Patient and physician delay in the diagnosis and treatment of non-small cell lung cancer in Turkey

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dc.contributor.authorYurdakul, Ahmet Selim
dc.contributor.authorKocaturk, Celalettin
dc.contributor.authorBayiz, Hulya
dc.contributor.authorGursoy, Soner
dc.contributor.authorBircan, Ahmet
dc.contributor.authorOzcan, Aysenaz
dc.contributor.authorAkkoclu, Atilla
dc.contributor.authorUluorman, Funda
dc.contributor.authorCelik, Pinar
dc.contributor.authorKoksal, Deniz
dc.contributor.authorUlubas, Bahar
dc.contributor.authorSercan, Eylem
dc.contributor.authorOzbudak, Omer
dc.contributor.authorGoksel, Tuncay
dc.contributor.authorOnalan, Tugba
dc.contributor.authorYamansavci, Esra
dc.contributor.authorTurk, Figen
dc.contributor.authorYuncu, Gokhan
dc.contributor.authorCopuraslan, Cigdem
dc.contributor.authorMardal, Tugba
dc.contributor.authorTuncay, Esin
dc.contributor.authorKaramustafaoglu, Altemur
dc.contributor.authorYildiz, Pinar
dc.contributor.authorSecik, Funda
dc.contributor.authorKaplan, Muhammet
dc.contributor.authorCaglar, Emel
dc.contributor.authorOrtakoylu, Mediha
dc.contributor.authorOnal, Mine
dc.contributor.authorTurna, Akif
dc.contributor.authorHekimoglu, Evlin
dc.contributor.authorDalar, Levent
dc.contributor.authorAltin, Sedat
dc.contributor.authorGulhan, Meral
dc.contributor.authorAkpinar, Eylem
dc.contributor.authorSavas, Ismail
dc.contributor.authorFirat, Nalan
dc.contributor.authorCamsari, Gungor
dc.contributor.authorOzkan, Gulcihan
dc.contributor.authorCetinkaya, Erdogan
dc.contributor.authorKamiloglu, Emine
dc.contributor.authorCelik, Bulent
dc.contributor.authorHavlucu, Yavuz
dc.date.accessioned2019-10-27T19:53:59Z
dc.date.available2019-10-27T19:53:59Z
dc.date.issued2015
dc.departmentEge Üniversitesien_US
dc.description.abstractAim: The early diagnosis and treatment of lung cancer are important for the prognosis of patients with lung cancer. This study was undertaken to investigate patient and doctor delays in the diagnosis and treatment of NSCLC and the factors affecting these delays. Materials and methods: A total of 1016 patients, including 926 (91.1%) males and 90 (8.9%) females with a mean age of 61.5 +/- 10.1 years, were enrolled prospectively in this study between May 2010 and May 2011 from 17 sites in various Turkish provinces. Results: The patient delay was found to be 49.9 +/- 96.9 days, doctor delay was found to be 87.7 +/- 99.6 days, and total delay was found to be 131.3 +/- 135.2 days. The referral delay was found to be 61.6 +/- 127.2 days, diagnostic delay was found to be 20.4 +/- 44.5 days, and treatment delay was found to be 24.4 +/- 54.9 days. When the major factors responsible for these delays were examined, patient delay was found to be more frequent in workers, while referral delay was found to be more frequent in patients living in villages (p < 0.05). We determined that referral delay, doctor delay, and total delay increased as the number of doctors who were consulted by patients increased (p < 0.05). Additionally, we determined that diagnostic and treatment delays were more frequent at the early tumour stages in NSCLC patients (p < 0.05). Discussion: The extended length of patient delay underscores the necessity of educating people about lung cancer. To decrease doctor delay, education is a crucial first step. Additionally, to further reduce the diagnostic and treatment delays of chest specialists, multidisciplinary management and algorithms must be used regularly. (C) 2015 Elsevier Ltd. All rights reserved.en_US
dc.identifier.doi10.1016/j.canep.2014.12.015en_US
dc.identifier.endpage221en_US
dc.identifier.issn1877-7821
dc.identifier.issn1877-783X
dc.identifier.issue2en_US
dc.identifier.pmid25670053en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage216en_US
dc.identifier.urihttps://doi.org/10.1016/j.canep.2014.12.015
dc.identifier.urihttps://hdl.handle.net/11454/40405
dc.identifier.volume39en_US
dc.identifier.wosWOS:000351233200014en_US
dc.identifier.wosqualityQ1en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherElsevier Sci Ltden_US
dc.relation.ispartofCancer Epidemiologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectLung canceren_US
dc.subjectDelayen_US
dc.subjectPatienten_US
dc.subjectDoctoren_US
dc.titlePatient and physician delay in the diagnosis and treatment of non-small cell lung cancer in Turkeyen_US
dc.typeArticleen_US

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