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作者 Shieh, Shwn-Huey
書名 The influence of patient-dependent delay on staging and survival in lung cancer in Taiwan
國際標準書號 9780542105234
book jacket
說明 144 p
附註 Source: Dissertation Abstracts International, Volume: 66-04, Section: B, page: 2020
Major Professor: Janice C. Probst
Thesis (Ph.D.)--University of South Carolina, 2005
Delay at diagnosis is a harmful problem for the survival of cancer patients. Patients with delayed diagnosis develop occult metastases and have a more advanced stage of disease at diagnosis. Little research has been done on stage of disease at diagnosis and survival due to patient-dependent delay. This study investigates the covariates associated with patient-dependent delay, analyzes the relationship between patient-dependent delay and staging, and assesses the survival time of patients with lung cancer
The study consists of 1,300 lung cancer patients from a medical center hospital in central Taiwan from January 1, 1998 to March, 2003. Data was analyzed using the SAS system to conduct Cox regression analysis
The study finds that symptom recognition (chest pain (P = 0.0021), lost body weight (P = 0.0001), and department (P = 0.0002)) is significantly associated with patient-dependent delay. Patients with symptom recognition (chest pain, body weight loss) obtained medical consultations more quickly than those who did not recognize chest pain and body weight loss. Gender, marital status, patient TB (Tuberculosis) history, patient DM (Diabetes Mellitus) history and stage of disease were statistically significant predictors of survival after controlling simultaneously for all main variables. A more serious stage of disease at diagnosis tended to be associated with a lower chance of survival. However, tumor stage at diagnosis and survival did not appear to be significantly influenced by patient-dependent delay. Health behaviors, such as smoking, alcohol and betel-nut consumption, showed no effect on survival, as well as stage at diagnosis
The findings may help policy makers to modify current policies, focusing on preventive medicine in order to develop lung cancer education programs aimed at alerting the public to early warning signs and symptoms of lung cancer and encourage a health care system focusing on disease prevention and early detection
School code: 0202
Host Item Dissertation Abstracts International 66-04B
主題 Health Sciences, Public Health
Health Sciences, Health Care Management
Health Sciences, Oncology
Alt Author University of South Carolina
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