Delay to Diagnosis and Management in Digestive Cancerology by the General Practitioner Within the City-hospital Network in the Context of Confinement Related to the Covid-19 Pandemic
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 376
- 试验地点
- 1
- 主要终点
- time from date of first symptoms of cancer to the date of first MDT
研究概览
简要总结
Objective: the pre-hospital management of cancers is little known in General Medicine. The first lockdown related to the COVID-19 pandemic led to the closure of health facilities. Investigators were interested in the diagnosis and care pathway of digestive cancers in post-confinement in General Medicine in Nouvelle-Aquitaine.
详细描述
Method: patient records discussed in Digestive Oncology CPR of Bordeaux University Hospital for the first time from June 1 to August 31, 2020 and over the same period in 2019 were included. A questionnaire on the dates of the first symptoms, first consultation with the general practitioner, imaging examination and access to the specialist was sent to the general practitioner. The primary outcome was time from onset to date of first MDT.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Retrospective
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •residing in New Aquitaine and
- •whose general practitioner practiced in New Aquitaine
- •malignant tumors of the esophagus, stomach, small intestine, colon, recto-sigmoid junction, rectum, anus and anal canal, liver and intrahepatic bile ducts, extrahepatic bile ducts, gallbladder and pancreas.
- •to have had at least one consultation or hospitalization in the digestive pole of the Bordeaux University Hospital within 6 months after the MDT.
排除标准
- •Patients under 18 years of age,
- •who had already had a MDT for this cancer,
- •whose date of first MDT was outside the inclusion dates,
- •whose new cancer was a digestive metastasis of a primary of another location,
- •who did not have French health insurance
结局指标
主要结局
time from date of first symptoms of cancer to the date of first MDT
时间窗: DAYS
time from date of first symptoms of cancer to the date of first MDT
次要结局
- time from date of first symptoms to date of first consultation with a general practitioner,(DAYS)
- time from date of first symptoms to first imaging or specific examination,(DAYS)
- stage of pathology by type of cancer,(at inclusion)
- time from date of first symptoms to consultation with a specialist,(DAYS)
- frequency of different types of cancer,(at inclusion)
- overall survival.(MONTHS, time from from date of first symptoms to date of death)
研究者
Blanc-Bisson Christele
Doctor
University of Bordeaux