Exploring determinants of care-seeking behaviour of oral cancer patients in India: A qualitative content analysis

Rath, Hemamalini; Shah, S. Weibel; Sharma, Gaurav; Mishra, Ekagrata

doi:10.1016/j.canep.2018.01.019

Cited by 15 publications

(12 citation statements)

References 16 publications

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“…This differences in the age at onset of breast cancer cases may be due to differences in the life expectancies of India and US. Several studies have reported that the delay in seeking care is often associated with low socio economic status (Kumar et al, 2017;Rath et al, 2018). Similar findings are seen in the present study.…”

Section: Discussionsupporting

confidence: 91%

Time Interval between Self-Detection of Symptoms to Treatment of Breast Cancer

Somanna

Srinivasa

Ramesh

et al. 2020

Asian Pac J Cancer Prev

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Background:In India breast cancer is the number one cancer among females with an incidence rate of 25.8 per 100,000 women and mortality of 12.7 per 100,000 women. India continues to have a low 5-year survival rate of breast cancer with only 66.1% as compared to 90% in developed countries. The major reason for low survival is that patients are diagnosed with cancer at high stage. The present study attempts to delineate the time interval between self-detection of breast cancer symptoms and seeking care and to find the main reasons for delay in seeking care. Methods: A cross sectional study was undertaken from October 2016 to March 2017 in a population based cancer registry (PBCR) and hospital based cancer registry (HBCR) located in south of India. Histologically confirmed breast cancer patients (N=181) were interviewed at hospital using a pre-tested semi structured questionnaire. Results: The median time interval between the self-detection of breast cancer symptoms and first contact with general physician was 60 [IQR 30-180] days. The median time to diagnosis from the first contact was 30 [IQR 10 -60] days and the overall median time span from self-detection of symptoms to treatment was 150 [IQR 95-265] days. The major reason given for not seeking medical care in time was lack of awareness in identifying the cancer symptoms both among patients and primary care providers.Conclusion: There was considerable delay from self-detection of symptoms to cancer specific primary treatment of breast cancer. We found lack of awareness among patients as well as in primary care providers to be the major concern for delay. Awareness among the target population and health care professionals would have to be improved for early diagnostics and access to care.

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Section: Discussionsupporting

confidence: 91%

Time Interval between Self-Detection of Symptoms to Treatment of Breast Cancer

Somanna

Srinivasa

Ramesh

et al. 2020

Asian Pac J Cancer Prev

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“…A redução da mortalidade por câncer de boca demanda uma rede de serviços de saúde capaz de proporcionar o diagnóstico precoce, o início imediato do tratamento oncológico e que a população tenha conhecimento sobre os principais sinais e sintomas da doença e sobre a importância de não postergar a busca pelos serviços de saúde. Rath et al 32 ratificam essa hipótese ao constatarem que, entre os pacientes com câncer de boca, a principal razão que motivou a busca por tratamento foi o agravamento dos sintomas, e a principal barreira foi a falta de conscientização da gravidade, além da esperança de que a lesão se curasse sozinha.…”

Section: Discussionunclassified

Tendência Temporal da Mortalidade por Câncer de Boca e da Cobertura de Atenção Primária no Estado do Rio de Janeiro

Atty

Guimarães

Andrade

2022

Rev. Bras. Cancerol.

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Introdução: O câncer de boca e comumente diagnosticado de forma tardia, comprometendo a qualidade de vida dos indivíduos ou os levando a óbito. Objetivo: Verificar a tendencia temporal da mortalidade por câncer de boca no Estado do Rio de Janeiro e da cobertura da Estratégia Saúde da Família (ESF) e de equipes de saúde bucal (ESB). Método: Estudo ecológico com análise da tendencia temporal da mortalidade por câncer de boca, entre 1999 e 2018, e da cobertura da ESF e ESB, no período de 2002 a 2018, no Estado e Regiões de Saúde. Utilizou-se a regressão linear generalizada de Prais-Winsten no cálculo das tendencias para o Estado, cada Região de Saúde, sexo, faixa etária e localização do tumor. Resultados: Houve tendencia de mortalidade por câncer de boca decrescente no Estado e nas Regiões Metropolitana I e II; nas demais Regiões de Saúde, foi estacionaria. As tendencias dos óbitos em homens, das faixas etárias 40 a 59 anos e 80 anos ou mais, foram decrescentes. Na localização do tumor, houve tendencia decrescente entre óbitos por outras partes e partes não especificadas (C06) e uma tendencia crescente na mortalidade por câncer de base de língua (C01). Na cobertura de ESF e ESB, na maioria das Regiões de Saúde e no Estado, a tendencia foi crescente. Conclusão: A tendencia decrescente na mortalidade por câncer de boca e a tendencia crescente de ESF e ESB, no Estado do Rio de Janeiro, não foram observadas em todas as Regiões de Saúde.

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“…These results are similar to the present study that showed 34% individuals were diagnosed with mouth cancer and 46% for oropharyngeal cancer in that patient interval. The patient interval can be explained by different factors such as initial interpretation of symptoms, self-knowledge of mouth anatomy and common aspect, severity of life events in the patients’ interval, deprivation, and the perceived ability to seek help for the symptom ( 4 , 12 , 21 ). As long as the symptoms of mouth cancer and of oropharyngeal cancer are not specific, it is the professional, not the patients themselves, who are expected to be able to suspect for concerning lesions.…”

Section: Discussionmentioning

confidence: 99%

The interval since first symptoms until diagnosis of squamous cell carcinoma in the head and neck region is still a problem in southern Brazil

Lb¹,

Rt²,

Lm³

et al. 2020

Med Oral

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Background The aim was to examine the interval since first symptoms until final diagnosis of squamous cell carcinoma (SCC) in the head and neck region in southern Brazil. Material and Methods The individuals were prospectively selected and underwent anamnesis, physical examination and interview in the first medical consultation at a Cancer Hospital from south of Brazil. Results From 488 patients who underwent clinical examination, 105 were included in the study with diagnosis of SCC. Patients average interval from first symptoms to final diagnosis was 152 days (median 86; max:1105; min: 1), the average professional interval was 108 days (median: 97; max:525; min: 1) , and the average total period interval was 258 days (median: 186; max:1177; min: 45). Factors statistically associated with patient and diagnosis itinerary intervals were smoking and poorly adapted dentures and distance from home to hospital, respectively. Conclusions The identification of the itinerary characteristics of this specific population may reflect in more effective public policies, such as primary and secondary prevention programs, aiming to increase the survival of oncological patient. Furthermore, the knowledge of the variables that influence the late diagnosis minimizes patient's journey in search of care to cancer centers through health programs. Key words: Head and neck cancer, time interval, time to diagnosis, diagnosis delay, squamous cell carcinoma.

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Exploring determinants of care-seeking behaviour of oral cancer patients in India: A qualitative content analysis

Cited by 15 publications

References 16 publications

Time Interval between Self-Detection of Symptoms to Treatment of Breast Cancer

Time Interval between Self-Detection of Symptoms to Treatment of Breast Cancer

Tendência Temporal da Mortalidade por Câncer de Boca e da Cobertura de Atenção Primária no Estado do Rio de Janeiro

The interval since first symptoms until diagnosis of squamous cell carcinoma in the head and neck region is still a problem in southern Brazil

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