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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2019.1
- 수록면
- 1,098 - 1,106 (9page)
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Purpose This study differentiates patient and care delays of breast cancer and explores the related factors as well as the associations with the prognosis in Guangzhou, a southern city of China. Materials and Methods A cohort of female incident breast cancer patients (n=1,551) was recruited from October 2008 to March 2012 and followed up until January 1, 2016 (n=1,374) in the affiliated hospitals of Sun Yat-sen University. The factors associated with patient and care delays were analyzed with multivariable logistic models. Cox proportional hazards regression models were constructed to estimate the impacts of the delays on the prognosis. Results There were 40.4% patient delay (! 3 months) and 15.5% care delay (! 1 month). The patient delay, but not the care delay, was significantly related to the clinical stage and consequently worsened the prognosis of breast cancer (hazard ratio, 1.45; 95% confidence interval, 1.09 to 1.91 for progression-free survival). The factors related to an increased patient delay included premenopausal status, history of benign breast disease, and less physical examination. Conclusion Patient delay was the main type of delay in Guangzhou and resulted in higher clinical stage and poor prognosis of breast cancer. Screening for breast cancer among premenopausal women may be an effective way to reduce this delay.
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참고문헌 (33)
참고문헌 신청
Caplan L / 2014 / Delay in breast cancer : implications for stage at diagnosis and survival / Front Public Health 2:87
Richards MA / 1999 / Influence of delay on survival in patients with breast cancer : a systematic review / Lancet 353:1119~1126
Rabinovich M / 1993 / Impact of delay to treatment upon survival in 1067 patients with breast-cancer / Int J Oncol 2:197~201
Arndt V / 2003 / Provider delay among patients with breast cancer in Germany : a population-based study / J Clin Oncol 21:1440~1446
YOO TAE KYUNG R / 2016 / Delay of Treatment Initiation Does Not Adversely Affect Survival Outcome in Breast Cancer / Cancer Research and Treatment 48(3):962~969
Richards MA / 1999 / Influence of delay on survival in patients with breast cancer : a systematic review / Lancet 353:1119~1126
Rabinovich M / 1993 / Impact of delay to treatment upon survival in 1067 patients with breast-cancer / Int J Oncol 2:197~201
Arndt V / 2003 / Provider delay among patients with breast cancer in Germany : a population-based study / J Clin Oncol 21:1440~1446
YOO TAE KYUNG R / 2016 / Delay of Treatment Initiation Does Not Adversely Affect Survival Outcome in Breast Cancer / Cancer Research and Treatment 48(3):962~969
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