[The chronology and diagnostic round of patients operated on for bronchopulmonary cancer].
37 patients with certified diagnosis, operated for lung cancer (LC) in The Central Military Hospital Bucharest, during six months period (October 1st 1996-June 1st 1997). It was a retrospective study on the patients medical files. Sex distribution, postsurgical staging and histological type were studied. We calculated the following delays: 1. Between the first medical examination and the first suspicion (chest X-ray): 6 +/- 3 days; 2. Between the first medical examination and first hospital admission: 14 +/- 11 days; 3. Between the first hospital admission and the first admission in surgical units: 43 +/- 23 days; 4. Between the first admission in surgical units and surgery: 59 +/- 26 days; 5. The delay until bronchoscopy: 23 +/- 16 days; 6. The delay until the CT examination: 26 +/- 16 days; 7. Between the first medical examination and the surgery: 78 +/- 30 days. These delays were correlated with the specialty profile of the services which referred the patients: pulmonology, internal medicine, oncology or primary services.


CONCLUSIONS
1. Most patients come from pulmonology units (22 out of 37 patients); 2. There are significant delays until bronchoscopy and CT scan, the availability of these services is still limited; 3. The primary care medical network is still inefficient in early diagnosis of LC; 4. The overcrowding of thoracic surgery unit (scheduling for surgical intervention). All of these are arguments for developing more efficient and faster circuits of LC diagnosis, especially for high risk patients.
Popp
S
S
Institutul naţional de Pneumoftiziologie Marius Nasta, Bucureşti.
Bogdan
M
M
Horvat
T
T
Nicodin
A
A
D000328:Adult; D000368:Aged; D002283:Carcinoma, Bronchogenic / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D005260:Female; D006772:Hospitals, Military / Q000706:statistics & numerical data; D006801:Humans; D008175:Lung Neoplasms / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D008297:Male; D008875:Middle Aged; D009367:Neoplasm Staging; D012017:Referral and Consultation / Q000706:statistics & numerical data; D012189:Retrospective Studies; D012383:Romania; D013997:Time Factors
Studiu asupra cronologiei şi al circuitului diagnostic al bolnavilor operaţi pentru cancer bronhopulmonar.