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Patient delay factors in women presenting with breast cancer in a low income country

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,...

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Autores principales: Odongo, J., Makumbi, T., Kalungi, S., Galukande, M.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4580128/
https://www.ncbi.nlm.nih.gov/pubmed/26395344
http://dx.doi.org/10.1186/s13104-015-1438-8
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author Odongo, J.
Makumbi, T.
Kalungi, S.
Galukande, M.
author_facet Odongo, J.
Makumbi, T.
Kalungi, S.
Galukande, M.
author_sort Odongo, J.
collection PubMed
description 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.
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spelling pubmed-45801282015-09-24 Patient delay factors in women presenting with breast cancer in a low income country Odongo, J. Makumbi, T. Kalungi, S. Galukande, M. BMC Res Notes Research Article 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. BioMed Central 2015-09-22 /pmc/articles/PMC4580128/ /pubmed/26395344 http://dx.doi.org/10.1186/s13104-015-1438-8 Text en © Odongo et al. 2015 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Odongo, J.
Makumbi, T.
Kalungi, S.
Galukande, M.
Patient delay factors in women presenting with breast cancer in a low income country
title Patient delay factors in women presenting with breast cancer in a low income country
title_full Patient delay factors in women presenting with breast cancer in a low income country
title_fullStr Patient delay factors in women presenting with breast cancer in a low income country
title_full_unstemmed Patient delay factors in women presenting with breast cancer in a low income country
title_short Patient delay factors in women presenting with breast cancer in a low income country
title_sort patient delay factors in women presenting with breast cancer in a low income country
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4580128/
https://www.ncbi.nlm.nih.gov/pubmed/26395344
http://dx.doi.org/10.1186/s13104-015-1438-8
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