Access of patients with breast and lung cancer to chemotherapy treatment in public and private hospitals in the city of Buenos Aires.
Int J Qual Health Care
; 31(9): 682-690, 2019 Nov 30.
Article
em En
| MEDLINE
| ID: mdl-31125084
ABSTRACT
OBJECTIVES:
Describe the time elapsed from the diagnosis to treatment with chemotherapy for patients with breast and lung cancer at public and private hospitals in Buenos Aires.DESIGN:
Retrospective cohort study.SETTING:
Three public and three private academic hospitals in Buenos Aires.PARTICIPANTS:
Patients with breast (n = 168) or lung cancer (n = 100) diagnosis treated with chemotherapy. MAIN OUTCOMESMEASURES:
Clinical and sociodemographic data were collected in a stratified sample. We used the Kaplan-Meier estimator to analyse the time elapsed and the log rank test to compare both groups.RESULTS:
For breast cancer patients, median time elapsed between diagnosis and treatment with chemotherapy was 76 days (95% CI 64-86) in public and 60 days (95% CI 52-65) in private hospitals (P = 0.0001). For adjuvant and neoadjuvant treatments, median time was 130 (95% CI 109-159) versus 64 (95% CI 56-73) days (P < 0.0001) and 57 days (95% CI 49-75) versus 26 (95% CI 16-41) days, respectively (P = 0.0002). There were no significant differences in the time from first consultation to diagnosis. In patients with lung cancer, median time from diagnosis to treatment was 71 days (95% CI 60-83) in public hospitals and 31 days (95% CI 24-39) in private hospitals (P = 0.0002). In the metastatic setting, median time to treatment was 63 days (95% CI 45-83) in public and 33 (95% CI 26-44) days in private hospitals (P = 0.005).CONCLUSIONS:
There are significant disparity in the access to treatment with chemotherapy for patients in Buenos Aires, Argentina.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Neoplasias da Mama
/
Tempo para o Tratamento
/
Acessibilidade aos Serviços de Saúde
/
Neoplasias Pulmonares
Tipo de estudo:
Etiology_studies
/
Incidence_studies
/
Observational_studies
/
Risk_factors_studies
Limite:
Adult
/
Aged
/
Female
/
Humans
/
Male
/
Middle aged
País/Região como assunto:
America do sul
/
Argentina
Idioma:
En
Ano de publicação:
2019
Tipo de documento:
Article