Lung cancer from suspicion to treatment: An indicator of healthcare access in Turkey

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dc.authorid0000-0002-2450-6378en_US
dc.authorid0000-0001-9445-1598en_US
dc.authorid0000-0002-3778-0077en_US
dc.authorid0000-0002-7441-288Xen_US
dc.contributor.authorAfşin, Emine
dc.contributor.authorKızılırmak, Deniz
dc.contributor.authorKaya, Zeynep Yılmaz
dc.contributor.authorGökçimen, Gizem
dc.contributor.authorHavlucu, Yavuz
dc.contributor.authorÖzyurt, Beyhan Cengiz
dc.date.accessioned2024-05-07T13:35:16Z
dc.date.available2024-05-07T13:35:16Z
dc.date.issued2023en_US
dc.departmentBAİBÜ, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümüen_US
dc.description.abstractBackground: Lung cancer is the leading cause of cancer-related deaths worldwide. Before beginning lung cancer treatment, it is necessary to complete procedures such as suspecting lung cancer, obtaining a pathologic diagnosis, and staging. This study aimed to investigate the processes from suspicion of lung cancer to diagnosis, staging, and treatment initiation. Metbods: The study was designed as a multicenter and cross-sectional study. Patients with lung cancer from various health institutions located in all geographic regions of Turkey were included in the study. The socio-demographic and clinical characteristics of the patients, the characteristics of the health institutions and geographic regions, and other variables of the lung cancer process were recorded. The time from suspicion of lung cancer to pathologic diagnosis, radiologic staging, and treatment initiation, as well as influencing factors, were investigated. Results: The study included 1410 patients from 29 different medical centers. The mean time from the initial suspicion of lung cancer to the pathologic diagnosis was 48.0 +/- 52.6 days, 39.0 +/- 52.7 days for radiologic staging, and 74.9 +/- 65.5 days for treatment initiation. The residential areas with the most suspected lung cancer cases were highly developed socioeconomic zones. Primary healthcare services accounted for only 0.4% of pa-tients with suspected lung cancer. The time to pathologic diagnosis was longer in the Marmara region, and the wait time for staging and treatment initiation was longer in Eastern and Southeastern Anatolia. Patients who presented to chest disease referral hospitals with peripheral lesions, those with early-stage disease, and those who were diagnosed surgically had significantly longer wait times. Conclusion: The time between pathologic diagnosis, staging, and treatment initiation in lung cancer was longer than expected. Increasing the role of primary healthcare services and distributing socioeconomic resources more equally will contribute to shortening the time to diagnosis and improve treatment processes for lung cancer.en_US
dc.identifier.citationKızılırmak, D., Kaya, Z. Y., Gökçimen, G., Havlucu, Y., Özyurt, B. C., Gündoğuş, B., ... & Çelik, P. (2023). Lung cancer from suspicion to treatment: An indicator of healthcare access in Turkey. Cancer Epidemiology, 87, 102480.en_US
dc.identifier.doi10.1016/j.canep.2023.102480
dc.identifier.endpage9en_US
dc.identifier.issn1877-7821
dc.identifier.issn1877-783X
dc.identifier.pmid37897971en_US
dc.identifier.scopus2-s2.0-85174899508en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage1en_US
dc.identifier.urihttp://dx.doi.org/10.1016/j.canep.2023.102480
dc.identifier.urihttps://hdl.handle.net/20.500.12491/12130
dc.identifier.volume87en_US
dc.identifier.wosWOS:001109531300001en_US
dc.identifier.wosqualityQ2en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.institutionauthorAfşin, Emine
dc.language.isoenen_US
dc.publisherElsevier Sci LTDen_US
dc.relation.ispartofCancer Epidemiologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectLung Canceren_US
dc.subjectDiagnosisen_US
dc.subjectDurationen_US
dc.subjectGeographic Regionen_US
dc.subjectSocioeconomic Statusen_US
dc.subjectPatienten_US
dc.titleLung cancer from suspicion to treatment: An indicator of healthcare access in Turkeyen_US
dc.typeArticleen_US

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