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Lung cancer from suspicion to treatment: An indicator of healthcare access in Turkey

Cancer Epidemiology · Aralık 2023

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YÖKSİS Kayıtları
Lung cancer from suspicion to treatment: An indicator of healthcare access in Turkey
Cancer Epidemiology · 2023 SCI-Expanded
PROFESÖR RECAİ ERGÜN →
Lung cancer from suspicion to treatment: An indicator of healthcare access in Turkey
Cancer Epidemiology · 2023 SCI-Expanded
PROFESÖR RECAİ ERGÜN →
Lung cancer from suspicion to treatment: An indicator of healthcare access in Turkey
Cancer Epidemiology · 2023 SCI-Expanded
DOÇENT DİLEK ERGÜN →
Lung cancer from suspicion to treatment: An indicator of healthcare access in Turkey
Cancer Epidemiology · 2023 SCI-Expanded
PROFESÖR RECAİ ERGÜN →

Makale Bilgileri

DergiCancer Epidemiology
Yayın TarihiAralık 2023
Cilt / Sayfa87
Özet 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.

Yazarlar (57)

1
Deniz Kızılırmak
2
Zeynep Yılmaz Kaya
3
Gizem Gökçimen
ORCID: 0000-0001-6932-6007
4
Yavuz Havlucu
5
Beyhan Cengiz Özyurt
6
Baran Gündoğuş
7
Dorina Esendağlı
8
Bilkay Serez Kaya
9
İlker Yılmam
10
Yusuf Aydemir
11
Mücahit Çolak
ORCID: 0009-0009-4534-3617
12
Emine Afşin
13
Nazlı Çetin
14
Aytekin İdikut
15
Ceren Değirmenci
16
Özge Oral Tapan
17
Canan Gündüz Gürkan
18
Celalettin İbrahim Kocatürk
19
Gökçen Ömeroğlu Şimşek
20
Cem Emrah Kalafat
ORCID: 0000-0001-5451-2042
21
Elif Yelda Özgün Niksarlıoğlu
22
Merdiye Ergün Serdaroğlu
23
Oğuz Karcıoğlu
24
Songül Özyurt
ORCID: 0000-0002-9768-1425
25
Elvin Karahacıoğlu Madran
26
Büşra Yaprak Bayrak
27
Zenfira Alasgarova
28
Oya Baydar Toprak
29
Elif Yilmazel Ucar
30
Burcu Nur Topal
31
Serap Argun Barış
32
Elif Guliyev
ORCID: 0000-0002-1501-3360
33
Efraim Güzel
ORCID: 0000-0001-6677-9254
34
Salih Küçük
ORCID: 0000-0001-5242-4874
35
Birsen Ocaklı
36
Burcu Baran Ketencioğlu
ORCID: 0000-0002-6757-3140
37
Nursel Türkoğlu Selçuk
38
Merve Sarı Akyüz
39
Eylem Sercan Özgür
40
Nur Aleyna Yetkin
41
Pelin Duru Çetinkaya
42
Pelin Pınar Deniz
43
Siahmet Atlı
44
Hatice Çetindoğan
45
Fatma Gülsüm Karakaş
46
Emine Serap Yılmaz
47
Dilek Ergün
48
Recai Ergün
49
Cumhur Murat Tulay
50
Meftun Ünsal
ORCID: 0000-0001-5362-2864
51
İlker Demirkaya
52
Feride Marım
53
İlknur Kaya
54
Ezgi Demirdöğen
55
Aslı Görek Dilektaşlı
56
Ahmet Ursavaş
57
Pınar Çelik

Anahtar Kelimeler

Diagnosis Duration Geographic region Lung cancer Socioeconomic status

Kurumlar

Abant Izzet Baysal University, Faculty of Medicine
Bolu Turkey
Antalya Training and Research Hospital
Antalya Turkey
Ataturk University, Faculty of Medicine
Erzurum Turkey
Baskent Üniversitesi, Ankara Hastanesi
Ankara Türkiye
Bursa Uludağ Üniversitesi
Bursa Turkey
Çukurova Üniversitesi Tip Fakültesi
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Dokuz Eylül Üniversitesi
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Dr. Ersin Arslan Training and Research Hospital
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Erciyes University, Faculty of Medicine
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Erzurum City Hospital
Erzurum Türkiye
Hacettepe Üniversitesi
Ankara Turkey
Kocaeli City Hospital
Kocaeli Türkiye
Kocaeli Üniversitesi
İzmit Turkey
Koru Hospital
Ankara Türkiye
Kütahya Sağlık Bilimleri Üniversitesi
Kutahya Turkey
Manisa Celâl Bayar Üniversitesi
Manisa Turkey
Medicana International Atasehir Hospital
Istanbul Turkey
Mersin Üniversitesi
Mersin Turkey
Muğla Sıtkı Koçman Üniversitesi
Mugla Turkey
Muğla Training and Research Hospital
Mugla Turkey
Ondokuz Mayis University, Medical School
Samsun Turkey
Ordu Üniversitesi
Ordu Turkey
Pamukkale Üniversitesi Tip Fakültesi
Denizli Turkey
Recep Tayyip Erdogan University
Rize Turkey
Sakarya Üniversitesi
Serdivan Turkey
Selçuk Tip Fakültesi
Konya Turkey
Trakya University, Faculty of Medicine
Edirne Turkey
University of Health Sciences
Istanbul Turkey
Van Training and Research Hospital
Van Türkiye