Factors related to the delay in initiating treatment for oral cancer at a referral center in the Central-West region of Brazil
Abstract Introduction Early detection and prompt treatment play an important role in reducing morbidity and mortality from cancer. In Brazil, Law No. 12,732/2012 defines a maximum period of 60 days for starting treatment after diagnosis. Objective To identify factors that may contribute to delays...
Saved in:
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Universidade Estadual Paulista
2024-12-01
|
| Series: | Revista de Odontologia da UNESP |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1807-25772024000100416&lng=en&tlng=en |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850249854942445568 |
|---|---|
| author | Mary Anne de Souza Alves FRANÇA Rejane Faria RIBEIRO-ROTTA Nádia do Lago COSTA Maria do Carmo Matias FREIRE |
| author_facet | Mary Anne de Souza Alves FRANÇA Rejane Faria RIBEIRO-ROTTA Nádia do Lago COSTA Maria do Carmo Matias FREIRE |
| author_sort | Mary Anne de Souza Alves FRANÇA |
| collection | DOAJ |
| description | Abstract Introduction Early detection and prompt treatment play an important role in reducing morbidity and mortality from cancer. In Brazil, Law No. 12,732/2012 defines a maximum period of 60 days for starting treatment after diagnosis. Objective To identify factors that may contribute to delays in initiating treatment for patients diagnosed with oral cancer at a High Complexity Oncology Care Center (CACON) in the Central-West region of Brazil. Material and method This retrospective observational study analyzed the medical records of 122 patients whose treatments, conducted between 2010 and 2016, were delayed by more than 60 days following confirmation of their diagnosis. Data from each medical record was collected and transcribed into a spreadsheet for analysis. Result Six factors potentially contributing to treatment delays were identified and classified into three dimensions: patient-related, health professional-related, and health services-related. The most prevalent factor was related to health services, specifically failures in service availability (90.2%), particularly regarding waiting times for various tests. Within the professional health dimension, concerns related to diagnosis and treatment were the most prevalent factors (65.6%). The least frequent factors were linked to the patient-related dimension, encompassing behavioral (23.8%) and socioeconomic (15.6%) aspects. Conclusion A high frequency of factors potentially contributing to delays in initiating treatment for oral cancer was observed, with those related to health services being the most prevalent, especially the waiting times for various tests. |
| format | Article |
| id | doaj-art-ad4a880d775a42baabfaad86fb86534e |
| institution | OA Journals |
| issn | 1807-2577 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Universidade Estadual Paulista |
| record_format | Article |
| series | Revista de Odontologia da UNESP |
| spelling | doaj-art-ad4a880d775a42baabfaad86fb86534e2025-08-20T01:58:23ZengUniversidade Estadual PaulistaRevista de Odontologia da UNESP1807-25772024-12-015310.1590/1807-2577.01224Factors related to the delay in initiating treatment for oral cancer at a referral center in the Central-West region of BrazilMary Anne de Souza Alves FRANÇAhttps://orcid.org/0000-0002-5427-1450Rejane Faria RIBEIRO-ROTTAhttps://orcid.org/0000-0002-3267-5745Nádia do Lago COSTAhttps://orcid.org/0000-0003-0198-5828Maria do Carmo Matias FREIREhttps://orcid.org/0000-0001-6078-6728Abstract Introduction Early detection and prompt treatment play an important role in reducing morbidity and mortality from cancer. In Brazil, Law No. 12,732/2012 defines a maximum period of 60 days for starting treatment after diagnosis. Objective To identify factors that may contribute to delays in initiating treatment for patients diagnosed with oral cancer at a High Complexity Oncology Care Center (CACON) in the Central-West region of Brazil. Material and method This retrospective observational study analyzed the medical records of 122 patients whose treatments, conducted between 2010 and 2016, were delayed by more than 60 days following confirmation of their diagnosis. Data from each medical record was collected and transcribed into a spreadsheet for analysis. Result Six factors potentially contributing to treatment delays were identified and classified into three dimensions: patient-related, health professional-related, and health services-related. The most prevalent factor was related to health services, specifically failures in service availability (90.2%), particularly regarding waiting times for various tests. Within the professional health dimension, concerns related to diagnosis and treatment were the most prevalent factors (65.6%). The least frequent factors were linked to the patient-related dimension, encompassing behavioral (23.8%) and socioeconomic (15.6%) aspects. Conclusion A high frequency of factors potentially contributing to delays in initiating treatment for oral cancer was observed, with those related to health services being the most prevalent, especially the waiting times for various tests.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1807-25772024000100416&lng=en&tlng=enMouth neoplasmstime-to-treatmenthealth policyquality of health care |
| spellingShingle | Mary Anne de Souza Alves FRANÇA Rejane Faria RIBEIRO-ROTTA Nádia do Lago COSTA Maria do Carmo Matias FREIRE Factors related to the delay in initiating treatment for oral cancer at a referral center in the Central-West region of Brazil Revista de Odontologia da UNESP Mouth neoplasms time-to-treatment health policy quality of health care |
| title | Factors related to the delay in initiating treatment for oral cancer at a referral center in the Central-West region of Brazil |
| title_full | Factors related to the delay in initiating treatment for oral cancer at a referral center in the Central-West region of Brazil |
| title_fullStr | Factors related to the delay in initiating treatment for oral cancer at a referral center in the Central-West region of Brazil |
| title_full_unstemmed | Factors related to the delay in initiating treatment for oral cancer at a referral center in the Central-West region of Brazil |
| title_short | Factors related to the delay in initiating treatment for oral cancer at a referral center in the Central-West region of Brazil |
| title_sort | factors related to the delay in initiating treatment for oral cancer at a referral center in the central west region of brazil |
| topic | Mouth neoplasms time-to-treatment health policy quality of health care |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1807-25772024000100416&lng=en&tlng=en |
| work_keys_str_mv | AT maryannedesouzaalvesfranca factorsrelatedtothedelayininitiatingtreatmentfororalcanceratareferralcenterinthecentralwestregionofbrazil AT rejanefariaribeirorotta factorsrelatedtothedelayininitiatingtreatmentfororalcanceratareferralcenterinthecentralwestregionofbrazil AT nadiadolagocosta factorsrelatedtothedelayininitiatingtreatmentfororalcanceratareferralcenterinthecentralwestregionofbrazil AT mariadocarmomatiasfreire factorsrelatedtothedelayininitiatingtreatmentfororalcanceratareferralcenterinthecentralwestregionofbrazil |