Diagnóstico tardío del cáncer: análisis bibliométricoy su relevancia en sistemas de salud
Delayed Cancer Diagnosis: Bibliometric Analysisand Its Relevance for Health Systems
DOI:
https://doi.org/10.30854/rss65n15Palabras clave:
cáncer, diagnóstico tardío, estadificación de neoplasias, sistemas de atención de salud, política de salud , (obtenidos del tesauro DeCS/MeSH)Resumen
Objetivo: analizar la producción científica y las tendencias sobre la relación entre cáncer, diagnóstico tardío y sistemas de salud desde un enfoque integral. Metodología: se aplicaron técnicas bibliométricas en la base de datos Scopus, con indicadores de productividad y análisis de redes de acoplamiento bibliográfico. Se examinaron tendencias temporales, distribución por autores, revistas, países y áreas de conocimiento. Resultados: los diagnósticos tardíos se explican por factores personales (edad, educación y creencias), sociales (condiciones económicas, culturales y geográficas) y estructurales (fragmentación institucional y baja articulación entre actores). Se identificaron cinco clústeres de investigación: determinantes del diagnóstico tardío, opciones terapéuticas, factores socioeconómicos, impacto de la COVID-19 y esperanza de vida como condicionante en decisiones de tratamiento. Conclusiones: reducir diagnósticos tardíos exige estrategias en los niveles macro, meso y micro, priorizando promoción de la salud, prevención de la enfermedad y garantía del derecho a la vida y a la salud.
Descargas
Referencias
Acuña, L., & Ramírez, P. (2018). Cancer Risk Management in Colombia, 2016. Colombia Médica, 49(1), 128-134. https://doi.org/10.25100/cm.v49i1.3882
Aiello, E., Boudreau, D., Chubak J., Yu, O, Fujii, M., Chestnut, J., & Buist, D. (2012). Patient-Reported Discontinuation of Endocrine Therapy and Related Adverse Effects Among Women With Early-Stage Breast Cancer. Journal of Oncology Practice, 8(6), 149-157. https://doi.org/10.1200/JOP.2012.000543
Altekruse, S., McGlynn, K., & Reichman, M. (2009). Hepatocellular Carcinoma Incidence, Mortality, and Survival Trends in the United States from 1975 to 2005. Journal of Clinical Oncology, 27(9), 1485-1491. https://ascopubs.org/doi/10.1200/JCO.2008.20.7753
American Cancer Society. (2024a). Estadificación del cáncer. https://www.cancer.org/es/cancer/diagnostico-y-etapa-del-cancer/estadificacion-del-cancer.html
American Cancer Society. (2024b). Etapas del linfoma de Hodgkin. https://www.cancer.org/es/cancer/tipos/linfoma-hodgkin/deteccion-diagnostico-clasificacion-por-etapas/clasificacion-por-etapas.html
Bergin, R., Emery, J., Bollard, R., Falborg, A., Jensen, H., Weller, D., White, V et al. (2018). Rural–Urban Disparities in Time to Diagnosis and Treatment for Colorectal and Breast Cancer. Cancer Epidemiology, Biomarkers & Prevention, 27(9), 1036-1046. https://aacrjournals.org/cebp/article/27/9/1036/71690/Rural-Urban-Disparities-in-Time-to-Diagnosis-and
Bilimoria, K., Balch, C., Wayne, J., Chang, D., Palis, B., Dy, S., & Lange, J. (2009). Health Care System and Socioeconomic Factors Associated With Variance in Use of Sentinel Lymph Node Biopsy for Melanoma in the United States. Journal of Clinical Oncology, 27(11), 1857-1863. https://ascopubs.org/doi/10.1200/JCO.2008.18.7567
Bran, L., Valencia, A., Palacios, L., Gómez, S., Acevedo, Y. y Arias, C. (2020). Barreras de acceso del sistema de salud colombiano en zonas rurales: percepciones de usuarios del régimen subsidiado. Hacia la Promoción de la Salud, 25(2), 29-38. https://doi.org/10.17151/hpsal.2020.25.2.6
Brown, S., Castelli, M., Hunter, D., Erskine, J., Vedsted, P., Foot, C., & Rubin, G. (2014). How Might Healthcare Systems Influence Speed of Cancer Diagnosis: A Narrative Review. Social Science & Medicine, 116, 56-63. https://linkinghub.elsevier.com/retrieve/pii/S0277953614003980
Casella, D., Fusario, D., & Neri, A. (2021). New Safer Management for Breast Cancer Patients Who Need Neoadjuvant Therapy During SARS-COVID Pandemic. Breast Disease, 41(1), 1-3. https://doi.org/10.3233/BD-210007
Chen, A., Cronin, A., Weeks, J., Chrischilles, E., Malin, J., Hayman, J., & Schrag, D. (2013). Expectations About the Effectiveness of Radiation Therapy Among Patients With Incurable Lung Cancer. Journal of Clinical Oncology, 31(21), 2730-2735. https://ascopubs.org/doi/10.1200/JCO.2012.48.5748
Cuenta de Alto Costo [CAC]. (2015). Situación del cáncer en la población adulta atendida en el SGSSS de Colombia 2015. https://cuentadealtocosto.org/site/publicaciones/situacion-del-cancer-en-la-poblacion-adulta-atendida-en-elsgsss-de-colombia/
Desch, C., McNiff, K., Schneider, E., Schrag, D., McClure, J., Lepisto, E., & Edge, S. (2008). American Society of Clinical Oncology/National Comprehensive Cancer Network Quality Measures. Journal of Clinical Oncology, 26(21), 3631-3637. https://ascopubs.org/doi/10.1200/JCO.2008.16.5068
Do Nascimento, J., da Silva, C., Gusmão-Cunha, A., Neto, M., & de Andrade, A. (2023). Effects of the COVID-19 Pandemic on Delays in Diagnosisto-Treatment Initiation for Breast Cancer in Brazil: a Nationwide Study. Ecancermedicalscience, 17, 1-18. https://doi.org/10.3332/ecancer.2023.1570
Donthu, N., Kumar, S., Mukherjee, D., Pandey, N., & Lim, W. (2021). How to Conduct a Bibliometric Analysis: An Overview and Guidelines. Journal of Business Research, 133, 285-296. https://linkinghub.elsevier.com/retrieve/pii/S0148296321003155
Eaglehouse, Y., Georg, M., Shriver, C., & Zhu, K. (2019). Time-to-Surgery and Overall Survival After Breast Cancer Diagnosis in a Universal Health System. Breast Cancer Research and Treatment, 178(2), 441-450. https://doi.org/10.1007/s10549-019-05404-8
Elkin, P., Mullin, S., Tetewsky, S., Resendez, S., McCray, W., Barbi, J., & Yendamuri, S. (2022). Identification of Patient Characteristics Associated With Survival Benefit from Metformin Treatment in Patients With Stage I Non–Small Cell Lung Cancer. The Journal of Thoracic and Cardiovascular Surgery, 164(5), 1318-1326. https://linkinghub.elsevier.com/retrieve/pii/S0022522322002410
Enewold, L., Zhu, K., Ron, E., Marrogi, A., Stojadinovic, A., Peoples, G., & Devesa, S. (2009). Rising Thyroid Cancer Incidence in the United States by Demographic and Tumor Characteristics, 1980-2005. Cancer Epidemiology Biomarkers & Prevention, 18(3), 784-791. https://aacrjournals.org/cebp/article/18/3/784/164680/Rising-Thyroid-Cancer-Incidence-in-the-United
Ferreira, A., Cintra, J., Fayer, V., Nogueira, M., Júnior, C., Bustamante-Teixeira, M. T., & Guerra, M. (2023). Breast Cancer Survival and the Health System in Brazil: An Analysis of Public and Private Healthcare. Frontiers in Oncology,13, 1-13. https://www.frontiersin.org/articles/10.3389/fonc.2023.927748/full
Hershman, D., Kushi, L., Shao, T., Buono, D., Kershenbaum, A., Tsai, W et al. (2010). Early Discontinuation and Nonadherence to Adjuvant Hormonal Therapy in a Cohort of 8,769 Early-Stage Breast Cancer Patients. Journal of Clinical Oncology, 28(27), 4120-4128. https://ascopubs.org/doi/10.1200/JCO.2009.25.9655
Instituto Nacional del Cáncer [NCI]. Definición de cáncer en estadio tardío. Diccionario de cáncer del NCI. https://www.cancer.gov/espanol/publicaciones/diccionarios/diccionario-cancer/def/cancer-en-estadio-tardio
Janik, A., Ryszko, A., & Szafraniec, M. (2020). Scientific Landscape of Smart and Sustainable Cities Literature: A Bibliometric Analysis. Sustainability, 12(3), 1-39. https://doi.org/10.3390/su12030779
Jiménez‐Pérez, M., & Thomas, D. (1999). Has the Use of Pap Smears Reduced the Risk of Invasive Cervical Cancer in Guadalajara, Mexico? International Journal of Cancer, 82(6), 804-809. https://onlinelibrary.wiley.com/doi/10.1002/(SICI)1097-0215(19990909)82:6<804::AID-IJC6>3.0.CO;2-N
Kohler, R., Gopal, S., Miller, A., Lee, C., Reeve, B., Weiner, B., & Wheeler, S. (2017). A Framework for Improving Early Detection of Breast Cancer in Sub-Saharan Africa: A Qualitative Study of Help-Seeking Behaviors Among Malawian Women. Patient Education and Counseling, 100(1), 167-173. https://linkinghub.elsevier.com/retrieve/pii/S0738399116303548
Lin, J., Gill, A., Zahm, S., Carter, C., Shriver, C., Nations, J et al. (2017). Metformin Use and Survival After Non‐Small Cell Lung Cancer: A Cohort Study in the US Military Health System. International Journal of Cancer, 141(2), 254-263. https://onlinelibrary.wiley.com/doi/10.1002/ijc.30724
Mack, J., Walling, A., Dy, S., Antonio, A, Adams, J., Keating, N., & Tisnado, D. (2015). Patient Beliefs that Chemotherapy May Be Curative and Care Received at the end of Life Among Patients With Metastatic Lung and Colorectal Cancer. Cancer, 121(11), 1891-1897. https://acsjournals.onlinelibrary.wiley.com/doi/10.1002/cncr.29250
Martínez-Pérez, D., Gómez-Wolff, L., Ossa-Gómez, C., Hernández-Herrera, G., Rivas-Bedoya, Y., & García-García, H. (2020). Asociación entre retraso en el diagnóstico y estadio clínico avanzado de cáncer de mama al momento de la consulta en cuatro centros oncológicos de Medellín, Colombia,2017. Estudio de corte transversal. Revista Colombiana de Obstetricia y Ginecología, 71(2), 87-102. https://doi.org/10.18597/rcog.3410
McKenzie, F., Zietsman, A., Galukande, M., Anele, A., Adisa, C., Parham, G., & McCormack, V. (2018). Drivers of Advanced Stage at Breast Cancer Diagnosis in the Multicountry African Breast Cancer–Disparities in Outcomes (ABC‐DO) Study. International Journal of Cancer, 142(8), 1568-1579. https://onlinelibrary.wiley.com/doi/10.1002/ijc.31187
McMahon, D., Chemtai, L., Grant, M., Singh, R., Semeere, A., Byakwaga, H., Freeman, E et al. (2022). Understanding Diagnostic Delays for Kaposi Sarcoma in Kenya: A Qualitative Study. JAIDS Journal of Acquired Immune Deficiency Syndromes, 90(5), 494-503. https://journals.lww.com/10.1097/QAI.0000000000003011
Moreno, D. y Urrego, Z. (2022). Efectos de los artefactos explosivos sobre la salud auditiva de personas expuestas en conflictos armados. Hacia la Promoción de la Salud, 27(1), 191-212. https://revistasojs.ucaldas.edu.co/index.php/hacialapromociondelasalud/article/view/6761
Nila, S., Dutta, E., Prakash, S., Korula, S., & Oommen, A. (2024). Patient and Caregiver Perspectives of Select Non-Communicable Diseases in India: A Scoping Review. Plos One, 19(1), 1-20. https://dx.plos.org/10.1371/journal.pone.0296643
Organización Panamericana de la Salud [OPS]. (2024). Cáncer. OPS/OMS. https://www.paho.org/es/temas/cancer
Osorio-Andrade, C., Arango, C., & Rodríguez, A. (2023). Evolución de la investigación científica sobre Electronic Word of Mouth en la industria del turismo: un análisis bibliométrico. Estudios gerenciales, 39(166), 110-123. https://www.icesi.edu.co/revistas/index.php/estudios_gerenciales/article/view/5415
Price, A., Ndom, P., Atenguena, E., Mambou, J., & Ryder, R. (2012). Cancer Care Challenges in Developing Countries. Cancer, 118(14), 3627-3635. https://doi.org/10.1002/cncr.26681
Samadder, N., Curtin, K., Tuohy, T., Pappas, L., Boucher, K., Provenzale, D et al. (2014). Characteristics of Missed or Interval Colorectal Cancer and Patient Survival: A Population-Based Study. Gastroenterology, 146(4), 950-960. https://linkinghub.elsevier.com/retrieve/pii/S0016508514000262
Schmitt, M., Harbeck, N., Brünner, N., Jänicke, F., Meisner, C., Mühlenweg, B et al. (2011). Cancer Therapy Trials Employing Level-Of-Evidence-1 Disease Forecast Cancer Biomarkers uPA and its Inhibitor PAI-1. Expert Review of Molecular Diagnostics, 11(6), 617-634. https://doi.org/10.1586/erm.11.47
Shakarishvili, G., Lansang, M., Mitta, V., Bornemisza, O., Blakley, M., Kley, N., Burgess, C., & Atun, R. (2011). Health Systems Strengthening: A Common Classification and Framework for Investment Analysis. Health Policy and Planning, 26(4), 316-326. https://doi.org/10.1093/heapol/czq053
Shukla, A., Muhuri, P., & Abraham, A. (2020). A Bibliometric Analysis and Cutting-Edge Overview on Fuzzy Techniques in Big Data. Engineering Applications of Artificial Intelligence, 92, 1-18. https://linkinghub.elsevier.com/retrieve/pii/S0952197620300877
Soulos, P., Yu, J., Roberts, K., Raldow, A., Herrin, J., Long, J., & Gross, C. (2012). Assessing the Impact of a Cooperative Group Trial on Breast Cancer Care in the Medicare Population. Journal of Clinical Oncology, 30(14), 1601-1607. https://ascopubs.org/doi/10.1200/JCO.2011.39.4890
The Cancer Genome Atlas Network. (2012). Comprehensive Molecular Portraits of Human Breast Tumours. Nature. https://www.nature.com/articles/nature11412
Unger-Saldaña, K., Miranda, A., Zarco-Espinosa, G., Mainero-Ratchelous, F., Bargalló-Rocha, E., & Lázaro-León, J. (2015). Health System Delay and its Effect on Clinical Stage of Breast Cancer: Multicenter Study. Cancer, 121(13), 2198-2206. https://doi.org/10.1002/cncr.29331
Unión Internacional contra el Cáncer [UICC]. (2024). ¿Qué es el cáncer? World Cancer Day. https://www.worldcancerday.org/es/que-es-el-cancer
Walter, F., Mills, K., Mendonça, S., Abel, G., Basu, B., Carroll, N., Emery, J et al. (2016). Symptoms and Patient Factors Associated With Diagnostic Intervals for Pancreatic Cancer (SYMPTOM Pancreatic Study): A Prospective Cohort Study. The Lancet Gastroenterology & Hepatology, 1(4), 298-306. https://linkinghub.elsevier.com/retrieve/pii/S2468125316300796
Waltman, L., & van Eck, N. (2015). Field-Normalized Citation Impact Indicators and the Choice of an Appropriate Counting Method. Journal of Informetrics, 9(4), 872-894. https://linkinghub.elsevier.com/retrieve/pii/S1751157715300456
Ward, Z., Walbaum, M., Walbaum, B., Guzman, M., De la Jara, J, Nervi, B., & Atun, R. (2021). Estimating the Impact of the COVID-19 Pandemic on Diagnosis and Survival of Five Cancers in Chile from 2020 to 2030: A
Simulation-Based Analysis. The Lancet Oncology, 22(10), 1427-1437. https://linkinghub.elsevier.com/retrieve/pii/S1470204521004265
Zadnik, V., Mihor, A., Tomsic, S., Zagar, T., Bric, N., Lokar, K. & Oblak, I. (2020). Impact of COVID-19 on Cancer Diagnosis and Management in Slovenia–Preliminary Results. Radiology and Oncology, 54(3), 329-334. https://doi.org/10.2478/raon-2020-0048
Publicado
Número
Sección
Licencia
Derechos de autor 2026 María del Mar Vargas Diaz, María Fernanda Tobar Blandón, Óscar Marino López Mallama, Alexander Almeida Espinosa, Carlos Andrés Fandiño-Losada
Esta obra está bajo una licencia internacional Creative Commons Atribución-NoComercial-CompartirIgual 4.0.
Una vez aprobado el manuscrito el/los autores deben firmar el contrato de cesión de derechos patrimoniales sobre el artículo.
