Delays in diagnosis and treatment of breast cancer: a multinational analysis

Jassem, Jacek; Özmen, Vahit; Bacanu, Florin; Drobniene, Monika; Eglītis, Jānis; Lakshmaiah, K C; Kahán, Zsuzsanna; Mardiak, Jozef; Pieńkowski, Tadeusz; Semiglazova, T. Yu.; Stamatovic, Ljiljana; Timcheva, Constanta; Vasovic, S.; Vrbanec, Damir; Zaborek, Piotr

doi:10.1093/eurpub/ckt131

Cited by 117 publications

(144 citation statements)

References 15 publications

(17 reference statements)

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“…The majority of deaths from all types of cancer (70%) occurred in low and middle income countries (World Health Organization, 2014a). Furthermore, cancer survival tended to be poorer in developing countries, most likely because of a delayed diagnosis, low availability of the test or screening programs, limited access to standard treatment, fear of being diagnosed with cancer and not seeing oneself at risk (Rastad et al, 2012;Jassem et al, 2013;Norwati, …”

Section: Introductionmentioning

confidence: 99%

Awareness of Risk Factors for Cancer among Omani adults- A Community Based Study

Al-Azri

Al-Rasbi

Al-Hinai³

et al. 2014

Asian Pacific Journal of Cancer Prevention

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Background: Cancer is the leading cause of mortality around the world. However, the majority of cancers occur as a result of modifiable risk factors; hence public awareness of cancer risk factors is crucial to reduce the incidence. The objective of this study was to identify the level of public awareness of cancer risk factors among the adult Omani population. Conclusions:The majority of respondents in this study in Oman were not aware of the common risk factors for cancer. It may be possible to reduce the incidence of cancers in Oman by developing strategies to educate the public about these risk factors.

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Section: Introductionmentioning

confidence: 99%

Awareness of Risk Factors for Cancer among Omani adults- A Community Based Study

Al-Azri

Al-Rasbi

Al-Hinai³

et al. 2014

Asian Pacific Journal of Cancer Prevention

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“…There was no significant difference between the variables such as age, place of residence, education, tumor stage, first noticed symptom of the women with 'system was late' evaluation in this group (Table 3). In the study by Jassem et al, system-related delays were shorter for women with at least intermediate levels of education and women aged more than 60 years (30). There was a significant relationship found between younger women who noticed a mass by themselves and system-related delays.…”

Section: Discussionmentioning

confidence: 89%

“…In their multinational study, Jassem et al (30) reported that the delay was shorter in women with an intermediate education level, in women who work, Min: minimum; max: maximum; SD: standard deviation *39 women were not included in this group because they were divorced, widowed or single.…”

Section: Discussionmentioning

confidence: 99%

The Treatment Approach and Social Support Needs for Patients with Breast Cancer

Soylar

Genç

2016

J Breasth Health

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IntroductionBreast cancer is the second most common cancer type in the world and the most common cancer type in women. The number of newly diagnosed breast cancers in 2012 was 1.67 million, and breast cancer makes up 25% of all types of cancer in women (1). According to the data of the World Health Organization (WHO), the number of women who died of breast cancer worldwide in 2011 was 508 000. Breast cancer incidence increases as life expectancy increases, and urbanization and western lifestyles are adopted more and more in today's ever-developing world. It frequently occurs in both developed and less developed countries (2).As breast cancer incidence increases in most parts of the world, there are major disparities between poor and rich countries in this regard (3). Patients in undeveloped and less developed countries are diagnosed later compared with patients in developed countries. Diagnosis at a late stage decreases treatment options and increases mortality (4).Diagnosis in an advanced stage could occur because of patient-related as well as healthcare system-related reasons. Reasons such as lack of knowledge on symptoms, risk factors, and screening methods of breast cancer, cultural taboos regarding cancer treatment centers, and fear of hospitals are amongst reasons for patient-related latency. Although there is less information regarding healthcare system-related reasons, physicians' lack of knowledge on diagnosis and treatment and obstacles patients experience in reaching a physician or a hospital are considered amongst these reasons (5, 6).The negative effects of breast cancer on women's health are multidimensional. Problems that arise based on cancer treatment, problems about family and occupational life, and uncertainties toward life in the future influence the individual's physical and psychologic health negatively. Therefore, making emotional and social support attempts during the duration of the disease is of vital importance (7). Materials and Methods:The study included 200 patients with breast cancer who were treated at the chemotherapy unit during 2013 and 2014.Results: The mean age of the patients was 51.16±1.10 years and 60% of the women were graduates of elemantary school. The majority of patients (69.5%) noticed breast mass as the first symptom and 56.5% were diagnosed at later stages. Thirty-four percent of the patients delayed their visit to a health care centers after realizing the first symptom. No statistically significant relationship was determined between women's education level, residential area, age, the first symptom noticed, stages of tumor, and patients and system-related delay (p>0.05). In terms of family history of breast cancer, there was a significant difference between patient-related and system-related delays (p<0.05). The family support score (24.8±4.6) was higher than those of friends and husbands (23.8±5.5, 21.3±6.4, respectively). The husband support score was statistically different in terms of intimacy between women and their husbands after disease (p<0.001). Conclusi...

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“…Estos resultados coinciden con los reportados en el estudio multinacional de Jassem, et al, en el cual la demora en el diagnóstico y el tratamiento se atribuyó en mayor medida al sistema de salud, con un tiempo promedio de 78 días (8). En el contexto latinoamericano, en otros trabajos como el de Trufelli, et al, llevado a cabo en un hospital público brasilero, se encontró que la mediana del tiempo que trascurría entre la sospecha de tumor detectado por mamografía y la biopsia, era de 72 días (17), lo que se aproxima a lo hallado en cuanto al T 2 en este estudio.…”

Section: Discussionunclassified

Factores asociados con el tratamiento oportuno en mujeres con cáncer de mama apoyadas por una organización no gubernamental en Bogotá

Sánchez

Niño

Estupiñán³

2015

biomedica

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Biomédica 2015;35:505-12 Factores asociados con el tratamiento oportuno en cáncer de mama ARTÍCULO ORIGINAL Biomédica 2015;35:505-12 doi: http://dx.doi.org/10.7705/biomedica.v35i4.2378 Contribución de los autores: Guillermo Sánchez: concepción de la idea, seguimiento de la ejecución y análisis Carlos Gustavo Niño: seguimiento de la ejecución y análisis Carolina Estupiñán: apoyo en la concepción de la idea, trabajo de campo y recolección de datos Todos los autores participaron en el diseño del estudio y en la escritura del manuscrito. Introducción. El pronóstico de una mujer con cáncer de mama está relacionado con el tiempo que transcurre desde la aparición de los síntomas hasta el diagnóstico y el tratamiento integral. Las mujeres colombianas enfrentan barreras que afectan su acceso efectivo al sistema de salud. Objetivo. Establecer los factores determinantes del tratamiento oportuno de un grupo de mujeres con cáncer de mama apoyadas por una organización no gubernamental en Bogotá. Materiales y métodos. Se llevó a cabo un estudio observacional analítico de 136 mujeres con cáncer de mama apoyadas por una organización no gubernamental de Bogotá. El punto de corte para el tratamiento oportuno se estableció en 90 días calculados a partir de la aparición de los síntomas y hasta el inicio del tratamiento. Se exploraron los factores predictores de oportunidad mediante un análisis multivariado.Resultados. El 96 % de las mujeres contaba con aseguramiento en salud; el 26,4 % tuvo un tratamiento oportuno, y en 36 casos se negaron los servicios. El 23 % interpuso tutelas para acceder a los servicios de salud. En el análisis multivariado se establecieron asociaciones significativas entre un tratamiento oportuno, el hecho de pertenecer a los estratos socioeconómicos IV y V (razón de probabilidad=3,39), y escolaridad superior a la secundaria (razón de probabilidad=2,72). Conclusiones. Según la literatura científica, el pronóstico de las mujeres con cáncer de mama se modifica cuando se accede de manera oportuna al tratamiento. En este grupo de mujeres de Bogotá se encontraron factores socioeconómicos que al parecer determinaron su acceso efectivo al tratamiento, lo que revelaría la existencia de 'inequidades' determinadas socialmente.Palabras clave: neoplasias de la mama, accesibilidad a los servicios de salud, investigación sobre servicios de salud, organización social, factores socioeconómicos, Colombia.doi: http://dx.doi.org/10.7705/biomedica.v35i4.2378Factors associated with the timely treatment of women with breast cancer supported by a nongovernmental organization in Bogotá, Colombia Introduction: The prognosis for a woman with breast cancer is related to the time that elapses before diagnosis and integral treatment. Colombian women face barriers that determine effective access to the health system. Objective: To establish the determinants of timely treatment for breast cancer in a group of women supported by a non-governmental organization in Bogotá. Materials and methods: An observational analytical study was c...

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Delays in diagnosis and treatment of breast cancer: a multinational analysis

Abstract: The delay in diagnosis and treatment of breast cancer remains a serious problem. Several psychological and behavioural patient attributes strongly determine both patient-related delay time and system-related delay time, but their strength is different in particular countries.

Cited by 117 publications

References 15 publications

Awareness of Risk Factors for Cancer among Omani adults- A Community Based Study

Awareness of Risk Factors for Cancer among Omani adults- A Community Based Study

The Treatment Approach and Social Support Needs for Patients with Breast Cancer

Factores asociados con el tratamiento oportuno en mujeres con cáncer de mama apoyadas por una organización no gubernamental en Bogotá

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