Pathways to breast cancer diagnosis and treatment: exploring the social relations of diagnostic delay

Angus, Jan; Paszat, Lawrence; McKeever, Patricia; Trebilcock, Anne; Shivji, Farzina; Edwards, Beth

doi:10.1590/s0104-07072007000400002

Cited by 19 publications

(16 citation statements)

References 38 publications

(41 reference statements)

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“…Most of them use psychological theories: psychoanalysis, 67,80 Leventhal's self-regulation theory, 96 Leventhal's theory of fear and danger control, 69 Ajzen's theory of planned behavior, 96 Gollwitzer's theory of implementation of intentions, 96 Merton & Kitt's theory of reference group behavior, 68 Andersen & Cacioppo's theory of total patient delay 69,97 and heuristic analysis. 73,83 Among the social theories that have been used are Beck & Rosenstock's health belief model, 69 Bordieu's social capital theory 98 and anthropological theories related to meaning construction such as those developed by Taylor, Lipowski and Kleinman. 74…”

Section: Suplemento 2 De 2009mentioning

confidence: 99%

Delay of medical care for symptomatic breast cancer: a literature review

Unger‐Saldaña

Infante-Castañeda

2009

Salud pública Méx

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The purpose of this paper is to organize and summarize existing information on delayed medical attention for women with breast cancer and identify research needs in this area. This review is organized in six parts: origins and permanence of the message "do not delay" medical attention for potential cancer symptoms; definition and classification of breast cancer delay; impact of delay on breast cancer prognosis; factors related to breast cancer delay and the ways these have been studied; the study of breast cancer delay in Mexico; and directions for future research in developing countries, with a special focus on Mexico. We point out the need of a more integral study of delay that takes into account socio-structural and health services factors, in order to find modifiable factors towards which political actions should be directed to improve breast cancer medical attention in underdeveloped countries.

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Section: Suplemento 2 De 2009mentioning

confidence: 99%

Delay of medical care for symptomatic breast cancer: a literature review

Unger‐Saldaña

Infante-Castañeda

2009

Salud pública Méx

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“…Our study had several limitations, including a small sample size, albeit similar to other qualitative early breast cancer diagnosis studies [43][44][45] . Additionally, our participants were fairly racially homogenous and were all female.…”

Section: Discussionmentioning

confidence: 92%

Reasons symptomatic breast cancer patients delay seeking medical care

Heath¹,

Paulishak²,

Kasales³

et al. 2019

JUMD

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Aim: To assess for factors contributing to the total delay in care, and specifically the behavioral delay-interval portion of that delay, experienced by a group of symptomatic breast cancer patients. Methods: This retrospective cohort pilot study included 24 females greater than 40 years-old with symptomatic breast cancer at time of diagnosis (including palpable mass, breast pain, other pain, discharge, nipple inversion). Participants were asked demographic information, as well as to identify, from a predefined list of options, the three most relevant causes for their delayed breast cancer diagnosis. Data sources included electronic medical record query and phone surveys. Results: Overall, 21/24 of our study's participants identified at least one of our predetermined barriers to care as relevant to their cause for delay. The most commonly identified reasons for delay were health system utilization factors contributing to behavioral delay, including dependents/pressing matters, employment responsibilities, transportation costs and difficulty, fear of being judged by healthcare workers, and fear of not being able to afford treatment. Conclusion: Women with breast cancer can experience delays to eventual diagnosis and treatment during various timeintervals between first noticing a symptom and finally presenting to medical attention. This study provides evidence that one such possible interval is the behavioral delay interval. Health system utilization factors, psychological factors, demographic factors and help-seeking habits can contribute to an increased behavioral delay interval. Further research is warranted to address these factors and minimize their impact on patient care delivery.

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“…La investigación acerca de los problemas de acceso, relacionados con la atención de padecimientos específicos, en particular el cáncer, no tiene un amplio desarrollo. Sin embargo, hay estudios importantes como el de Modeste et al (21), en el que, con respecto a la mamografía, se destacan las barreras geográficas y económicas que afrontan las habitantes de Tobago para acceder al servicio, lo cual fue ratificado por Angus (22) en Canadá. En el estudio de Fonseca et al (23) se encuentra satisfacción de los pacientes oncológicos por la atención brindada en los servicios ambulatorios, pero se destacan los problemas de accesibilidad.…”

Section: Discussionunclassified