Departmen of Community Health Nursing, KIMS College of Nursing, (Affiliated to Kerala University of Health Sciences), Korani, Thiruvananthapuram, Kerala, India.
Govt. College of Nursing, (Affiliated to Kerala University of Health Sciences), Departmen of Community Health Nursing, Thiruvananthapuram - 695 011, Kerala, India.
Asian Pac J Cancer Prev. 2023 Sep 1;24(9):3109-3115. doi: 10.31557/APJCP.2023.24.9.3109.
The aim of the study was to estimate the delay in seeking treatment among women with carcinoma of breast and determine the factors associated with delay.
This was a hospital-based cross-sectional survey among 330 women attending the radiotherapy department of a tertiary care center in South India. Socio-clinical variables, duration of delay and reasons for the delay were collected by semi-structured interviews. Patient delay was assessed in categories of appraisal and illness time and system delay in diagnosis and treatment time. The probability of associated factors for the delay was estimated by logistic regression analysis.
The mean age of the patients was 54.7 yrs. 86.8% of participants had delays in seeking treatment. 33.5% had a presentation/patient-related delay with three months cut-off and 12.4% had a system delay with a one-month cut-off. In multivariate analysis, history of previous breast lump OR= 2.69 (95% CI 1.06-6.83), knowledge regarding breast cancer OR=3.96 (95% CI 1.37-11.42), referral hospital OR=4.91 (95% CI 1.66-14.57), type of medical doctor visited first OR=4.43(95% CI 2.06-9.53) and appraisal time OR=2.01(95% CI 1.06- 3.81) were statistically significant.
Patient delay is significant and there are preventable factors contributing to the delay in seeking treatment for breast cancer.
本研究旨在评估乳腺癌女性寻求治疗的延误情况，并确定与延误相关的因素。
这是一项在印度南部一家三级保健中心放射治疗科就诊的 330 名女性中进行的基于医院的横断面调查。通过半结构式访谈收集社会临床变量、延误时间和延误原因。通过评估和疾病时间将患者延误分为类别，并评估诊断和治疗时间的系统延误。通过逻辑回归分析估计相关因素与延误的概率。
患者的平均年龄为 54.7 岁。86.8%的参与者存在治疗延误。33.5%的人有就诊/患者相关的延误，以三个月为截止日期，12.4%的人有系统延误，以一个月为截止日期。在多变量分析中，既往乳腺肿块史 OR=2.69（95%CI 1.06-6.83），对乳腺癌的认识 OR=3.96（95%CI 1.37-11.42），转诊医院 OR=4.91（95%CI 1.66-14.57），首次就诊的医生类型 OR=4.43（95%CI 2.06-9.53）和评估时间 OR=2.01（95%CI 1.06-3.81）具有统计学意义。
患者延误显著，存在可预防的因素导致乳腺癌治疗延误。
