Impacto de la coexistencia de la EPOC/tabaquismo en la evolución de una cohorte de pacientes con carcinoma pulmonar

2013 
Background: Lung cancer (LC) and chronic obstructive pulmonary disease (COPD) are illnesses with major mortality in developed countries. They have a high prevalency and mortality which will increase more in the next years. Both diseases share a risk factor, tobacco. Material and methods: A descriptive, retrospective and applied study was conducted. Datas of the medical records were obtained. Smoker or ex-smoker patients with bronchogenic carcinoma in «Hermanos Ameijeiras» Hospital from January 2008 to August 2011 were included. Those whose information was uncompleted were excluded. Results: An important relation between clinical stage of tumoral disease and COPD was founded. More than half of patients was alive at the end of the study. The percentage of patients alives without COPD was almost double of registered in those patients with COPD. Conclusions: Patients with Lung Cancer and COPD predominated. The diagnostic delay was lesser in patients with COPD. Patients with COPD have 4.11 twices more to die that patients whithout it.
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