Arrivée des malades cancéreux aux stades avancés : tentative d’identification de responsabilité

Mbalawa, C. Gombé; Diouf, Doudou; Mbon, Jean Bernard Nkoua; Minga, Benoît; Nsimba, Stévy Makouanzi; Malanda, J. Nsondé

doi:10.1684/bdc.2013.1696

Cited by 3 publications

(1 citation statement)

References 9 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This could be related to the multiple recourses used by patients before the consultation in specialized oncology services. Gombe Mbalawa et al [33] showed that the late diagnosis of breast cancer was largely attributed to the responsibility of health professionals: the hospital personal, the nurses and physicians who work in private (40.8%) and the medical doctor, specialist or not (25.5%) while the direct responsibility of the patient was weak (24.4%) by ignorance or fear of diagnosis. Despite the importance of this study and its potential impact on the quality of care for patients with breast cancer in developing countries, it may have some limitations: first, because of the design which was a retrospective cohort study.…”

Section: Discussionmentioning

confidence: 99%

Prognosis of Breast Cancer Patients Underwent Surgery in a Developing Country

Traoré¹,

Touré²,

Sy³

et al. 2015

JCT

View full text Add to dashboard Cite

Background: We aim to review different factors associated with the relapse and the mortality in breast cancer patients in restricted-resource settings over a five-year period. Method: A retrospective cohort study including 133 women underwent breast cancer surgery was performed at the Surgical Oncology Unit of the Conakry University Hospital in Guinea. Socio-demographical characteristics, clinical information, treatment and data on relapse and survival were retrieved from medical files. Predictor factors of relapse were analyzed by using univariate and multivariate logistic regression. Factors associated with mortality were analyzed by Kaplan Meier survival and Cox models. Results: Breast cancer surgery was conservative in 13 cases (9.8%) and radical in 120 cases (90.2%). Five-year relapse was 33.8% ± 8.0% and the predictor factors of this relapse were age and stage III (p = 0.005). The overall 5-year mortality was 42.1% and the risk factors independently associated with death were body mass index (p = 0.01), origin of patients (p = 0.02), radiotherapy (p = 0.01) and cancer relapse (p = 0.001). Conclusion: The proportions of relapse and death were higher in breast cancer patients. The age and the stage of cancer at the time of surgery were the predictor factors of relapse. Body mass index, origin of patients, radiotherapy and cancer relapse were associated with death.

show abstract

Section: Discussionmentioning

confidence: 99%