The patient, diagnosis and treatment delay of the care pathway of patients with breast Cancer in Morocco

Mimouni, Hind; Hassouni, Khalid; Marnissi, Boujemaa El; Rahou, Bouchra Haddou; Alaoui, Leila; Ismaili, Rachid; Hilali, Abderraouf; Nejmeddine, Ahmed; Bekkali, Rachid; Loukili, Leila

doi:10.4993/acrt.30.11

Cited by 1 publication

(3 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Detailed information about each article is included in Table S1. The majority of articles reported on studies conducted in countries in Africa (32%), 22–37 followed by South‐East Asia (30%), 38–51,71 the Middle East (20%), 52–61 Latin America (16%), 62–69 and Eastern Europe (2%) 45,70 . Two articles reported on patients from more than one country 24,45 …”

Section: Resultsmentioning

confidence: 99%

“…Detailed information about each article is included in Table S1 . The majority of articles reported on studies conducted in countries in Africa (32%), 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 followed by South‐East Asia (30%), 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 , 71 the Middle East (20%), 52 , 53 , 54 , 55 , 56 , 57 , 58 , 59 , 60 , 61 Latin America (16%), 62 , 63 , 64 , 65 , 66 , 67 , 68 , 69 and Eastern Europe (2%). 45 , 70 Two articles reported on patients from more than one country.…”

Section: Resultsmentioning

confidence: 99%

“…Twelve out of 16 articles from this region 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 34 , 35 , 36 investigated factors associated with the patient interval in Ethiopia, 22 , 34 , 35 Morocco, 23 , 36 Nigeria, 26 , 27 Rwanda, 29 South Africa, 30 Tunisia, 31 Uganda, 32 and multiple African countries. 24 Older age, lower education, socio‐economic status, or literacy, and rural residence were all associated with longer patient delays.…”

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

Duration of the patient interval in breast cancer and factors associated with longer delays in low‐and middle‐income countries: A systematic review with meta‐analysis

et al. 2022

View full text Add to dashboard Cite

Objective: Breast cancer survival is lower in low-and middle-income countries (LMICs) partially due to many women being diagnosed with late-stage disease. The patient interval refers to the time elapsed between the detection of symptoms and the first consultation with a healthcare provider and is considered one of the core indicators for early diagnosis and treatment. The goal of the current research was to conduct a meta-analysis of the duration of the patient interval in LMICs and investigate the socio-demographic and socio-cultural factors related to longer delays in presentation. Methods:We conducted a systematic review with meta-analysis (pre-registered protocol CRD42020200752). We searched seven information sources (2009)(2010)(2011)(2012)(2013)(2014)(2015)(2016)(2017)(2018)(2019)(2020)(2021)(2022) and included 50 articles reporting the duration of patient intervals for 18,014 breast cancer patients residing in LMICs. Results:The longest patient intervals were reported in studies from the Middle East (3-4 months), followed by South-East Asia (2 months), Africa (1-2 months), Latin America (1 month), and Eastern Europe (1 month). Older age, not being married, lower socio-economic status, illiteracy, low knowledge about cancer, disregarding symptoms or not attributing them to cancer, fear, negative beliefs about cancer, and low social support were related to longer delays across most regions. Longer delays were also related to use of alternative medicine in the Middle East, South-East Asia, and Africa and distrust in the healthcare system in Eastern Europe. Conclusions:There is large variation in the duration of patient intervals across LMICs in different geographical regions. Patient intervals should be reduced and, for this purpose, it is important to explore their determinants taking into account the social, cultural, and economic context.This is an open access article under the terms of the Creative Commons Attribution-NonCommercial License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.

show abstract