“The doctors are looking for me. I have a tumor ”| Sociedad

The pandemic has declined since the onset of cancer, since diagnosis and treatment and posterior follow-up. Following a study of various Spanish scientific societies, during the first one, the new diagnostic cayeron has a 21% and the tests to detect possible tumors, like the cytology, the cayaron has up to 30%. The result: diagnostic demonstrations, less therapeutic and more favorable prognostic options.

“Cancer is a priority and has passed into secondary school. It is estimated that the opportunity loss is translated into a 30% survival rate in patients who have been diagnosed late, ”said Eduardo Díaz-Rubio, Head of Emergency Department of Oncology and President of the Real Academy participation in the virtual event The most important public health of the covid, organized by EL PAÍS. The Ministry of Health and the Autonomous Communities will coordinate this Wednesday with the update of the national strategy against cancer, which will take 10 years without revision. “It updates key aspects such as the median prevention prevention style, the accurate diagnostics, the median attention mediation a multidisciplinary model, the advances in precision medicine or in retrospect as the psychological attention and the needs of the patient he so Minister of Health, Carolina Darias. And it is clear that a pandemic impact study will be carried out in the treatment and diagnosis of cancer.

Alicia, the secretariat of the professional board, is sure that the retreats that accumulate the sanitation system due to the pandemic he played in his contra. In July, during the first contact with his health center through a telephone consultation, the doctor diagnoses gastroenteritis and may have a mixed diet. Pero las diarreas no pasaban. The 17th of August saw outpatient emergencies and the hiccup of an analytical and a test of occult blood in heces that results in negative results. “It’s been a week since I last saw him in the hospital. I recommend a case with an antibiotic because I create an infectious diarrhea and treat a serious illness, ”he said.

Alicia alternates between consultations in the public domain with visits to private doctors. Analyzes and proofs of occult singing in heces no revelaban nada, pero ella seguía mal. And it was not until September that his doctor decided to take a colonoscopy, even though he had to visit the digestologist to see if the test had been performed properly, related to the woman. “The digestologist noticed me on the phone in October, gave me an analysis and told me to stay in one month. I’ve been very supportive of them, I’m tomase a Fortasec [un fármaco para cortar la diarrea]”, Protest. For instances, Alicia, who is of constitutional age, has lost six pounds.

Angustiada, in November a colonoscopy was carried out in the private red. On the 25th I was diagnosed with the tumor. Por ahora, not workable. Stay with chemotherapy ”, explains. I’m assimilating the diagnostic. “The pandemic game against everything, but I believe that in my case it has become a habit, a bad practice. If the digestologist does not have a lot of workload, but it has been completely removed, if it is mine. The patients do not go to the doctor to place ”, defiende.

Many cancer patients are not involved in the consultations and those that are serious, they are slow. The pandemic has the point of inflection and, since a year ago, there have been varying degrees of access to the system. “During the first one, the priorities are set and only the first visits are made. In June, after the descent, we will hope for an avalanche of cases and no escape. Llegaron a cuentagotas. Now we are diagnosing more, but the sensation is that we are the most advanced cases ”, says Mar Vernet, coordinator of the Functional Unit of Cancer at Mama del Hospital del Mar de Barcelona. One of each male and one of three females will develop a tumor into the larynx of its vagina. The forecast of the Spanish Society of Medical Oncology (Seom) states that, in 2021, 276,239 cases of cancer were diagnosed, although it is estimated that this estimate does not include the effects of the pandemic. Que los tendrá.

On the other hand, a survey of various scientific societies in 37 large Spanish hospitals has revealed that, between March and June 2020, less tumors were diagnosed than in the previous year period — up to 32% in April. Also, biopsies, which suelen serve to confirm a diagnosis, reduce 41% and cayo therapeutic activity: bajaron radiotherapy treatments to 5% and medial transplants, essential for some hematologic tumors, first of all.

The experts consulted val saam in that, with the pandemic, proliferation of bottlenecks in all levels of assistance. To empezar, with the paron of the cribados in the first ola. Although implantation is irregular and varies according to autonomy, the Reduced Cancer Program Programs estimate in 2017, last year it had figures, that the mother’s cohabitation rate was up to 90% of the population and the population of colon, al 66%. “Now the cribados are standing back, but if they do not recover.” And so it has an impact. It is estimated that between 10% and 15% of colon tumors are diagnosed with these preventive tests, ”said Joan Albanell, Chief Hospital Officer at Mar.

The oncologists consulted as well as the help of the hospital to attend the persistent hospital. “In a pandemic context, consider the sanitation centers as points of contact and have reduced the frequency. People have the right to consult ”, says Álvaro Rodríguez-Lescure, President of SEOM.

In addition, structural difficulties are to be achieved in accessing the sanitation system, which has limited much of the free entry to avoid opportunistic contests and telemedicine to alleviate the failure of the presidency. “The telephone is a dangerous situation because it does not move the patient and it is difficult to tell what is happening. And the medical precaution of sanitation also affects: a patient lame for an unspecified dollar, the doctor who pays the patient an analgesic and the two weeks, the patient wants to call because the patient and whoever the patient is is another doctor. Helping on the continuity of assistance, ”said Salvador Tranche, president of the Spanish Society of Family and Community Medicine.

Specifically, in order to sort out these difficulties in access, the Hospital del Mar has launched a campaign, with markets and cartels by markets and entities from its reference year, to invite women to consult any syndrome in the area. Through a telephone, the barricades can communicate directly with the hospital’s mother unit. “We are aware of the sensation of being in the hospital immediately as a matter of urgency, as it has been consulted,” Vernet said. And in the case of the mother’s tumor, the most prevalent among women, self-exploration is key to a temporary detection.

The Semfyc live alerts that primary care consultations are receiving more patients with advanced tumors. Although there is a fast-moving circuit species between the assisted distal levels that agilizes the diagnostic process when there is a tumor specimen, Tranche advises that there are many bureaucratic problems that complicate the process. “The problem is not the clear question because I want to move the case and try the process until everything is fast. The problem is when the teen is not clear and the patient feels the need for the system, ”she said.

The dilatadas list of hope in surgical interventions, visits to the specialist and diagnostic tests feeding the diagnostic retrospectives. “We detected retreats in the treatment and in many surgeries. And there is no doubt that, in many tumors, surgery is paramount, guaranteeing that the treatment works. The patients now have a lot of anguish and incontinence, ”said Begoña Barragán, president of the Spanish Patient Group with Cancer. During the first week, hospitals will continue to carry out their surgical activity — 36% of the interventions will take place in the first semester of 2020, with respect to the period prior to the previous year — and the visits will be done on all sides. Hecho, in Spain, the media of hope to visit the urologist in June 2020 was 125 days, and for digestive medicine, 103 days.

Alicia, for example, looks forward to a colonoscopy of the public system that never reads. In Catalonia, the media hope for this test is true for six months. ‘Hay is very much set out because they are nos están escapando. Cancer is one of them and it has time to pillow it, ”lamented the patient.