Studies have investigated delays in the diagnosis of neoplasms to identify delays to treatment on the part of patients and primary care practitioners. The aim of the current study was to evaluate the time interval (TI) required for the diagnosis of symptomatic papillary thyroid carcinoma (PTC).The study included 97 patients with PTC. Other histologic types and incidental microcarcinomas were excluded. The primary outcome variable was the TI between the occurrence of a sign/symptom and thyroidectomy. TI was composed of: patient's TI (PTI), diagnostic TI (DTI), and therapeutic TI (TTI).The TI between the occurrence of a sign/symptom and thyroidectomy averaged 3 months. PTI ranged from 25-85 days, DTI from 12-40 days, and TTI from 7-30 days. PTI was higher (P < .05) than DTI and TTI.PTI is the most important factor affecting TI. Implementation of information may increase patient's alertness and reduce misinterpretation of signs/symptoms. Collaboration between specialists is fundamental to further reduce DTI and TTI.

Time interval in diagnosis and treatment of papillary thyroid cancer: a descriptive, retrospective study

DIONIGI, GIANLORENZO;TANDA, MARIA LAURA PIERA;PIANTANIDA, ELIANA ANGELA ROSA;BONI, LUIGI;ROVERA, FRANCESCA ANGELA;DIONIGI, RENZO;BARTALENA, LUIGI
2009-01-01

Abstract

Studies have investigated delays in the diagnosis of neoplasms to identify delays to treatment on the part of patients and primary care practitioners. The aim of the current study was to evaluate the time interval (TI) required for the diagnosis of symptomatic papillary thyroid carcinoma (PTC).The study included 97 patients with PTC. Other histologic types and incidental microcarcinomas were excluded. The primary outcome variable was the TI between the occurrence of a sign/symptom and thyroidectomy. TI was composed of: patient's TI (PTI), diagnostic TI (DTI), and therapeutic TI (TTI).The TI between the occurrence of a sign/symptom and thyroidectomy averaged 3 months. PTI ranged from 25-85 days, DTI from 12-40 days, and TTI from 7-30 days. PTI was higher (P < .05) than DTI and TTI.PTI is the most important factor affecting TI. Implementation of information may increase patient's alertness and reduce misinterpretation of signs/symptoms. Collaboration between specialists is fundamental to further reduce DTI and TTI.
2009
http://dx.doi.org/10.1016/j.amjsurg.2008.01.031
Adenocarcinoma; Papillary; diagnosis/therapy, Adult, Aged, Female, Humans, Male, Middle Aged, Retrospective Studies, Thyroid Neoplasms; diagnosis/therapy, Thyroidectomy, Time Factors, Young Adult
Dionigi, Gianlorenzo; Tanda, MARIA LAURA PIERA; Piantanida, ELIANA ANGELA ROSA; Boni, Luigi; Rovera, FRANCESCA ANGELA; Dionigi, Renzo; Bartalena, Luig...espandi
File in questo prodotto:
File Dimensione Formato  
paper delay diagnosis.pdf

non disponibili

Tipologia: Documento in Post-print
Licenza: DRM non definito
Dimensione 221.67 kB
Formato Adobe PDF
221.67 kB Adobe PDF   Visualizza/Apri   Richiedi una copia

I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.

Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11383/1746344
Citazioni
  • ???jsp.display-item.citation.pmc??? 0
  • Scopus 1
  • ???jsp.display-item.citation.isi??? 1
social impact