Presentation Delay in Breast Cancer Patients, Identifying the Barriers in North Pakistan

Khan, Muhammad Aleem; Shafique, Sehrish; Khan, Muhammad Taha; Shahzad, Muhammad Faheem; Iqbal, Sundas

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자료유형: 학술저널

저자정보: Khan, Muhammad Aleem (Department of Nuclear Medicine Nuclear Medicine, Oncology and Radiotherapy Institute) Shafique, Sehrish (Department of Physiology Rawal Institute of Health) Khan, Muhammad Taha (Nuffield Brentwood Hospital) Shahzad, Muhammad Faheem (Department of Nuclear Medicine Nuclear Medicine, Oncology and Radiotherapy Institute) Iqbal, Sundas (Armed Forces Institute of Cardiology)

저널정보: 아시아태평양암예방학회 Asian Pacific journal of cancer prevention : APJCP Asian Pacific journal of cancer prevention : APJCP 제16권 제1호

발행연도: 2015.1

수록면: 377 - 380 (4page)

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Background: There is strong evidence that delayed diagnosis of breast cancer is associated with poor survival. Our objectives were to determine the frequency of breast cancer patients with delayed presentation, the reasons of delay and its association with different socio-demographic variables in our North Pakistan setting. Materials and Methods: We interviewed 315 histologically confirmed breast cancer patients. Delay was defined as more than 3 months from appearance of symptoms to consultation with a doctor. Questions were asked from each patient which could reflect their understanding about the disease and which could be the likely reasons for their delayed presentation. Results: 39.0 % (n=123) of patients presented late and out of those, 40.7% wasted time using alternative medicines; 25.2 % did not having enough resources; 17.1 % presented late due to painless lump; 10.6% felt shyness and 6.5% presented late due to other reasons. Higher age, negative family history, < 8 school years of education and low to middle socio-economic status were significantly associated with delayed presentation (p< 0.05). Education and socioeconomic status were two independent variables related to the delayed presentation after adjustment for others (OR of 2.26, 2.29 and 95%CI was 1.25-4.10, 1.06-4.94 respectively). Conclusions: Significant numbers of women with breast cancer in North Pakistan experience presentation delay due to their misconceptions about the disease. Coordinated efforts with public health departments are needed to educate the focused groups and removing the barriers identified in the study. Long term impact will be reduced overall burden of the disease in the region.

#Breast cancer #presentation delay #determinant factors #breast lump #Pakistan

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