Healthcare delay in breast cancer patients: a case study in a low-density population region from Mexico

被引：1

作者：

Aaron Rangel-Mendez, Jorge ^{[1
]}

Feliciano Novelo-Tec, Jose ^{[2
]}

Francisco Sanchez-Cruz, Juan ^{[3
]}

Cedillo-Rivera, Roberto ^{[4
]}

Esther Moo-Puc, Rosa ^{[1
]}

机构：

[1] Hosp Especialidades Ctr Med Nacl Ignacio Garcia T, Inst Mexicano Seguro Social, Unidad Invest Med Yucat, Unidad Med Alta Especialidad, Calle 41,439 Col Ind, Merida 97150, Yucatan, Mexico

[2] Inst Mexicano Seguro Social, Unidad Med Familiar 58, Delegacio Estatal Yucatan, Calle 42 999 X 127 A Y 131,Serapio Rendon II, Merida 97285, Yucatan, Mexico

[3] Inst Mexicano Seguro Social, Coordinac Invest, Delegac Estatal Yucatan, Calle 41,439 Col Ind, Merida 97150, Yucatan, Mexico

[4] Univ Autonoma Yucatan, Fac Med, Unidad Interinst Invest Clin & Epidemiol, Ave Itzaes 498 X 86 & 59A, Merida 97000, Yucatan, Mexico

来源：

FUTURE ONCOLOGY | 2018年 / 14卷 / 20期

关键词：

breast cancer; healthcare delay; low-density population; Yucatan; EARLY-DETECTION PROGRAM; NATIONAL BREAST; DIAGNOSIS; SURVIVAL; CARCINOMA; GERMANY; STAGE; TIME;

D O I：

10.2217/fon-2017-0713

中图分类号：

R73 [肿瘤学];

学科分类号：

100214 ;

摘要：

Aim: To describe delay intervals, their impact on clinical stage and initiation of first oncologic treatment, and evaluate associated factors in breast cancer patients in Yucatan, Mexico, a low-density population region. Patients & methods: A retrospective analysis was done of 92 medical records, and bivariate and multivariate models applied to identify associations between healthcare delay and several factors. Results: System delay accounted for most of the delay (median: 86 days; 61% of delay). Socioeconomic status and delivery to tertiary-care hospital predicted delay. Clinical stage determined initiation of first oncologic treatment. Conclusion: Delay in treatment was largely due to system delay. Only a few variables explained this delay. Clinical stage had the strongest effect on initiation of first oncologic treatment. [GRAPHICS] .

引用

页码：2066 / 2081

页数：16

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