据报道,晚期诊断和治疗延误降低了结肠癌的生存率。Millas等认为,安全网络医院系统中系统层面的局限,延误了患者的治疗。他们回顾性检索了2008年5月到2012年5月期间大型安全网络医院系统中的结肠癌患者,收集其人口学特征、诊断日期、手术日期、化疗日期和生命体征,并采用回归分析探索造成治疗延误的决定因素。248例患者中,56%(140例)为晚期患者,29.1%的患者急需治疗;36例(26%)Ⅲ、Ⅳ期患者未接收化疗。回归分析结果显示:种族、年龄、性别及姑息治疗均与治 It has been reported that late diagnosis and treatment delays reduce the survival of colon cancer. Millas et al. Conclude that system-level limitations in the safety network hospital system delay the patient’s treatment. They retrospectively searched for colon cancer patients in a large safety net hospital system from May 2008 to May 2012 to collect demographic characteristics, date of diagnosis, date of surgery, date of chemotherapy, and vital signs, and to use regression analysis to explore the causes Determinants of treatment delay. Among 248 patients, 56% (140 cases) were in advanced stage and 29.1% were in urgent need of treatment. Thirty-six (26%) stage III and IV patients did not receive chemotherapy. Regression analysis showed that: race, age, gender and palliative treatment were both cured