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Factors Associated with Delayed Diagnosis of Lymphomas: Experience with Patients from Hematology Centers in Morocco

BACKGROUND: Moroccan cancer patients usually have to go through several steps before they are diagnosed. It is important to assess factors associated with diagnosis delay for lymphomas, which might have significant effects on survival. The aim of this study was to determine factors leading to late d...

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Autores principales: Obtel, Majdouline, Berraho, Mohamed, Abda, Naima, Quessar, Asmae, Zidouh, Ahmed, Bekkali, Rachid, Nejjari, Chakib
Formato: Online Artículo Texto
Lenguaje:English
Publicado: West Asia Organization for Cancer Prevention 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6373802/
https://www.ncbi.nlm.nih.gov/pubmed/28669176
http://dx.doi.org/10.22034/APJCP.2017.18.6.1603
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author Obtel, Majdouline
Berraho, Mohamed
Abda, Naima
Quessar, Asmae
Zidouh, Ahmed
Bekkali, Rachid
Nejjari, Chakib
author_facet Obtel, Majdouline
Berraho, Mohamed
Abda, Naima
Quessar, Asmae
Zidouh, Ahmed
Bekkali, Rachid
Nejjari, Chakib
author_sort Obtel, Majdouline
collection PubMed
description BACKGROUND: Moroccan cancer patients usually have to go through several steps before they are diagnosed. It is important to assess factors associated with diagnosis delay for lymphomas, which might have significant effects on survival. The aim of this study was to determine factors leading to late diagnosis of lymphomas. METHODS: A cross-sectional study was conducted with three hematology centers in Morocco in 2008, to analyze the impact of sociodemographic and clinical factors on delay-time from symptoms to diagnosis. RESULTS: A total of 151 patients were included in the study. Late delay was significantly associated with gender, (for men compared to women: OR=2.46; 95% CI: 1.06-5.74), to marital status (not married: OR=2.50; 95% CI: 1.06-5.92) and low socioeconomic level (OR=5.82; 95% CI: 2.23-15.17). Late medical delay was significantly associated with having three or more medical visits before diagnosis (Adjusted OR=5.67; 95% CI: 2.55-12.59). Late total delay was observed for patients with three children or less (adjusted OR=4.39; 95% CI: 1.32-14.56), those who were non-married (adjusted OR=2.49; 95% CI: 1.07-5.81), had a non Hodgkin’s lymphoma (Adjusted OR=2.08; 95% CI: 1.06-4.00) or featuring three or more medical visits before the diagnosis (Adjusted OR=2.13; 95% CI: 0.99-5.88). CONCLUSION: This analysis provides a basis for understanding the sources, extent, and root causes of lymphoma diagnostic delays. The findings appear crucial for system-wide interventions aimed to facilitate clinical management of patients with lymphoma and to improve prognosis and quality of life.
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spelling pubmed-63738022019-03-19 Factors Associated with Delayed Diagnosis of Lymphomas: Experience with Patients from Hematology Centers in Morocco Obtel, Majdouline Berraho, Mohamed Abda, Naima Quessar, Asmae Zidouh, Ahmed Bekkali, Rachid Nejjari, Chakib Asian Pac J Cancer Prev Research Article BACKGROUND: Moroccan cancer patients usually have to go through several steps before they are diagnosed. It is important to assess factors associated with diagnosis delay for lymphomas, which might have significant effects on survival. The aim of this study was to determine factors leading to late diagnosis of lymphomas. METHODS: A cross-sectional study was conducted with three hematology centers in Morocco in 2008, to analyze the impact of sociodemographic and clinical factors on delay-time from symptoms to diagnosis. RESULTS: A total of 151 patients were included in the study. Late delay was significantly associated with gender, (for men compared to women: OR=2.46; 95% CI: 1.06-5.74), to marital status (not married: OR=2.50; 95% CI: 1.06-5.92) and low socioeconomic level (OR=5.82; 95% CI: 2.23-15.17). Late medical delay was significantly associated with having three or more medical visits before diagnosis (Adjusted OR=5.67; 95% CI: 2.55-12.59). Late total delay was observed for patients with three children or less (adjusted OR=4.39; 95% CI: 1.32-14.56), those who were non-married (adjusted OR=2.49; 95% CI: 1.07-5.81), had a non Hodgkin’s lymphoma (Adjusted OR=2.08; 95% CI: 1.06-4.00) or featuring three or more medical visits before the diagnosis (Adjusted OR=2.13; 95% CI: 0.99-5.88). CONCLUSION: This analysis provides a basis for understanding the sources, extent, and root causes of lymphoma diagnostic delays. The findings appear crucial for system-wide interventions aimed to facilitate clinical management of patients with lymphoma and to improve prognosis and quality of life. West Asia Organization for Cancer Prevention 2017 /pmc/articles/PMC6373802/ /pubmed/28669176 http://dx.doi.org/10.22034/APJCP.2017.18.6.1603 Text en Copyright: © Asian Pacific Journal of Cancer Prevention http://creativecommons.org/licenses/BY-SA/4.0 This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License
spellingShingle Research Article
Obtel, Majdouline
Berraho, Mohamed
Abda, Naima
Quessar, Asmae
Zidouh, Ahmed
Bekkali, Rachid
Nejjari, Chakib
Factors Associated with Delayed Diagnosis of Lymphomas: Experience with Patients from Hematology Centers in Morocco
title Factors Associated with Delayed Diagnosis of Lymphomas: Experience with Patients from Hematology Centers in Morocco
title_full Factors Associated with Delayed Diagnosis of Lymphomas: Experience with Patients from Hematology Centers in Morocco
title_fullStr Factors Associated with Delayed Diagnosis of Lymphomas: Experience with Patients from Hematology Centers in Morocco
title_full_unstemmed Factors Associated with Delayed Diagnosis of Lymphomas: Experience with Patients from Hematology Centers in Morocco
title_short Factors Associated with Delayed Diagnosis of Lymphomas: Experience with Patients from Hematology Centers in Morocco
title_sort factors associated with delayed diagnosis of lymphomas: experience with patients from hematology centers in morocco
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6373802/
https://www.ncbi.nlm.nih.gov/pubmed/28669176
http://dx.doi.org/10.22034/APJCP.2017.18.6.1603
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