Assessing the level of breast cancer awareness among recently diagnosed patients in Ain Shams University Hospital

El-Shinawi, Mohamed; Youssef, AlMoatazBellah; Alsara, Mohammad; Aly, Mohamed K.; Mostafa, Mohamed; Yehia, Ahmed; Hurlbert, Marc; El-Tawab, Reda Abd; Mohamed, Mona Mostafa

doi:10.1016/j.breast.2013.08.010

Cited by 26 publications

(16 citation statements)

References 21 publications

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“…Higher breast cancer mortality rates in low and medium‐income countries (LMICs) are thought to be due to diagnosis in advanced stages and barriers to accessing medical care . Advanced stage at presentation in LMICs and in certain racial, ethnic and low socioeconomic communities in developed world are mainly because of delay in presentation to physician from onset of symptoms . In our study, the delay ranged from 3 months to more than 1 year (mean delay 8.1 ± 3.07).…”

Section: Discussionmentioning

confidence: 68%

“…Khan et al revealed that there were 39.01% of patients who presented with a delay of >3 months . El‐Shinawi et al in their study done at Ain Shams University Hospital found a delay of 1 to 72 months . In comparison, the average delay in diagnosis in Eastern European countries like Hungary is 3.4 weeks (25 days), in India is 1.5 months while Ethiopia has an alarming 18‐month delay in diagnosis .…”

Section: Discussionmentioning

confidence: 98%

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Factors influencing delayed presentation of breast cancer at a tertiary care hospital in Pakistan

et al. 2018

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Background: Breast cancer is the leading cause of death despite the continuous development of newer and more effective modalities of treatment for breast cancer.In Asia, Pakistan has the highest rate of breast cancer. Breast cancer treatment shows better prognosis when it is diagnosed at an early stage, but mortality increases significantly with delayed diagnosis and advanced stage of disease. Delay in diagnosis and nonavailability of treatment are the major factors responsible for advanced stage and low survival. Aims:The objective of our study was to identify the factors responsible for delayed presentation of patients with breast carcinoma. Methods and results:A cross-sectional study using a questionnaire method was conducted at the Foundation University Medical College from January 2015 to December 2016. A total of 89 patients gave consent and were interviewed using a prestructured questionnaire during the study. Age ranged from 25 to 64 years.Majority of patients were in stage T3N1M0 (31.5%). Second most common stage was T4N0M0 (14.6%). Thirteen patients (12.4%) were in stage T3N0M0, and 10 patients (11.2%) were in T3N2M0. Delay ranged from 3 months to more than 1 year; 43.8% presented with delay of 3 to 6 months. The reasons for delay were lack of knowledge about breast cancer (41%), lack of availability of health care services (32.6%), purdah and religious reasons (6.7%), and fear of being diagnosed with cancer (10.1%). Conclusion:The main reasons for delay identified in our study were lack of knowledge and availability of appropriate health care facilities. In order to improve outcome of breast cancer, more focus is needed on spreading awareness and improving health care services in rural areas.

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Section: Discussionmentioning

confidence: 68%

Section: Discussionmentioning

confidence: 98%

Factors influencing delayed presentation of breast cancer at a tertiary care hospital in Pakistan

et al. 2018

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“…The interval between detection of the first symptoms by the patient and the first physician visit is known as patient delay (11), however, the interval between the first visit and receiving treatment is regarded as the system delay (12). Any delay in diagnosis and treatment can result in disease progression, increased mortality, and decreased survival rate (5,13,14) Several studies are available on the reasons for patient delay and a number of factors such as patients' low knowledge and education, low socioeconomic status, and family history of breast cancer have been cited in this regard (15)(16)(17)(18). However, sociocultural aspects of cancer treatment or cancer treatment seeking behaviors might be different in developing countries (13), and these two factors play an important role in timely diagnosis and treatment.…”

Section: Introductionmentioning

confidence: 99%

Predictive Factors for Diagnosis and Treatment Delay in Iranian Women with Breast Cancer

Mirfarhadi

Ghanbari

Khalili

et al. 2016

Nurs Midwifery Stud

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Background: The growing trend of breast cancer in Iran and the adverse consequences arising from the delay in diagnosis and treatment in females has been a challenge. Objectives: This study was conducted to identify the predictors for diagnosis and treatment delay in females with breast cancer in the north of Iran. Methods: This cross-sectional study was performed on 232 patients with a definite diagnosis of breast cancer at Razi Hospital, which is the main referral centre in Guilan Province, Iran, using sequential sampling methods. Data were collected using a six-section questionnaire through interviews and medical records of the patients. Data were analyzed using descriptive statistics, logistic regression and chi square test. Results: Delays of more than one month was observed in 53% of patients and more than three months delay was observed in 31%. Of the patients with a definite diagnosis of breast cancer, 87% returned within seven days for treatment interventions. Three variables of: stage of disease (stage II: P = 0.002, OR = 7.19 and stage III: P = 0.034, OR = 1.95), lack of complementary insurance (P = 0.007, OR = 2.26) and primary insurance (P = 0.067, OR = 3.52) were important risk factors for patient delay. Knowledge and attitude regarding the symptoms of breast cancer (P = 0.007), the most important method for breast cancer diagnosis (P = 0.004), and the importance of self-examination was significantly different between patients with and without delay in the onset of treatment. Conclusions: This study showed that about one-third of patients with breast cancer had a patient delay of more than three months. In addition, 16.8% and 13% of patients experienced system delay in diagnosis and treatment, respectively. The government is responsible to not only teach people on the signs of breast cancer, but also to establish a powerful screening system for breast cancer.

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“…In Britain, where the cultural background is sustained by rational thinking, a low percentage of the female respondents thought that breast trauma increased the risk of breast cancer. A study conducted in Egypt with women recently diagnosed with breast cancer found that 37.78% of the interviewees believed that breast trauma was a risk factor for cancer (El-Shinawi et al, 2013). Despite the strong cultural heritage and the strong influence of religion in Egypt, a low percentage of women thought that breast trauma was a risk factor for cancer.…”

Section: Discussionmentioning

confidence: 99%

“…In Pakistan, a study demonstrated that 32.7% of women aged 18 to 70 years believed that wearing black clothes increases the risk of breast cancer (Sobani et al, 2012). Other factors still not widely recognized by the scientific community, such as stress (Jones et al, 2011;Lee-Lin et al, 2007;Lizama et al, 2016;Wang et al, 2010) and breast trauma, have been considered by women of different cultures as risk factors for the disease (El-Shinawi et al, 2013;Grunfeld et al, 2002;Jones et al, 2011).…”

mentioning

confidence: 99%

Beliefs about Breast Cancer among Women in the Western Amazon: A Population-Based Study

Schilling

Silva

Opitz

et al. 2019

Asian Pac J Cancer Prev

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Objective:Evaluate the beliefs about the risk factors for breast cancer in a population of women from the western Amazon and determine the factors associated with the higher belief scores presented by this population. Methods:A population-based cross-sectional study included 478 women aged >40 years residing in Rio Branco, Acre, Brazil. An American Cancer Society questionnaire was applied to assess the knowledge, attitudes, and beliefs about breast cancer. Results:The main beliefs about the risk factors for breast cancer were breast trauma (95%), use of underwire bra (58.5%), and a high number of sexual partners (55.5%). Women from younger age groups presented higher belief scores (Bcoefficient: –0.04, 95% CI: –0.07; –0.01) than those of women from older age groups. A strong association was noted between high knowledge scores of risk factors and signs/symptoms of the disease and high belief scores in the study group (Bcoefficient:0.33;95%CI:0.28;0.38).Conclusion:The results indicate the existence of important beliefs related to the risk factors for breast cancer. Women from younger age groups, women who have seen a gynecologist in the past 2 years, and women who had more knowledge about the risk factors and signs and symptoms of breast cancer had higher belief scores.

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Assessing the level of breast cancer awareness among recently diagnosed patients in Ain Shams University Hospital

Cited by 26 publications

References 21 publications

Factors influencing delayed presentation of breast cancer at a tertiary care hospital in Pakistan

Factors influencing delayed presentation of breast cancer at a tertiary care hospital in Pakistan

Predictive Factors for Diagnosis and Treatment Delay in Iranian Women with Breast Cancer

Beliefs about Breast Cancer among Women in the Western Amazon: A Population-Based Study

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