Tuteja Amita, Khandelwal Rohan, Tandon Megha, Bamal Rahul, Jain Sidharth, Narayan Nikhil, Srinivas S, Kumar Yashwant
Department of Surgery and Vardhman Mahavir Medical College, Safdarjang Hospital , New Delhi , India.
JRSM Short Rep. 2011 Oct;2(10):76. doi: 10.1258/shorts.2011.011006. Epub 2011 Oct 10.
To find out factors that are responsible for the patient or provider delays in the diagnosis of breast cancer in India.
This prospective study was designed to be conducted over a period of two years including a cohort of 100 patients with locally advanced breast cancer. The delays were assessed using questionnaires prepared according to the Indian scenario.
A prospective study in an Indian setting.
One hundred patients with locally advanced breast cancer receiving neoadjuvant chemotherapy were included after providing informed consent and receiving ethical committee clearance.
The most common factor responsible for delays in diagnosis was observed to be the health providers, although illiteracy and lack of adequate healthcare services also contributed significantly. Unregistered medical practitioners or quacks contributed significantly to the delays in reporting and diagnosis of the disease.
One hundred patients of locally advanced breast cancer were evaluated using standardized questionnaires to assess the delays in diagnosis. Provider delays were found to be significant (the unregistered doctors or quacks being a significant cause of delays).The average time lapse before diagnosis for rural patients was higher (67.5 days) compared to urban patients (53.7 days). The literacy levels of the patients also had a significant impact on the delays at diagnosis. The delay in illiterates was 60.6 days compared to 49.5 days for literates.
The most common factor responsible for delays in reporting and diagnosis was observed to be at the end of the health providers, although illiteracy and lack of adequate healthcare services also contributed significantly. Unregistered medical practitioners or quacks contributed significantly to the delays in reporting and diagnosis of the disease.
找出印度乳腺癌患者或医疗服务提供者诊断延迟的相关因素。
这项前瞻性研究计划进行两年，纳入100例局部晚期乳腺癌患者队列。使用根据印度情况编制的问卷评估延迟情况。
在印度背景下进行的一项前瞻性研究。
100例接受新辅助化疗的局部晚期乳腺癌患者在获得知情同意并获得伦理委员会批准后被纳入研究。
尽管文盲和缺乏足够的医疗服务也有显著影响，但观察到诊断延迟的最常见因素是医疗服务提供者。未注册的医生或庸医对疾病报告和诊断的延迟有显著影响。
使用标准化问卷对100例局部晚期乳腺癌患者进行评估，以评估诊断延迟情况。发现医疗服务提供者的延迟很显著（未注册医生或庸医是延迟的一个重要原因）。农村患者诊断前的平均时间间隔（67.5天）高于城市患者（53.7天）。患者的识字水平对诊断延迟也有显著影响。文盲患者的延迟为60.6天，识字患者为49.5天。
尽管文盲和缺乏足够的医疗服务也有显著影响，但观察到报告和诊断延迟的最常见因素是医疗服务提供者。未注册的医生或庸医对疾病报告和诊断的延迟有显著影响。
