Mohammednoor Mohammed A H, Abdalhameed Mohammed A M A, Alzubeir Khalefa B K, Elbashir Ibrahim E, Muhammed Salih Hussam M F, Mustafa Dania A M, Abdalla Alaa H S, Hajelhassan Ahmed T E, Mohamed Sagad O O
Faculty of Medicine, University of Khartoum, Khartoum, Sudan.
J Prev Med Hyg. 2024 Oct 31;65(3):E403-E409. doi: 10.15167/2421-4248/jpmh2024.65.3.3345. eCollection 2024 Sep.
Early diagnosis of breast cancer is essential for effective treatment and improved survival rates. A longer gap between the appearance of symptoms and the initiation of therapy results in advanced disease and lower survival.Objectives: to assess factors associated with diagnosis delay among Sudanese women with breast cancer.
A prospective, descriptive cross-sectional study conducted at Radiation and Isotope Centre of Khartoum (RICK) in Khartoum, Sudan. Relationship between the independent variables and the main outcome of the study was determined by multivariate regression analysis.
A total number of 149 women participated in the study. A total of 58.4% of patients delayed seeking medical advice for more than three months after noticing symptoms. The delay was associated with patient's area of residence and age. Women coming from outside Khartoum had a higher odd of having delayed diagnosis of breast cancer (AOR = 3.283, 95% CI: 1.113 9.687, p = .031). Likewise, older age was another predictor of delayed diagnosis of breast cancer among the study participants (AOR = 101.664, 95% CI: 4.839-2135.883, p = .003).
The present study showed that more than half of the women who participated had experienced delays in seeking medical attention for their breast cancer symptoms. This finding highlighted the impact of limited access to healthcare services as a contributing factor to such delays. These findings show the need for collaborative approaches to address the challenges surrounding breast cancer in Sudan.
乳腺癌的早期诊断对于有效治疗和提高生存率至关重要。症状出现与开始治疗之间的间隔时间越长,疾病就会越严重,生存率也会越低。目的:评估苏丹乳腺癌女性患者诊断延迟的相关因素。
在苏丹喀土穆的喀土穆辐射与同位素中心(RICK)进行了一项前瞻性描述性横断面研究。通过多变量回归分析确定自变量与研究主要结果之间的关系。
共有149名女性参与了该研究。共有58.4%的患者在注意到症状后超过三个月才延迟就医。这种延迟与患者的居住地区和年龄有关。来自喀土穆以外地区的女性患乳腺癌延迟诊断的几率更高(调整后比值比[AOR]=3.283,95%置信区间[CI]:1.113-9.687,p=0.031)。同样,年龄较大也是研究参与者中乳腺癌延迟诊断的另一个预测因素(AOR=101.664,95%CI:4.839-2135.883,p=0.003)。
本研究表明,超过一半的参与女性在乳腺癌症状出现后延迟就医。这一发现凸显了获得医疗服务机会有限作为此类延迟的一个促成因素的影响。这些发现表明需要采取协作方法来应对苏丹乳腺癌周围的挑战。