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

BMC Research Notes

M. Galukande²  S. Kalungi¹  T. Makumbi²  J. Odongo² 

[1] Department of Pathology, Mulago National Referral Hospital, Kampala, Uganda;Department of Surgery, College of Health Sciences, Makerere University, Kampala, Uganda

关键词: Advanced disease;    Breast cancer;    Patient delay;   

Others  :  1230053
DOI  :  10.1186/s13104-015-1438-8

 received in 2014-10-13, accepted in 2015-09-11,  发布年份 2015

【 摘 要 】

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.

【 授权许可】

   
2015 Odongo et al.

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