Alhurishi Sultana, Lim Jennifer N W, Potrata Barbara, West Robert
Leeds Institute of Health Sciences, School of Medicine, Centre for Epidemiology and Biostatistics, University of Leeds, Leeds, United Kingdom.
Asian Pac J Cancer Prev. 2011;12(6):1597-1600.
Breast cancer is the most common female type of cancer in the Middle East. A review of the evidence about the reasons people did not seek medical care has not been conducted for this region.
A systematic review was undertaken to identify the explanatory factors and assess the strength of the evidence leading to late or delayed presentation for breast cancer in the Middle East.
Electronic databases and websites were searched from 1970 to March 2011 and yielded approximately 1801 studies and of which, only 10 were relevant. Of these, 6 studies met the inclusion criteria and they were either Egyptian or Iranian. All studies employed quantitative methods to investigate late and delayed presentation for breast cancer, and most defined the term delay in number of weeks or months. Older age and lower educational level were found to have strong effects in explaining late presentation. Having no family history of breast cancer was found to have moderately effect on breast cancer late presentation.
Our review revealed the need to conduct research in the Middle East and our findings indicated the importance of considering older age, low educational level and a family history of cancer when planning and developing health strategies to reduce the burden of late presentation.
乳腺癌是中东地区女性中最常见的癌症类型。尚未对该地区人们不寻求医疗护理的原因的证据进行综述。
进行了一项系统综述，以确定解释因素并评估导致中东地区乳腺癌就诊延迟或推迟的证据强度。
检索了1970年至2011年3月的电子数据库和网站，获得了约1801项研究，其中只有10项相关。其中，6项研究符合纳入标准，这些研究来自埃及或伊朗。所有研究均采用定量方法调查乳腺癌就诊延迟和推迟情况，且大多数将延迟定义为几周或几个月的时间。发现年龄较大和教育水平较低对解释就诊延迟有很大影响。发现无乳腺癌家族史对乳腺癌就诊延迟有中等影响。
我们的综述表明在中东地区开展研究的必要性，我们的研究结果表明，在规划和制定健康策略以减轻延迟就诊负担时，考虑年龄较大、教育水平较低和癌症家族史的重要性。
