Journal ArticleDOI
Patient delay in women presenting with advanced breast cancer: an Iranian study
TLDR
It was found that married women and those with a negative family history of breast cancer waited longer than others before seeking care and public education initiatives focused on encouraging women (especially high-risk groups such as older women, married women, and those living in small cities or villages) to see a doctor promptly can decrease delay and improve patient outcome.About:
This article is published in Public Health.The article was published on 2005-10-01. It has received 120 citations till now. The article focuses on the topics: Breast cancer & Women in development.read more
Citations
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Journal ArticleDOI
Breast cancer in Iran: an epidemiological review.
Seyed Mohsen Mousavi,Ali Montazeri,Mohammad Ali Mohagheghi,Alireza Mousavi Jarrahi,Iraj Harirchi,Masomeh Najafi,Mandana Ebrahimi +6 more
TL;DR: It is indicated that the epidemiological aspects of breast cancer in Iran are relatively well‐studied and shortcomings in study of its clinical aspects are evident and need to be a central part of upcoming investigations.
Journal ArticleDOI
Challenges to the early diagnosis and treatment of breast cancer in developing countries.
TL;DR: Evidence that access barriers and quality deficiencies in cancer care are determinants of provider delay in low- and middle-income countries is provided, where it is the most needed for the design of cost-effective public policies that strengthen health systems to tackle this expensive and deadly disease.
Journal ArticleDOI
Delays in Breast Cancer Detection and Treatment in Developing Countries
TL;DR: Emphasis is urgently needed on health education, to promote early diagnosis of breast cancer, highlighting the importance of creating more public facilities that provide treatment, which are key components for the improvement in breast cancer care in developing countries.
Journal ArticleDOI
Delays in Breast Cancer Presentation and Diagnosis at Two Rural Cancer Referral Centers in Rwanda
Lydia E. Pace,Lydia E. Pace,Tharcisse Mpunga,Vedaste Hategekimana,Jean-Marie Vianney Dusengimana,Hamissy Habineza,Jean Bosco Bigirimana,Cadet Mutumbira,Egide Mpanumusingo,Jean Paul Ngiruwera,Neo Tapela,Neo Tapela,Neo Tapela,Cheryl Amoroso,Lawrence N. Shulman,Lawrence N. Shulman,Nancy L. Keating,Nancy L. Keating +17 more
TL;DR: An opportunity exists to reduce breast cancer mortality in Rwanda by addressing barriers in the community and healthcare system to promote earlier detection, and Educating communities and healthcare providers about breast cancer and facilitating expedited referrals could potentially reduce delays and hence mortality.
Journal ArticleDOI
A systematic review of barriers to breast cancer care in developing countries resulting in delayed patient presentation
TL;DR: Current evidence suggests that interventions should primarily increase proximal and affordable healthcare access and secondarily enhance breast cancer awareness, to productively reduce patient delay.
References
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Journal ArticleDOI
Influence of delay on survival in patients with breast cancer: a systematic review
TL;DR: Delays of 3-6 months are associated with lower survival and efforts should be made to keep delays by patients and providers to a minimum, and longer delays were associated with more advanced stage.
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Factors predicting delayed presentation of symptomatic breast cancer: a systematic review.
Amanda-Jane Ramirez,AM Westcombe,Caroline Burgess,Stephen Sutton,Peter Littlejohns,Michael Richards +5 more
TL;DR: There was strong evidence for an association between older age and delay by patients, and strong evidence that marital status was unrelated to delays by Patients, and younger age and presentation with a breast symptom other than a lump were strong risk factors for delays by providers.
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The influence on survival of delay in the presentation and treatment of symptomatic breast cancer.
TL;DR: Multivariate analyses indicated that the adverse impact of delay in presentation on survival was attributable to an association between longer delays and more advanced stage, however, within individual stages, longer delay had no adverse impact on survival.
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Patient delay and stage of diagnosis among breast cancer patients in Germany – a population based study
TL;DR: It is suggested that at risk groups for delaying consultation can be identified and that a substantial proportion of late stage diagnoses of poorly differentiated breast cancer cases could be avoided if all patients with breast cancer symptoms would present to a doctor within 1 month.
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Who and what influences delayed presentation in breast cancer
TL;DR: A large multicentre study is now warranted to confirm the extent and determinants of patient and general practitioner delay in the presentation of breast cancer and the increasing evidence that delay adversely affects survival.