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

Baig, Mehreen; Sohail, Iram; Altaf, Humera Naz; Altaf, Omar Shahzad

doi:10.1002/cnr2.1141

Cited by 18 publications

(18 citation statements)

References 26 publications

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“…29 While exploring reasons of delay in diagnosis of breast carcinomas in Pakistan investigators also found that 32.6% delays were attributed to the lack of accessibility of medical care facility. 30 Many other findings confirmed that in the developing countries, lack of cognizance and familiarity of symptoms of breast malignancies along with the poor education level, and lack of accessibility of health centers are strongly associated with the delays of presentation of BC. 31,32 Another significant finding of the current study was that 86% of the respondents were hesitant in visiting male doctors for BC screening.…”

Section: A H E a D O F P R I N Tmentioning

confidence: 71%

Efficacy of linking Breast Awareness Clinics in Gynecology and Obstetrics departments: A pilot project in Zubaida Bani Wing, Fazle-Omar Hospital, Chenab Nagar, Pakistan

Tahir¹,

Tauseef²,

Madiha³

et al. 2022

Pak J Med Sci

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Objectives: Pakistani female population has the highest incidence of Breast cancer among the women belonging to all other Asian countries. This contributed to 28.7% of all new cases of malignancies in 2020 and is also the cause of uppermost cancer mortality in Pakistani females. The number of deaths can be reduced by promoting breast cancer screening, according to recommended programs for high-risk populations. Methods: In order to encourage breast self-examination in women, 12 Breast Cancer Awareness Clinics were set up in Gynecology and Obstetrics outdoor, Zubaida Bani Wing, Fazle Omar Hospital, Chenab Nagar, Pakistan, from September 2019 to February 2020. A total of 238 women with a mean of 29.97±8.9 years were examined and trained to perform the breast self-examination. Results: Around 41% of 222 valid responded women reported that they had knowledge that breast cancer is the major threat to their health in Pakistan. Only 20% were aware of breast cancer screening but poor cognizance about the recommendations for Pakistani women. Knowledge about Breast Self-Examination was recorded in 15%, whereas only 5.4% of all the women included in the present study reported to practice it. Moreover, eighty-six percent of the respondents were reported to be hesitant to visit the male doctor. Three cases of most suspected malignancies were referred to specialist consultants and few cases were endorsed for immediate mammograms. Conclusion: Setting up breast awareness and screening clinics at gynecology outdoors with trained female assistants can be effective in promoting Breast Self-Examination and elaborating screening programs countywide to obtain long term benefits in a high-risk population of Pakistan. doi: https://doi.org/10.12669/pjms.38.4.5440 How to cite this:Tahir DS, Tauseef W, Madiha B, Urooj T. Efficacy of linking Breast Awareness Clinics in Gynecology and Obstetrics departments: A pilot project in Zubaida Bani Wing, Fazle-Omar Hospital, Chenab Nagar, Pakistan. Pak J Med Sci. 2022;38(4):---------. doi: https://doi.org/10.12669/pjms.38.4.5440 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Section: A H E a D O F P R I N Tmentioning

confidence: 71%

Efficacy of linking Breast Awareness Clinics in Gynecology and Obstetrics departments: A pilot project in Zubaida Bani Wing, Fazle-Omar Hospital, Chenab Nagar, Pakistan

Tahir¹,

Tauseef²,

Madiha³

et al. 2022

Pak J Med Sci

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“…The clinical staging of the cancer in these patients T3N1M0 (31.5%), T4N0M0 (14.6%), T3N0M0 (12.4%) and T3N2M0 (11.2%). 82 A study from Nepal showed that out of 114 patients with breast cancer, the majority of women were aged between 41–50 years. Regarding receptor status, the majority (64.0%) were Estrogen receptor (ER) and Progesterone receptor (PR) negative, 21.9% were both ER and PR positive, and 9.6% were ER negative and PR positive, while 4.4% of patients were ER positive and PR negative.…”

Section: Resultsmentioning

confidence: 99%

A Scoping Review on the Status of Female Breast Cancer in Asia with a Special Focus on Nepal

Dhakal¹,

Νούλα²,

Ρούπα³

et al. 2022

BCTT

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This study aimed to provide updated evidence on the status of female breast cancer and cancer treatment facilities in Asia, with a special focus on Nepal. This review used search phrases that included, breast neoplasm or cancer, health status, epidemiology, breast cancer survivors, cancer care facilities, Asia, Nepal. Researchers examined databases from January 2011 to December 2020 (PubMed, PMC, Google Scholar, and the reference lists of included papers). Studies of any design and reviews, were included in the study, except for qualitative studies. The study findings are presented in a narrative synthesis format using Preferred Reporting Items for Systematic Reviews and Meta-analyses Extension for Scoping Reviews. An initial search resulted in 974 papers, and 896 were reviewed after being checked for duplication using the Zotero software. Accordingly, utilizing the inclusion and exclusion criteria, 188 publications were selected, and after review of titles and abstracts, an additional 98 papers were removed for different reasons. Finally, the study looked at 90 female breast cancer papers. Results showed that the number of cases of breast cancer is growing all around the world, including in Asia and Nepal. Age, early menarche, late menopause, nulliparity, positive family history, excessive fat consumption, alcohol, and smoking are all frequent risk factors for breast cancer found in Asian women. Breast self-examination, clinical breast examination, and mammography screening are common methods for detecting breast carcinoma. Chemotherapy, radiation, and modified mastectomy are commonly used options for treatment. The number of breast cancer survivors is growing throughout the world, indicating better clinical care. There is a paucity of survival data in many Asian countries, including Nepal. There is also a scarcity of health workforce specialized in cancer care and treatment, as well as a few health facilities that are available to treat cancer cases in many Asian countries, including Nepal.

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“…These stages comprised various factors such as the patient's sociodemographics, previous history, interpretation of the breast symptoms, types of symptoms, knowledge, attitudes, and practices toward breast symptoms, which were analyzed in most previous studies [4,6,8,9,11,[13][14][15]. Lower educational level [16] and lack of knowledge [17] were associated with delayed presentation of breast cancer.…”

Section: Discussionmentioning

confidence: 99%

Factors associated with delay in seeking care for breast symptoms

Soh

Yahya²,

Norsa’adah³

et al. 2022

BMC Women's Health

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Background Breast cancer is the most common cancer in women worldwide. Early detection and intervention are associated with better prognosis and survival. The study aim was to investigate the factors associated with delayed presentation among women with breast symptoms. Methods After ethics approval, a cross-sectional study was conducted from January to October 2020 in women with new breast cancer symptoms at their first visit to our clinic. The “Delayed Presentation” questionnaires in the Malay language were used and distributed among the participants. Demographic data and presentation time were recorded. Presentation time was defined as the duration of symptoms prior to visiting any health care facilities. Respondents with presentation times > 90 days comprised the delayed group. The potential factors associated with the delayed presentation were analyzed using cross-tabulation and multiple logistic regression. Results There were 106 respondents to the questionnaire, with a mean age of 34.0 (SD: 11.2) years, and 73.6% (n = 78) were < 39 years old. A total of 35.8% (n = 38) visited the local government clinic first and only 28.3% (n = 30) came to the BestARi clinic directly. The reasons for presentation were a palpable breast lump on breast self-examination (75.5%, n = 80), mastalgia (15.1%, n = 16), nipple discharge (5.7%, n = 6), skin changes (0.9%, n = 1), and others (2.8%, n = 3). Among the respondents, 10.4% (n = 11) had alternative treatments prior to presentation to a hospital. The mean presentation time was 98.9 (SD: 323.7) days. Most of the participants (61.3%, n = 65) presented to us within 1 month. The delayed presentation group accounted for 19.8% (n = 21) of the respondents. The factor that was significantly associated with delayed presentation was the participants’ perception of symptoms as not dangerous (adjusted OR 3.05, 95% CI 1.11, 8.38). Conclusions The percentage of delayed presentations among our patients was lower than the percentage reported in a previous study. Interpretation of a symptom as harmless by the respondent was the only factor significantly associated with delayed presentation.

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

Cited by 18 publications

References 26 publications

Efficacy of linking Breast Awareness Clinics in Gynecology and Obstetrics departments: A pilot project in Zubaida Bani Wing, Fazle-Omar Hospital, Chenab Nagar, Pakistan

Efficacy of linking Breast Awareness Clinics in Gynecology and Obstetrics departments: A pilot project in Zubaida Bani Wing, Fazle-Omar Hospital, Chenab Nagar, Pakistan

A Scoping Review on the Status of Female Breast Cancer in Asia with a Special Focus on Nepal

Factors associated with delay in seeking care for breast symptoms

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