Instituto Nacional de Cancerología, Bogotá, Colombia.
Salud Publica Mex. 2009 Sep-Oct;51(5):372-80. doi: 10.1590/s0036-36342009000500004.
Characterize diagnosis and treatment of breast cancer in Bogota, Colombia and examine the extent and determinants of patient delay.
Using a census approach we identified 1 106 women with breast cancer. Information was gathered through personal interviews and the review of medical records. Patient delay was defined as the time elapsed from first symptoms to initial consultation.
More than 80% of the women (902) consulted due to symptoms; the majority had advanced-stage disease. Patient delay was established in 20.3% and the main related factors were older age, lack of social security and advanced clinical stage. Higher education in patients was associated with reduced delays.
Women do not recognize breast cancer symptoms. Patient delay and related factors are similar to those found in other studies. There is an urgent need to develop communication and education strategies regarding breast cancer symptoms and early detection.
描述哥伦比亚波哥大的乳腺癌诊断和治疗情况，并探讨患者延误的程度和决定因素。
我们采用普查方法，确定了 1106 名患有乳腺癌的女性。通过个人访谈和病历回顾收集信息。患者延误时间定义为从最初症状出现到首次就诊的时间。
超过 80%（902 人）的女性因症状就诊；大多数患者处于晚期疾病。20.3%的患者出现了患者延误，主要相关因素为年龄较大、缺乏社会保障和临床晚期。患者的受教育程度较高与延误时间减少有关。
女性无法识别乳腺癌症状。患者延误及其相关因素与其他研究中发现的相似。迫切需要制定有关乳腺癌症状和早期发现的沟通和教育策略。
