lung cancer - The influence of symptoms and demographic characteristics
Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.ORCID iD: 0000-0003-4736-500X
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2008 (English)In: Acta Oncologica, ISSN 0001-6381, Vol. 47, no 3, p. 397 - 405 Article in journal (Refereed) Published
Abstract [en]

Background. Cancer stage at diagnosis is the most important prognostic factor for lung cancer (LC), but most patients are diagnosed with advanced disease with many and intense symptoms. This study explores relationships between LC patients' first symptoms, symptoms triggering health care system (HCS) contact, demographic/clinical characteristics, and time spans in the care trajectory from first symptom(s) to treatment start. Materials and Methods. Medical records were examined from all 314 patients diagnosed with primary LC in 2003 at a Department of Respiratory Medicine, in Stockholm Sweden. Descriptive analysis was used to examine symptoms and time spans in the care trajectory. Cox regression analysis was conducted to explore the influence of symptoms and demographic/clinical characteristics on the time spans. Results. Tumor-specific symptoms led to HCS visits to a greater extent than did systemic symptoms, despite reports of weight loss, fatigue and appetite loss as common first symptoms. Minor differences between women and men were found regarding specific symptoms. The study confirms that the time spans from first symptoms reported to treatment start are extensive, exceeding Swedish national recommendations. A lump/resistance, neurological symptoms, appetite loss, hemoptysis and non-thoracic related pain were associated with significantly shorter time spans in the care trajectory. People >74 years old risked longer time span from first HCS visit to treatment start. Conclusion. This study indicates a need for a more efficient LC care trajectory. Elderly patients could be particularly vulnerable for longer time spans.

Place, publisher, year, edition, pages
2008. Vol. 47, no 3, p. 397 - 405
Research subject
Hälsa och välfärd, Hur kvinnor och män med lungcancer upplever sin sjukdom och vård - ett genusperspektiv
Identifiers
URN: urn:nbn:se:du-3136OAI: oai:dalea.du.se:3136DiVA, id: diva2:519909
Available from: 2008-02-22 Created: 2008-02-22 Last updated: 2015-06-23Bibliographically approved

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Lövgren, Malin

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CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • chicago-author-date
  • chicago-note-bibliography
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf