<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2011-7582</journal-id>
<journal-title><![CDATA[Revista Colombiana de Cirugía]]></journal-title>
<abbrev-journal-title><![CDATA[rev. colomb. cir.]]></abbrev-journal-title>
<issn>2011-7582</issn>
<publisher>
<publisher-name><![CDATA[Asociación Colombiana de Cirugía]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2011-75822020000100066</article-id>
<article-id pub-id-type="doi">10.30944/20117582.589</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Características clínicas y administrativas que se relacionan con el retraso en el diagnóstico y tratamiento de los pacientes con cáncer de cabeza y cuello]]></article-title>
<article-title xml:lang="en"><![CDATA[Clinical and administrative characteristics related to the delay in the diagnosis and treatment of patients with head and neck cancer]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[López]]></surname>
<given-names><![CDATA[Andrés Felipe]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sanabria]]></surname>
<given-names><![CDATA[Álvaro Enrique]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Antioquia  ]]></institution>
<addr-line><![CDATA[Medellín ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,aff2  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Colombia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>03</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>03</month>
<year>2020</year>
</pub-date>
<volume>35</volume>
<numero>1</numero>
<fpage>66</fpage>
<lpage>74</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_arttext&amp;pid=S2011-75822020000100066&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_abstract&amp;pid=S2011-75822020000100066&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_pdf&amp;pid=S2011-75822020000100066&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción.  En Colombia, el diagnóstico de los tumores de cabeza y cuello es tardío, lo cual aumenta la mortalidad, las secuelas estéticas y funcionales, y los costos para el sistema de salud. Actualmente, hay poca información sobre los factores que retrasan el diagnóstico y tratamiento de los pacientes con cáncer de cabeza y cuello.  Métodos.  Se trata un estudio transversal y analítico. Como referencia, se utilizó el cálculo de muestras para una población finita con un nivel de confianza del 95 % y un margen de error del 5 %, para un total de 159 pacientes con diagnóstico de cáncer de cabeza y cuello atendidos en la Clínica Vida de Medellín, entre los años 2016 y 2017.  Resultados.  Se evaluaron 146 pacientes. Los síntomas más frecuentes por los que consultaron fueron masa cervical y disfonía. Solo el 53,4 % de los pacientes buscó atención médica inmediata ante la presencia del síntoma. De aquellos que no la buscaron, la causa más frecuente fue la creencia de que el síntoma desaparecería espontáneamente.  Discusión.  Con base en los resultados obtenidos, se puede concluir que el síntoma de presentación juega un papel importante para que el paciente decida buscar o no buscar atención médica inmediata. El síntoma de presentación y el vivir en el área rural, retrasan el tiempo transcurrido entre la aparición del síntoma y la primera valoración por un médico de atención primaria. Los factores que se asociaron al retraso entre el diagnóstico y el inicio del tratamiento, fueron la seguridad social y el haber presentado tos como síntoma inicial.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction:  In Colombia the diagnosis of head and neck tumors is late, which represents an increase in mortality, aesthetic and functional sequelae and costs for the health system. Currently, there is little information on the factors that delay the diagnosis and treatment of patients with head and neck cancer.  Methods:  It is a cross-sectional and analytical study. As a reference, the calculation of samples was used for a finite population with a confidence level of 95% and a margin of error of 5%, for a total of 159 patients diagnosed with head and neck cancer treated between 2016 and 2017.  Results:  A total of 146 patients were evaluated. The most frequent symptoms for those who consulted were neck mass and dysphonia. Only 53.4% &#8203;&#8203;of the patients sought immediate medical attention in the presence of the symptom. Of those who did not seek for it, the most frequent cause was the belief that the symptom would spontaneously disappear.  Discussion:  Based on the results obtained, it can be concluded that the presentation symptom plays an important role for the patient to decide whether or not to seek immediate medical attention. The presentation symptom and living in rural areas delay the time elapsed between the appearance of the symptom and the first assessment by a primary care physician. The factors that were associated with the delay between diagnosis and the start of treatment were social security and having presented cough as an initial symptom.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[neoplasias de cabeza y cuello]]></kwd>
<kwd lng="es"><![CDATA[diagnóstico tardío]]></kwd>
<kwd lng="es"><![CDATA[tiempo de tratamiento]]></kwd>
<kwd lng="es"><![CDATA[política pública]]></kwd>
<kwd lng="es"><![CDATA[factores epidemiológicos]]></kwd>
<kwd lng="es"><![CDATA[factores determinantes sociales de la salud]]></kwd>
<kwd lng="en"><![CDATA[head and neck neoplasms]]></kwd>
<kwd lng="en"><![CDATA[delayed diagnosis]]></kwd>
<kwd lng="en"><![CDATA[time-to-treatment]]></kwd>
<kwd lng="en"><![CDATA[public policy]]></kwd>
<kwd lng="en"><![CDATA[epidemiologic factors]]></kwd>
<kwd lng="en"><![CDATA[social determinants of health]]></kwd>
</kwd-group>
</article-meta>
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</nlm-citation>
</ref>
</ref-list>
</back>
</article>
