Patient delay factors in women presenting with breast cancer in a low income country.
Patient delay factors in women presenting with breast cancer in a low income country.
复制标题
DOI：
10.1186/s13104-015-1438-8
复制
发表时间：
2015-09-22
影响因子：
1.8
通讯作者：
Galukande, M
中科院分区：
文献类型：
--
作者：
Odongo, J;Makumbi, T;Galukande, M
背景技术背景：在低收入国家，许多乳腺癌患者表现为晚期疾病，这主要归因于晚期表现，这与生存率低有关。本研究的目的是确定患者延迟的程度和影响因素，延迟在寻求医疗保健的女性乳腺癌patients.METHODS：一个横断面研究是在2014年1月至4月在第三乳腺单位。对18岁以上的女性乳腺癌患者进行了访谈。结果：共纳入162例患者，平均延迟22.6个月（SD = 26.4），中位延迟13个月，范围1-127个月。139例（89%）患者在发现乳房异常症状后延迟3个月以上。没有配偶和家庭社会支持的患者更容易延迟（OR = 7.1，95%CI 2.4-21.5，p = 0.001），那些认为症状很严重的患者不太可能延迟（OR = 0.2，95%CI 0.1-0.6，p = 0.007）。有一个显着的相关性之间的延迟介绍和先进的阶段在介绍（p = 0.006）。结论：大多数妇女（89%）与乳腺癌延迟超过3个月后，寻求第一次医疗咨询注意到症状。没有家庭社会支持的患者更容易拖延。
BACKGROUND: In low income countries, many patients with breast cancer present with advanced disease which is majorly attributed to late presentation and this is associated with poor survival rates. The aim of this study was to determine the magnitude of patient delay and the factors that influence, delay in seeking health care in female breast cancer patients.METHODS: A cross-sectional study was done between January and April 2014 at a tertiary breast unit. Female patients with breast cancer above the age of 18 years were interviewed. Ethical approval was obtained.RESULTS: In total 162 patients were recruited, the mean patient delay in months was 22.6 (SD = 26.4), median delay was 13 months and range was 1-127 months. 139 (89 %) patients delayed by more than 3 months after noticing symptoms of breast anomaly. Patients with no social support from spouses and family were more likely to delay (OR = 7.1, 95 % CI 2.4-21.5, p = 0.001), those who perceived the symptoms as very serious were less likely to delay (OR = 0.2, 95 % CI 0.1-0.6, p = 0.007). There was a significant association between delayed presentation and advanced stage at presentation (p = 0.006).CONCLUSION: Most women (89 %) with breast cancer delayed by more than 3 months to seek the first medical consultation after noticing symptoms. Patients who had no social support from their families were more likely to delay.