Trakya Üniversitesi Sağlık Araştırma ve Uygulama Merkezi'ne 2007-2011 yılları arasında başvuran meme kanseri tanılı hastaların değerlendirilmesi
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Tarih
2013
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Trakya Üniversitesi Tıp Fakültesi
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Kanser türleri içinde meme kanseri dünyada kadınlar arasında en sık görülen malign tümör olup, kadınlarda görülen tüm kanserlerin yaklaşık % 30?unu oluşturmaktadır. Meme kanserinin sık görülmesi ve erken evrelerde tedavi edilebilir olması önemini daha da arttırmaktadır. Araştırmamızın amacı; Trakya Üniversitesi Tıp Fakültesi Sağlık Araştırma ve Uygulama Merkezi'ne başvuran meme kanseri tanılı hastaları inceleyerek, bu hastaların sosyo demografik, klinik özellikleri, risk faktörleri, erken tanı ve tarama yöntemlerini tanımlamaktır. Trakya Üniversitesi Tıp Fakültesi Sağlık Uygulama ve Araştırma Merkezi Genel Cerrahi, Medikal Onkoloji ve Radyasyon Onkolojisi bölümlerine Ocak 2007-Aralık 2011 tarihleri arasındaki 5 yıllık süre içinde başvuran 793 meme kanseri tanılı hasta araştırmaya dahil edildi. Bu hastalardan öldüğü tespit edilen 94?ü (% 11,8), ulaşılamayan 92?si (% 11,6) ve araştırmaya katılmayı kabul etmeyen 19'u (% 2,4) araştırma dışında bırakılarak 588 (% 74,1) hastanın dosya verileri kayıt edilerek ve yüz yüze veya telefon ile anket formu uygulanarak araştırma yürütüldü. Meme kanseri tanılı hastalardan kentten oturanların 213'ünün (% 51,8), sağlık güvencesi olan hastaların 267'sinin (% 49,4), tanı anında 50 ya? ve üzerinde olanların 147'sinin (% 53,8), lise-üniversite mezunu olanların 68?inin (% 63,6) meme kanseri tanısı almadan önce erken tanı tarama yöntemi kullandığı tespit edildi. Araştırmaya katılan meme kanseri tanılı hastalardan kentte yaşayanların, sağlık güvencesi Emekli Sandığı olanların, lise veya üniversite mezunu olanların, 50 yaş ve üzerinde olanların daha fazla erken tanı tarama yöntemi kullandıkları tespit edildi (p< 0.05). 109 Yapılan risk skorlamasına göre kadınların % 92?si (505 kadın) düşük risk grubunda, % 8'i (42 kadın) orta risk grubunda idi. Orta risk grubundakiler daha fazla erken tanı tarama yöntemi kullanmıştı (p=0.017). Sonuç olarak; kentte oturanların, eğitim düzeyi yüksek olanların, sağlık hizmetine erişmekte sorun yaşamayanların daha fazla erken tanı tarama yöntemi kullandıkları tespit edilmiştir. Erken tanı tarama yöntemi kullanımı ile ilgili durum tespiti yapılması, sorun varsa tespit edilmesi ve çözüm önerileri oluşturulabilmesi için daha kapsamlı çalışmalar yapılmalıdır.
Abstract
Breast cancer is the most frequent cancer with a proportion of 30 % in women population in the world. This frequency and curability in the early stages increase the importance of breast cancer. The aim of this study to investigate social, demographic, clinical, risc factors, early diagnosis and treatment of the patients with breast cancer who have admitted to Trakya Universty Research and Training Center. 793 patients with breast cancer who have apllied to admitted to Trakya Universty Research and Training Center General Surgery, Medical Oncology, Radiation Oncology in 5 years (January 2007- December 2011) were included to the study. Except 94 patients who were dead (11.8%), 92 patients who were unreacheable (11.6%), and 19 patients who didn?t accept to be included, 588 patients (74.1%) were evaluated by investigating file database, and fill a form by interviewing face to face or on the phone. It was determined that the patients with breast cancer had taken an early diagnosis method with the number of 213 (51.8%) of who lives in the city, 267 (49.4%) of with a health insurance, 79 (68.1%) of with a health insurance which is Emekli Sandığı, 147 (53.8%) of with 50 years old age and older in the diagnosis, 68 (63.6%) of with a high school or university degree.111 It was determined that the patients with breast cancer who have included to the study, who lives in the city, with a health insurance which is Emekli Sandığı, with a high school or university degree, with 50 years old age and older, had taken more an early diagnosis method (p< 0.05). Ninety three percent of the women patients (505 women) were in the low risc group and eight percent of the women (42 women) were in the middle risc group. In the middle risc group had taken more an early diagnosis method (p= 0.007). As conclusion, it was determined that who lives in the city, who with a high educational situation, who can reach medical services easily had taken more an early diagnosis method. It is quite needed more comprehensive research study to determine the usage of early diagnosis methods, to establish of the problems and the suggestions for solutions.
Abstract
Breast cancer is the most frequent cancer with a proportion of 30 % in women population in the world. This frequency and curability in the early stages increase the importance of breast cancer. The aim of this study to investigate social, demographic, clinical, risc factors, early diagnosis and treatment of the patients with breast cancer who have admitted to Trakya Universty Research and Training Center. 793 patients with breast cancer who have apllied to admitted to Trakya Universty Research and Training Center General Surgery, Medical Oncology, Radiation Oncology in 5 years (January 2007- December 2011) were included to the study. Except 94 patients who were dead (11.8%), 92 patients who were unreacheable (11.6%), and 19 patients who didn?t accept to be included, 588 patients (74.1%) were evaluated by investigating file database, and fill a form by interviewing face to face or on the phone. It was determined that the patients with breast cancer had taken an early diagnosis method with the number of 213 (51.8%) of who lives in the city, 267 (49.4%) of with a health insurance, 79 (68.1%) of with a health insurance which is Emekli Sandığı, 147 (53.8%) of with 50 years old age and older in the diagnosis, 68 (63.6%) of with a high school or university degree.111 It was determined that the patients with breast cancer who have included to the study, who lives in the city, with a health insurance which is Emekli Sandığı, with a high school or university degree, with 50 years old age and older, had taken more an early diagnosis method (p< 0.05). Ninety three percent of the women patients (505 women) were in the low risc group and eight percent of the women (42 women) were in the middle risc group. In the middle risc group had taken more an early diagnosis method (p= 0.007). As conclusion, it was determined that who lives in the city, who with a high educational situation, who can reach medical services easily had taken more an early diagnosis method. It is quite needed more comprehensive research study to determine the usage of early diagnosis methods, to establish of the problems and the suggestions for solutions.
Açıklama
Tıpta Uzmanlık Tezi
Anahtar Kelimeler
Meme Kanseri, Mammograf, Erken Tanı Tarama Yöntemi, Meme Kanserinde Risk Skorlaması, Breast Cancer, Mammography, Screening Method For Early Diagnosis, Risk Scoring in Breast Cancer
