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The wait time to pr...
The wait time to primary surgery in endometrial cancer - impact on survival and predictive factors : a population-based SweGCG study
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- Marcickiewicz, Janusz (author)
- Hallands Hosp Varberg, Dept Obstet & Gynaecol, Varberg, Sweden.;Reg Canc Ctr Western Sweden, Gothenburg, Sweden.,Hallands sjukhus, Varberg
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- Åvall Lundqvist, Elisabeth (author)
- Linköpings universitet,Linköping University,Avdelningen för kirurgi, ortopedi och onkologi,Medicinska fakulteten,Region Östergötland, Onkologiska kliniken US
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- Holmberg, Erik Carl Viktor (author)
- Reg Canc Ctr Western Sweden, Gothenburg, Sweden.;Univ Gothenburg, Sahlgrenska Acad, Inst Clin Sci, Dept Oncol, Gothenburg, Sweden.,Sahlgrenska Academy
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- Borgfeldt, Christer (author)
- Lund University,Lunds universitet,Obstetrik och gynekologi, Lund,Sektion V,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,LUCC: Lunds universitets cancercentrum,Övriga starka forskningsmiljöer,Obstetrics and Gynaecology (Lund),Section V,Department of Clinical Sciences, Lund,Faculty of Medicine,LUCC: Lund University Cancer Centre,Other Strong Research Environments,Skåne University Hospital,Lund Univ, Sweden; Lund Univ, Sweden
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- Bjurberg, Maria (author)
- Lund University,Lunds universitet,Lund Univ, Skane Univ Hosp, Dept Haematol Oncol & Radiat Phys, Lund, Sweden.,LUCC: Lunds universitets cancercentrum,Övriga starka forskningsmiljöer,Bröst/ovarialcancer,Sektion I,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,LUCC: Lund University Cancer Centre,Other Strong Research Environments,Breast/ovarian cancer,Section I,Department of Clinical Sciences, Lund,Faculty of Medicine,Skåne University Hospital
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- Dahm-Kahler, Pernilla (author)
- Univ Gothenburg, Sahlgrenska Univ Hosp, Dept Obstet & Gynaecol, Sahlgrenska Acad, Gothenburg, Sweden.,Sahlgrenska University Hospital
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- Floter-Radestad, Angelique (author)
- Karolinska Institutet,Karolinska Institute,Karolinska Inst, Sweden
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- Hellman, Kristina (author)
- Karolinska Univ Hosp, Dept Gynecol Canc, Theme Canc, Stockholm, Sweden.,Karolinska University Hospital
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- Högberg, Thomas (author)
- Lund University,Lunds universitet,Medicinsk onkologi,Sektion I,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Medical oncology,Section I,Department of Clinical Sciences, Lund,Faculty of Medicine,Lund Univ, Sweden
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- Rosenberg, Per (author)
- Linköpings universitet,Linköping University,Avdelningen för kirurgi, ortopedi och onkologi,Medicinska fakulteten,Region Östergötland, Onkologiska kliniken US
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- Stålberg, Karin (author)
- Uppsala University,Uppsala universitet,Reproduktiv hälsa,Uppsala Univ, Sweden
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- Kjölhede, Preben (author)
- Linköpings universitet,Linköping University,Avdelningen för barns och kvinnors hälsa,Medicinska fakulteten,Region Östergötland, Kvinnokliniken US
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Hallands Hosp Varberg, Dept Obstet & Gynaecol, Varberg, Sweden;Reg Canc Ctr Western Sweden, Gothenburg, Sweden. Hallands sjukhus, Varberg (creator_code:org_t)
- Informa UK Limited, 2022
- 2022
- English.
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In: Acta Oncologica. - : Informa UK Limited. - 0284-186X .- 1651-226X. ; 61:1, s. 30-37
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https://liu.diva-por... (primary) (Raw object)
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Abstract
Subject headings
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- Background Poor survival rates in different cancer types are sometimes blamed on diagnostic and treatment delays, and it has been suggested that such delays might be related to sociodemographic factors such as education and ethnicity. We examined associations of the wait time from diagnosis to surgery and survival in endometrial cancer (EC) and explored patient and tumour factors influencing the wait time. Material and methods In this historical population-based cohort study, The Swedish Quality Registry for Gynaecologic Cancer (SQRGC) was used to identify EC patients who underwent primary surgery between 2010 and 2018. Factors associated with a wait time > 32 d were analysed with logistic regression. The 32-d time point was defined in accordance with the Swedish Standardisation Cancer Care programme. Adjusted Poisson regression analyses were used to analyse excess mortality rate ratio (EMRR). Results Out of 7366 women, 5535 waited > 32 d for surgery and 1098 > 70 d. The overall median wait time was 44 d. The factors most strongly associated with a wait time > 32 d were surgery at a university hospital (adjusted odds ratio [OR] 1.34, 95% confidence interval [CI] 1.08-1.66) followed by country of birth (OR 1.31, 95% CI 1.10-1.55) and year of diagnosis. There were no associations between wait time and histology or age. A wait time < 15 d was associated with higher mortality (adjusted EMRR 2.29,95% CI 1.36-3.84) whereas no negative survival impact was seen with a wait time of 70 d. Age, tumour stage, histology and risk group were highly associated with survival, whereas education, country of origin and hospital level did not have any impact on survival. Conclusions Surgery within the first two weeks after EC diagnosis was associated with worsened survival. A prolonged wait time did not seem to have any significant adverse effect on prognosis.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Cancer och onkologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Cancer and Oncology (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kirurgi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Surgery (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Health Care Service and Management, Health Policy and Services and Health Economy (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Reproduktionsmedicin och gynekologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Obstetrics, Gynaecology and Reproductive Medicine (hsv//eng)
Keyword
- Endometrial cancer
- wait time
- time to surgery
- time to treatment
- delay
- delay
- Endometrial cancer
- time to surgery
- time to treatment
- wait time
Publication and Content Type
- ref (subject category)
- art (subject category)
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Marcickiewicz, J ...
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Åvall Lundqvist, ...
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Holmberg, Erik C ...
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Borgfeldt, Chris ...
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Bjurberg, Maria
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Dahm-Kahler, Per ...
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Floter-Radestad, ...
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Hellman, Kristin ...
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Högberg, Thomas
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Rosenberg, Per
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Stålberg, Karin
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Kjölhede, Preben
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- About the subject
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
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and Cancer and Oncol ...
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
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and Surgery
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Health Sciences
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and Health Care Serv ...
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
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and Obstetrics Gynae ...
- Articles in the publication
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Acta Oncologica
- By the university
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Uppsala University
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Lund University
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Linköping University
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Karolinska Institutet