Delays in diagnosis and treatment of breast cancer: a multinational analysis

被引：105

作者：

Jassem, Jacek ^{[1
]}

Ozmen, Vahit ^{[2
]}

Bacanu, Florin ^{[3
]}

Drobniene, Monika ^{[4
]}

Eglitis, Janis ^{[5
]}

Lakshmaiah, Kuntegowdanahalli C. ^{[6
]}

Kahan, Zsuzsanna ^{[7
]}

Mardiak, Jozef ^{[8
,9
]}

Pienkowski, Tadeusz ^{[10
]}

Semiglazova, Tatiana ^{[11
]}

Stamatovic, Ljiljana ^{[12
]}

Timcheva, Constanta ^{[13
]}

Vasovic, Suzana ^{[12
]}

Vrbanec, Damir ^{[14
]}

Zaborek, Piotr ^{[15
]}

机构：

[1] Med Univ Gdansk, Dept Radiotherapy & Oncol, PL-80211 Gdansk, Poland

[2] Istanbul Univ, Dept Surg, Istanbul, Turkey

[3] Sf Maria Hosp, Dept Clin Oncol, Bucharest, Romania

[4] Vilnius State Univ, Inst Oncol, Radiotherapy & Drug Therapy Ctr, Vilnius, Lithuania

[5] Riga East Univ Hosp, Oncol Ctr Latvia, Dept Breast Surg, Riga, Latvia

[6] Kidwai Mem Inst Oncol, Dept Med Oncol, Bangalore, Karnataka, India

[7] Univ Szeged, Dept Oncotherapy, Szeged, Hungary

[8] Comenius Univ, Natl Canc Inst, Dept Oncol 2, Bratislava, Slovakia

[9] Comenius Univ, Sch Med, Bratislava, Slovakia

[10] Med Ctr Postgrad Educ, Dept Oncol & Surg, Otwock, Poland

[11] Petrov Res Inst Oncol, Dept Med Oncol, St Petersburg, Russia

[12] Inst Oncol & Radiol, Dept Med Oncol, Belgrade, Serbia

[13] Specialized Hosp Act Treatment Oncol, Dept Chemotherapy, Sofia, Bulgaria

[14] Zagreb Univ Hosp Ctr, Clin Oncol, Dept Med Oncol, Zagreb, Croatia

[15] Warsaw Sch Econ, Coll World Econ, Warsaw, Poland

来源：

EUROPEAN JOURNAL OF PUBLIC HEALTH | 2014年 / 24卷 / 05期

关键词：

WOMEN;

D O I：

10.1093/eurpub/ckt131

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Background: Reducing treatment delay improves outcomes in breast cancer. The aim of this study was to determine factors influencing patient-and system-related delays in commencing breast cancer treatment in different countries. Methods: A total of 6588 female breast cancer patients from 12 countries were surveyed. Total delay time was determined as the sum of the patient-related delay time (time between onset of the first symptoms and the first medical visit) and system-related delay time (time between the first medical visit and the start of therapy). Results: The average patient-related delay time and total delay time were 4.7 (range: 3.4-6.2) weeks and 14.4 (range: 11.5-29.4) weeks, respectively. Longer patient-related delay times were associated with distrust and disregard, and shorter patient-related delay times were associated with fear of breast cancer, practicing self-examination, higher education level, being employed, having support from friends and family and living in big cities. The average system-related delay time was 11.1 (range: 8.3-24.7) weeks. Cancer diagnosis made by an oncologist versus another physician, higher education level, older age, family history of female cancers and having a breast lump as the first cancer sign were associated with shorter system-related delay times. Longer patient-related delay times and higher levels of distrust and disregard were predictors of longer system-related delay times. Conclusions: The delay in diagnosis and treatment of breast cancer remains a serious problem. Several psychological and behavioural patient attributes strongly determine both patient-related delay time and system-related delay time, but their strength is different in particular countries.

引用

页码：761 / 767

页数：8

共 19 条

[1]

Abbot ML, 2013, UNDERSTANDING APPL R, P74

[2]

[Anonymous], 2008, J BREAST HEALTH

[3]

Burgess C, 2001, BRIT J GEN PRACT, V51, P967

[4]

CAPLAN LS, 1993, PUBLIC HLTH REV, V20, P187