The Impact of Screening and Surgery on Life Expectancy in Breast Cancer - A Mathematical Model Case Study in the European Union.

IF 0.8 Q4 SURGERY Chirurgia Pub Date : 2023-12-01 DOI:10.21614/chirurgia.2023.v.118.i.6.p.624
Iuliana Pantelimon, Victor Platon, Laurentia Nicoleta Gales, Corina-Elena Minciuna, Dragos Eugen Georgescu, Loredana Sabina Cornelia, Andreea Constantinescu
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Abstract

Background: In the last 20 years in European Union states, the life expectancy did not change much. In the period 2012-2021 the average life expectancy remained almost constant at 82 years. Breast cancer represents the main cause of death by cancer in women The purpose of this research is to identify o identify and measure the influence of some medical interventions and procedures related to breast cancer on life expectancy. In our article, the target group is the feminine population from 27 EU countries. Methodology: For the analysis several indicators provided by Eurostat were considered: life expectancy for female population as a dependent variable and breast cancer screenings, surgical operations and procedures performed in hospitals (partial and total excision) were used as independent variables. The research used a mathematical model (regression panel) for 27 EU countries, for a 10 year period, to evaluate the impact of each independent variable on the life expectancy in EU as a whole. Results: From a statistical point of view, screening has a significant effect on life expectancy. On the other hand, surgical interventions have a role in the overall medical process and positively influence life expectancy. The panel model has shown that partial interventions contribute less than screening procedures to increase life expectancy. Conclusion: The development of mathematical models in health care is useful in the process of improving health care quality. In our days, the measurement and quantification of some medical methods is particularly difficult due to so many variables and observations. In these difficult circumstances, the mathematical models could bring some clarifications and structure.

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乳腺癌筛查和手术对预期寿命的影响--欧盟数学模型案例研究》。
背景:在过去 20 年中,欧盟国家的预期寿命变化不大。在 2012-2021 年期间,平均预期寿命几乎保持在 82 岁。本研究的目的是确定和测量与乳腺癌有关的一些医疗干预措施和程序对预期寿命的影响。在我们的文章中,目标群体是来自 27 个欧盟国家的女性人口。研究方法:为了进行分析,考虑了欧盟统计局提供的几个指标:女性人口的预期寿命作为因变量,乳腺癌筛查、外科手术和在医院进行的手术(部分切除和全部切除)作为自变量。研究使用数学模型(回归面板)对 27 个欧盟国家进行了为期 10 年的研究,以评估每个自变量对欧盟整体预期寿命的影响。研究结果从统计学角度看,筛查对预期寿命有显著影响。另一方面,手术干预在整个医疗过程中发挥作用,并对预期寿命产生积极影响。面板模型显示,在延长预期寿命方面,部分干预措施的作用小于筛查程序。结论建立医疗数学模型有助于提高医疗质量。在我们的时代,由于变量和观测点众多,对某些医疗方法进行测量和量化尤为困难。在这些困难的情况下,数学模型可以带来一些澄清和结构。
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来源期刊
Chirurgia
Chirurgia Medicine-Surgery
CiteScore
1.00
自引率
0.00%
发文量
75
审稿时长
4-8 weeks
期刊介绍: Chirurgia is a bimonthly journal. In Chirurgia, original papers in the area of general surgery which neither appeared, nor were sent for publication in other periodicals, can be published. You can send original articles, new surgical techniques, or comprehensive general reports on surgical topics, clinical case presentations and, depending on publication space, - reviews of some articles of general interest to surgeons from other publications. Chirurgia is also a place for sharing information about the activity of various branches of the Romanian Society of Surgery, information on Congresses and Symposiums organized by the Romanian Society of Surgery and participation notes in other scientific meetings. Letters to the editor: Letters commenting on papers published in Chirurgia are welcomed. They should contain substantive ideas and commentaries supported by appropriate data, and should not exceed 2 pages. Please submit these letters to the editor through our online system.
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