Patient delay among Colombian women with breast cancer

Piñeros, Marion; Pedraza, Ricardo Sánchez; Cendales, Ricardo; Perry, Fernando; Ocampo, Rocío

doi:10.1590/s0036-36342009000500004

Cited by 63 publications

(95 citation statements)

References 32 publications

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“…Painless lump as the first symptom also caused longer patient delays in our and in other studies (Rashid et al, 1996;Montazeri et al, 2003;Pineros et al, 2009;Lodhi et al, 2010). A study suggests that this association of a painless breast lump with a delayed presentation can be attributed to social and cultural beliefs of the regional populations in the world that the painless or asymptomatic lumps have no danger to life till the appearance of other symptoms like skin ulceration, edema, peau d'orange, nipple discharge or bleeding and inversion of nipple etc (Bilal et al, 2010).…”

Section: Discussionsupporting

confidence: 67%

“…This demonstrates poor knowledge of our females regarding importance of these warning signs and symptoms of breast cancer, that how much severity these symptoms can attain with the passage of time, being irreversible and even proving to be fatal in late stages. Lack of significance attached to the lump was also reported as a frequent reason of delay in a similar study conducted in Pakistan (Malik et al, 2003), Nigeria (Ukwenya et al, 2008), Mexico (Pineros et al, 2009) and studies conducted abroad (Caplan et al, 1996; Nosarti et al, 2000; Arndt et al, 2002). Despite of the fact that awareness in our population regarding medical health care has increased as compared to past, still a majority initially prefer use of unconventional methods i.e.…”

Section: Discussionmentioning

confidence: 90%

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Reasons for Patient's Delay in Diagnosis of Breast Carcinoma in Pakistan

Memon¹,

Shaikh²,

Rizwan³

et al. 2013

Asian Pacific Journal of Cancer Prevention

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Background: Delay in diagnosis of breast cancer is associated with a poorer survival and a pivotal contribution to this delayed diagnosis comes from patient delay in presenting at a clinic. Reasons involved must be evaluated in order to decrease this reducible delay. Objectives: i) To evaluate the reasons for patient delay in diagnosis of breast cancer; ii) to investigate any association with other variables. Materials and Methods: A 6 month cross sectional study (from July 2012 to Dec 2012), was carried out in Surgical and Oncology Units of Civil Hospital, Karachi. A total of 100 females diagnosed with breast cancer of any histological type were interviewed after informed consent and relevant data were collected. Due ethical clearance was obtained. Results: Mean age was 47.5±12.1 years with a range from 25-77 years. Mean duration of delay was 5.13±4.8 months, from shortest 1 month to longest 36 months. Duration of delay was observed to be no delay (<1 month) in 28%, short delay (1-3 months) in 30% and long delay (>3 months) in 42% of patients. Considering the symptoms as "harmless" (39%) was the most frequent reason of delay followed by "temporary" (20%) and the "use of traditional methods" (12%). Most common reason for later approaches was an increase in the size of the lump (41%). Statistically significant association (p-value <0.05) of longer patient delay was obtained with being single, being illiterate, painless breast lump as the first symptom, negative family history of breast cancer and vague attribution of the symptoms. Conclusions: Significant delay in approach to health care facility was observed in our study due to variable reasons given by women. Sufficient awareness regarding breast cancer, its symptoms and favorable effects of a timely diagnosis on prognosis must be imparted to our general population.

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Section: Discussionsupporting

confidence: 67%

Section: Discussionmentioning

confidence: 90%

Reasons for Patient's Delay in Diagnosis of Breast Carcinoma in Pakistan

Memon¹,

Shaikh²,

Rizwan³

et al. 2013

Asian Pacific Journal of Cancer Prevention

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“…As all of our patients had breast lumps from the start, they may develop a false sense that mitigates the seriousness of having a breast mass. Moreover, Piñeros et al (2009) highlighted that, in developing countries, lack of pain makes the lump usually thought of as harmless.…”

Section: Discussionmentioning

confidence: 99%

Factors Delaying Presentation of Sudanese Breast Cancer Patients: an Analysis Using Andersen's Model

Salih

Alfaki²,

Alam-Elhuda³

et al. 2016

Asian Pacific Journal of Cancer Prevention

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Purpose: A multicenter, observational, cross-sectional study was conducted to assess factors delaying presentation of breast cancer cases. Materials and Methods: Data were collected from a pair of highly specialized referral centers, both located in the center of the Sudanese capital, Khartoum. For a total of 153 eligible respondents, durations of delay, clinicodemographic factors and reasons of referral were collected from our respondents through self-administered questionnaires. Logistic regression analysis and ANOVA were used to test the relation between periods of delay and different factors. Odd ratios (OR's) and their correspondent Confidence intervals (95% CI's). Delay periods were studied with Andersen's model. Results: The average duration of delay in our study was 11.9 (±11.2) months. Only a quarter of our patients presented early within the first 3 months after onset of their symptoms. About 47.7% arrived later during the course of the first year, while it took beyond that for the last 27% to come. A prior diagnosis of BC was the only predictor of early presentation (for 3-12 months OR=9.6 (p<0.00), 95% CI 9.55-9.75; for >12 months OR=9.3 (p<0.00), 95% CI 9.33-9.33). Out of the 12 different reasons for delay given by our respondents, none showed a significant difference between patients presenting early or late. Financial incapacity (17.5%), ignorance about BC (14.3), and misinterpreting symptoms (12.7%) were the top three whys of delay. Conclusions: Our findings support existence of a non-uniform pattern of delay among Sudanese BC patients. Changing currently adopted awareness elevating strategies into much more inclusive approaches is strongly recommended.

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“…Breast cancer in the USA was responsible for 6.3 years of life lost per death, in Colombia this figure was 25.6 years, illustrating the combined effect of a usually very late diagnosis of breast cancer and/or its more frequent occurrence. Indeed, there is evidence that in Bogotá only 12-30% of women with breast cancer were diagnosed at the early stages, and that delays are substantial both for diagnosis and initiation of treatment (17,18). Despite a high prostate cancer incidence in Colombia (19), the AYLL due to this cancer was relatively low compared to other cancer types, though high when compared to other countries, which could be attributed to the advanced age at diagnosis, and to its relatively good prognosis.…”

Section: Discussionmentioning

confidence: 99%

Years of life lost as a measure of cancer burden in Colombia, 1997-2012

2016

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Introduction:There is hardly any information regarding years of life lost due to cancer in Colombia. Objective: To quantify total and average years of life lost due to cancer in Colombia, and to investigate changes in this burden between 1997 and 2012. Materials and methods: We obtained sex-specific data on age distribution, remaining life expectancy, deaths due to specific cancers and total number of deaths from the Colombian Departamento Administrativo Nacional de Estadísticas. We calculated years of life lost based on each individual´s age at death and the remaining life expectancy at that age; as for average years of life, we divided these by the number of deaths due to specific cancers. Results: The total number of cancer deaths increased by 33% between 1997 and 2012, comprising 15% of male and 20% of female deaths in the period 2010-2012. Total years of life lost due to cancer increased by 25.1% for males and 31.1% for females over the study period. The highest increases (>40%) were observed for colorectal, pancreas and kidney cancers in both sexes, for melanomas and bladder cancer in men, and for breast and ovarian cancer in women. Trends in average years of life lost were stable. Almost half (48-50%) of the years of life lost due to childhood cancers were due to leukemia. Conclusion: Cancer is an increasing health burden in Colombia. The high average years of life lost illustrate the poor prognosis of the disease compared to other countries. Primary prevention, early detection, and adequate and timely treatments are needed to change this situation.

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Patient delay among Colombian women with breast cancer

Cited by 63 publications

References 32 publications

Reasons for Patient's Delay in Diagnosis of Breast Carcinoma in Pakistan

Reasons for Patient's Delay in Diagnosis of Breast Carcinoma in Pakistan

Factors Delaying Presentation of Sudanese Breast Cancer Patients: an Analysis Using Andersen's Model

Years of life lost as a measure of cancer burden in Colombia, 1997-2012

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