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Impact of social and clinical factors on diagnostic delay of breast cancer: A Cross-sectional Study

One of the reasons for high mortality of breast cancer is long delay in seeking medical care. This study was designed to measure the association of a wide range of socio-demographic and clinical factors with the diagnostic delay in breast cancer among Iranian patients. This study was conducted on 50...

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Autores principales: Dianatinasab, Mostafa, Fararouei, Mohammad, Mohammadianpanah, Mohammad, Zare-Bandamiri, Mohammad
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer Health 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5044888/
https://www.ncbi.nlm.nih.gov/pubmed/27661018
http://dx.doi.org/10.1097/MD.0000000000004704
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author Dianatinasab, Mostafa
Fararouei, Mohammad
Mohammadianpanah, Mohammad
Zare-Bandamiri, Mohammad
author_facet Dianatinasab, Mostafa
Fararouei, Mohammad
Mohammadianpanah, Mohammad
Zare-Bandamiri, Mohammad
author_sort Dianatinasab, Mostafa
collection PubMed
description One of the reasons for high mortality of breast cancer is long delay in seeking medical care. This study was designed to measure the association of a wide range of socio-demographic and clinical factors with the diagnostic delay in breast cancer among Iranian patients. This study was conducted on 505 newly diagnosed patients with breast cancer from southern part of Iran. Medical files of the patients who were admitted to the hospital from November 2013 to May 2015 were examined and clinical and demographic information were extracted. According to the results, illiterate patients were diagnosed on average 87.42 days later compared with those with a college degree (95%CI: 29.68–145.16, P = 0.003) and those from rural area were diagnosed on average 72.48 days later (95%CI: 35.94–109.03, P = 0.001) compared with urban residences. Single women were diagnosed 65.99 days later (95%CI: 7.37–124.61, P = 0.02) compared with those married. Lobular or medullary types of cancer were diagnosed 65.19 days later (95%CI: 2.67–127.70, P = 0.04) compared with ductal type. On the other hand, those who were able to perform breast self-exam were diagnosed 49.07 days earlier compared with others (95%CI: 18.69–79.45, P = 0.002). Those felt lump as the initiating symptom were diagnosed 62.01 days earlier, (95%CI: 8.17–115.85, P = 0.02) compared with those with other initial symptoms. The only factor associated with doctors diagnosis delay was the place of residence as rural residences were diagnosed on average 87.42 days later compared with urban residences, (95%CI: 53.82–121.92, P = 0.001). Higher education, living in cities, ductal type of tumor, and noticing lump in breast were the most important demographic and clinical factors associated with shorter breast cancer diagnosis delay. Informing women and doctors, especially general physicians who are practicing in rural areas, of the common symptoms of breast cancer as well as training women to perform breast self-examination are effective measures in reducing breast cancer diagnosis delay. Providing accessible and effective diagnosis services to rural women reduces diagnosis delay in rural patients.
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spelling pubmed-50448882016-10-06 Impact of social and clinical factors on diagnostic delay of breast cancer: A Cross-sectional Study Dianatinasab, Mostafa Fararouei, Mohammad Mohammadianpanah, Mohammad Zare-Bandamiri, Mohammad Medicine (Baltimore) 5750 One of the reasons for high mortality of breast cancer is long delay in seeking medical care. This study was designed to measure the association of a wide range of socio-demographic and clinical factors with the diagnostic delay in breast cancer among Iranian patients. This study was conducted on 505 newly diagnosed patients with breast cancer from southern part of Iran. Medical files of the patients who were admitted to the hospital from November 2013 to May 2015 were examined and clinical and demographic information were extracted. According to the results, illiterate patients were diagnosed on average 87.42 days later compared with those with a college degree (95%CI: 29.68–145.16, P = 0.003) and those from rural area were diagnosed on average 72.48 days later (95%CI: 35.94–109.03, P = 0.001) compared with urban residences. Single women were diagnosed 65.99 days later (95%CI: 7.37–124.61, P = 0.02) compared with those married. Lobular or medullary types of cancer were diagnosed 65.19 days later (95%CI: 2.67–127.70, P = 0.04) compared with ductal type. On the other hand, those who were able to perform breast self-exam were diagnosed 49.07 days earlier compared with others (95%CI: 18.69–79.45, P = 0.002). Those felt lump as the initiating symptom were diagnosed 62.01 days earlier, (95%CI: 8.17–115.85, P = 0.02) compared with those with other initial symptoms. The only factor associated with doctors diagnosis delay was the place of residence as rural residences were diagnosed on average 87.42 days later compared with urban residences, (95%CI: 53.82–121.92, P = 0.001). Higher education, living in cities, ductal type of tumor, and noticing lump in breast were the most important demographic and clinical factors associated with shorter breast cancer diagnosis delay. Informing women and doctors, especially general physicians who are practicing in rural areas, of the common symptoms of breast cancer as well as training women to perform breast self-examination are effective measures in reducing breast cancer diagnosis delay. Providing accessible and effective diagnosis services to rural women reduces diagnosis delay in rural patients. Wolters Kluwer Health 2016-09-23 /pmc/articles/PMC5044888/ /pubmed/27661018 http://dx.doi.org/10.1097/MD.0000000000004704 Text en Copyright © 2016 the Author(s). Published by Wolters Kluwer Health, Inc. All rights reserved. http://creativecommons.org/licenses/by-nd/4.0 This is an open access article distributed under the Creative Commons Attribution-NoDerivatives License 4.0, which allows for redistribution, commercial and non-commercial, as long as it is passed along unchanged and in whole, with credit to the author. http://creativecommons.org/licenses/by-nd/4.0
spellingShingle 5750
Dianatinasab, Mostafa
Fararouei, Mohammad
Mohammadianpanah, Mohammad
Zare-Bandamiri, Mohammad
Impact of social and clinical factors on diagnostic delay of breast cancer: A Cross-sectional Study
title Impact of social and clinical factors on diagnostic delay of breast cancer: A Cross-sectional Study
title_full Impact of social and clinical factors on diagnostic delay of breast cancer: A Cross-sectional Study
title_fullStr Impact of social and clinical factors on diagnostic delay of breast cancer: A Cross-sectional Study
title_full_unstemmed Impact of social and clinical factors on diagnostic delay of breast cancer: A Cross-sectional Study
title_short Impact of social and clinical factors on diagnostic delay of breast cancer: A Cross-sectional Study
title_sort impact of social and clinical factors on diagnostic delay of breast cancer: a cross-sectional study
topic 5750
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5044888/
https://www.ncbi.nlm.nih.gov/pubmed/27661018
http://dx.doi.org/10.1097/MD.0000000000004704
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