Prognostic implications of emergency admission and delays in patients with breast cancer

Support Care Cancer. 2009 May;17(5):595-9. doi: 10.1007/s00520-008-0513-2. Epub 2008 Oct 8.

Abstract

Introduction: This study evaluates clinical-pathological characteristics and survival rates associated with emergency admission and delays in diagnosis and treatment of 411 consecutive breast cancer patients.

Materials and methods: Emergency admission and first symptom-first hospital visit delay were significantly associated with advanced tumor stages but only in the former case with short disease-free survival (RR 2.5, CI 95% 1.5-4.2).

Results: Brief diagnostic delays were significantly associated with advanced disease stage and poor survival rates (RR 2.04; CI 95% 1.08-3.82) probably because sicker patients receive prompt medical attention.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Breast Neoplasms / diagnosis*
  • Breast Neoplasms / mortality
  • Breast Neoplasms / pathology
  • Disease-Free Survival
  • Emergency Service, Hospital / statistics & numerical data*
  • Female
  • Humans
  • Middle Aged
  • Neoplasm Staging
  • Patient Admission / statistics & numerical data*
  • Prognosis
  • Spain
  • Survival Rate
  • Time Factors