癌症诊断的延迟:一篇理论文献综述

Jehovanis Manirakomeye
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摘要

由于各种原因,如错过或误解症状、延误医疗咨询或延误诊断测试等,在较晚的阶段作出癌症诊断,这是一个重大的公共卫生问题,继而影响癌症患者的预后和存活率。晚期癌症诊断可能会带来毁灭性的后果,因为许多患者错过了癌症治疗最有效的重要时间窗口。因此,如果不及时治疗,癌症可能会生长并扩散到身体的其他部位,使治疗变得更加困难或根本不可能。对相关研究的文献回顾揭示了导致癌症延迟诊断的几个因素,包括患者相关因素、医疗保健系统相关因素和提供者相关因素。通常,甚至奇怪的是,对于某些类型的癌症,患者直到癌症可能已经转移到身体其他部位的晚期才表现出明显的迹象。当癌症筛查显示假阴性结果时,可以看到这一点,在这种情况下,由于缺乏可观察到的症状,延误诊断是不可避免的。
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Delays in Cancer Diagnosis: Review of a Theoretical Literature
Cancer diagnosis which is made at a later stage than it could have been, due to various reasons such as missed or misinterpreted symptoms, delayed medical consultations, or delayed diagnostic tests, is a significant public health issue which sequentially affect the prognosis and survival rates of cancer patients. A late cancer diagnosis can have devastating consequences as many patients miss an important window of time in which cancer treatment can be most effective. As a result, time left untreated can allow cancer to grow and spread to other parts of the body, making treatment even more difficult or impossible at all. A literature review of relevant studies reveals several factors that contribute to delayed cancer diagnosis, including patient-related factors, healthcare system-related factors, and provider-related factors. Commonly and even strangely, for some type’s cancer, patients do not exhibit clear signs until later stages with which the cancer may have metastasized to other parts of the body. This can be seen when cancer screening indicated false negative results, and in this case, delayed diagnosis is unavoidable due to lack of observable symptoms.
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