Delay in Presentation, Diagnosis, and Treatment for Breast Cancer Patients in Jordan

Abu-Helalah, Ahmad Munir; Alshraideh, Hussam; Al-Hanaqtah, Mo’tasem; Da’na, Moh’d; Al-Omari, Asim; Mubaidin, Rasmi

doi:10.1111/tbj.12541

Cited by 23 publications

(22 citation statements)

References 13 publications

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“…The observed time interval was shorter in countries such as Thailand (Poum et al, ), Estonia (Innos et al, ) and Jordan (Abu‐Helalah et al, ) than observed herein, with medians of 12, 16, and 30 days, respectively. In Morocco (Maghous et al, ), Niger (Pace et al, ), China (Yau et al, ) and Uganda (Odongo et al, ), the delay exceeds 90 days.…”

Section: Discussioncontrasting

confidence: 42%

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Factors influencing delay in symptomatic presentation of breast cancer in Brazilian women

Medeiros

Thuler

Bergmann

2019

Health Soc Care Community

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The aim of this study was to evaluate delays in the presentation of symptomatic breast cancer in women (time interval between the perception of their first sign or symptom until the first medical appointment) and its risk factors. A cohort study composed of patients with breast cancer (symptomatic) admitted to an oncological centre in the city of Rio de Janeiro, Brazil was performed. The patients were interviewed during their first hospital visit. To assess time interval as a continuous variable, the median and interquartile ranges (IQR) were calculated. The outcome comprised delay in breast cancer presentation when time from the first sign or symptom perception to the first medical appointment was ≥90 days. A descriptive analysis was performed. The association between independent variables (epidemiological, social and demographic data, related to individual healthcare, clinical and current disease) and the outcome (delay in symptomatic presentation) was assessed by a univariate analysis applying odds ratios (OR). Associations with p < .20 in the univariate analysis were included in the multiple logistic regression model. Variables with a p < .05 were retained in the final model. A total of 388 women were included. The median time was of 41 days (interquartile range — IQR: 13.2–130.0); 34.3% delayed presentation at ≥ 90 days. After adjustment, the variables associated with a delay in presentation were frequency of gynaecological examination of over than 1 year (OR: 2.59, 95% CI: 1.67–4.05), no family history of breast cancer (OR: 1.96, 95% CI: 1.15–3.35), and income lower than the minimum wage (OR: 1.62, 95% CI: 1.03–2.55). A higher score in tangible support (OR: 0.98; 95% CI: 0.96–0.99) was associated with a lesser chance of delay in presentation. Thus, delay in presentation was associated with social barriers, access to health service, health information and individual factors.

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Section: Discussioncontrasting

confidence: 42%

“…Abu-Helalah et al, 2016) than observed herein, with medians of 12, 16, and 30 days, respectively. In Morocco(Maghous et al, 2016), Niger(Pace et al, 2015), China(Yau et al, 2010) and Uganda…”

contrasting

confidence: 45%

Factors influencing delay in symptomatic presentation of breast cancer in Brazilian women

Medeiros

Thuler

Bergmann

2019

Health Soc Care Community

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“…Socioeconomic and demographic characteristics are known be important determinants of individual behavior when seeking and using health services 8,15 , and have been associated with delayed diagnosis of several types of cancer, including breast cancer [16][17][18][19] . However, Brazilian studies investigating the relation between individual characteristics and diagnosis-to-treatment interval delays in patients enrolled in cancer treatment unit programs are scarce 20 .…”

Section: Introductionmentioning

confidence: 99%

Vulnerabilidade social e câncer de mama: diferenciais no intervalo entre o diagnóstico e o tratamento em mulheres de diferentes perfis sociodemográficos

Cabral

Giatti²,

Casale

et al. 2019

Ciênc. saúde coletiva

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This study aimed to identify the sociodemographic profiles of women diagnosed as breast cancer in the city of Belo Horizonte and to investigate its association with interval between diagnosis and treatment. A cross-sectional study from hospital records of 715 patients undergoing treatment between 2010 and 2013. Cluster analysis was used to delineate the profiles from the variables: age, color of the skin, education and cost of treatment. The association between profiles and intervals was investigated using multinomial logistic regression. Five profiles were identified: A (white skin color, years of schooling >15 and treatment through private healthcare systems); B (white skin color, years of schooling = 11 and treatment through the Unified National Health System (SUS); C and D (brown skin color, years of schooling = 11 and < 8 respectively, and SUS); E (black skin color, years of schooling < 8, and SUS). Profiles B, C, D and E were associated with increased diagnosis-to-treatment intervals regardless of cancer staging upon diagnosis; and profile E had 37-fold higher chances of interval > 91 days (OR: 37.26;. Breast cancer patients with social vulnerability profiles wait longer for treatment even after overcoming barriers to access oncology units.

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“…Time to diagnosis, the interval time between the first clinical consultation and the time that BC is diagnosed and confirmed by the doctor, is critical in BC management (Caplan et al, 1996;Barber et al, 2004;Redaniel et al, 2015;Abu-Helalah et al, 2016). In Indonesia, about 60-70% women with BC appear to be already in an advanced stage (stage III-IV) when starting their treatments (Ministry of Health of the Republic of Indonesia, 2016).…”

Section: Introductionmentioning

confidence: 99%

A Self-Help Guided Psychoeducational Intervention for Indonesian Women with Breast Cancer Symptoms: Development and Pilot Feasibility Study

Setyowibowo

Iskandarsyah

Sadarjoen

et al. 2019

Asian Pac J Cancer Prev

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Background:Delay in the diagnosis of breast cancer (BC) may lead to an advanced stage of the disease and a poor prognosis. A psychoeducational intervention can be crucial in helping women with BC symptoms complete the examination procedures and reduce diagnosis delay of BC.Objective:To develop a psychoeducational intervention to reduce the delay of BC diagnosis among Indonesian women with BC symptoms.Methods:The development of the intervention included an inventory of crucial elements in developing psychoeducation through literature review as well as consultation with BC patients and healthcare providers. Additionally, we developed PERANTARA as the first pilot version of the self-help guided psychoeducational intervention. PERANTARA is an abbreviation for “Pengantar Perawatan Kesehatan Payadura”, which means an introduction to breast health treatment. The pilot feasibility study combined an expert review and a pilot testing in hospital settings. A semi-structured interview and the client satisfaction inventory were utilized to measure feasibility and acceptability of the intervention for Indonesian women with BC symptoms.Results:PERANTARA contained an oncologist’s explanation about BC and the BC survivors’ testimony to reduce the time to diagnosis. The pilot study results showed that most patients were satisfied with and trusted on PERANTARA.Conclusion:PERANTARA was feasible and acceptable for Indonesian patients with BC symptoms. The development framework suggested in this study can be applied to develop psychoeducational packages for other patients group, in particular, those interventional packages aimed at reducing diagnosis and treatment delays and non-adherence.

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Delay in Presentation, Diagnosis, and Treatment for Breast Cancer Patients in Jordan

Cited by 23 publications

References 13 publications

Factors influencing delay in symptomatic presentation of breast cancer in Brazilian women

Factors influencing delay in symptomatic presentation of breast cancer in Brazilian women

Vulnerabilidade social e câncer de mama: diferenciais no intervalo entre o diagnóstico e o tratamento em mulheres de diferentes perfis sociodemográficos

A Self-Help Guided Psychoeducational Intervention for Indonesian Women with Breast Cancer Symptoms: Development and Pilot Feasibility Study

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