Identifying the Factors Causing Delayed Presentation of Cancer Patients to a Government Medical College of Central India

Tiwari, V.; Yogi, Veenita; Ghori, Hameeduzzafar; Singh, O. P.; Peepre, Karan; Yadav, Suresh; Mohare, Chaitlal

doi:10.7860/jcdr/2015/15104.6512

Cited by 19 publications

(24 citation statements)

References 38 publications

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“…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 . Our study showed that majority of the women delayed mentioning their initial symptoms of breast cancer because they did not think it was of concern.…”

Section: Discussioncontrasting

confidence: 47%

“…In a study from India, Pakseresht et al noticed that only 38.4% of women sought consultation with a physician within 3 months of the onset of symptoms . Tiwari et al in their analysis mentioned the reasons for delay in presentation comprised of unawareness regarding the signs and symptoms of cancer, lack of availability of qualified local practitioners, use of alternative medication, poor socioeconomic conditions, and lack of a proper referral infrastructure . International studies from countries like Germany, the United States, Colombia, Nigeria, and Iran have indicated that majority of the women with breast cancer delayed reporting their symptoms to a health care professional because they lacked knowledge about breast cancer or considered their symptoms harmless .…”

Section: Discussionmentioning

confidence: 99%

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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: Discussioncontrasting

confidence: 47%

Section: Discussionmentioning

confidence: 99%

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

et al. 2018

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“…This may be as a result of lower levels of knowledge, lack of awareness, low economic condition and negligence towards significant cancer symptoms, leading to poorer access to health services. 1,[8][9][10] Similarly, in this study 70.8% patients belongs low economic status of which 57.6% diagnosed in late stage. These results favor that low socio-economic status may be one of the causes for delayed presentation.…”

Section: Discussionsupporting

confidence: 59%

“…Appropriate management of cancer requires a complex diagnostic evaluation and is a stepwise process hence invariably prone to delays. 1 The problems related to delay are mainly due to various limitations in social and treatment grounds.…”

Section: Discussionmentioning

confidence: 99%

“…Cancer is one of the leading causes of death in many countries despite the advancement in cancer treatment and diagnosis. 1 According to the World Health Organization (WHO 2006), cancer is one of the leading causes of death worldwide. Deaths from cancer are projected to continue rising, with an estimated 9 million people dying from cancer in 2015 and 11.4 million dying in 2030 (WHO 2006).…”

Section: Introductionmentioning

confidence: 99%

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Reasons behind late presentation of cancer patients to radiotherapy department of a tertiary Hospital in Southern Odisha: a cross sectional study

2020

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Background: Prevalence of cancer is increasing worldwide. Early diagnosis with appropriate therapeutic interventions is essential for better treatment outcome. Identification and necessary modifications of factors responsible for delayed presentation might increase the life expectancy or quality of living. This study aims to identify the factors responsible for delayed presentation of cancer patients to radiotherapy department.Methods: This is a quantitative descriptive study, done with in a period from August 2018 to October 2019, among 120 cancer patients of different stages presenting to OPD of Radiotherapy department of M.K.C.G Medical College. Data were collected by using pretested semi-structured questionnaires, entered into Microsoft Excel and analyzed by using SPSS version 20.0.Results: A total of 120 cancer patients, 60 from each early and late stage had participated in the study. The mean age of presentation was 53.19 years. The number of male patients were 54 and female were 66. Maximum patients had addiction of chewing tobacco. When the time interval from appearance of symptoms to diagnosis were compared, 1 – 3 months were taken by 45% of early stage and 28.3% of late stage patients. Similarly, <1week time was taken from diagnosis to start of treatment in 25% and 13.3% in respective groups. Comparison of educational status (p=0.001), difference between primary and secondary delay (p<0.05), and socio-economic status (p=0.008) between both the groups were found to be statistically significant.Conclusions: Factors responsible for delayed presentation are related both to patient and system. Educating common people regarding early sign symptoms, emphasizing early detection at grass root level, proper referral and by upgrading existing oncology facilities, we can avoid adverse treatment outcome.

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Cancer during Corona Pandemic: Plight of cancer patients when two evils join hands

Patni

Hota

Patni

et al. 2021

Current Problems in Cancer

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In the unprecedented times of Corona Pandemic (CP), each individual is facing uncertainty and stress. Presence of cancer during these times compounds the troubles. The changing scenario of consultation and treatment during pandemic, logistic issues, dwindling finances and fear are making a negative impact on the mental health of cancer patients. In a qualitative analysis conducted in a tertiary oncology hospital from 1st June to 6th July on the recently diagnosed or under treatment cancer patients. The face to face interview was conducted using a semi structured questionnaire specific to Cancer amid CP, General Anxiety Disorder Item Scale 7 and Physical Health Questionnaire 9 (PHQ-9). There were total 294 patients, mean age around 51 years with a male female ratio of 3:2, 40% were suffering from head and neck malignancy. There was a delay initiating cancer treatment in 22.4% of patients and three fourths of them attributed it to CP. Almost 80% of patients perceived that pandemic has adversely affected their treatment and 50% thought they would have had a better chance of cure. Half of our cohort stated that due to social distancing and usage of masks, there is a communication gap between them and the doctors. They also felt that now, with decreased nonverbal communication; they felt lack of empathy. 14.9% patients were more concerned about corona pandemic as compared to malignancy. This study is about the challenges and perspective of cancer patients during the CP. It indicates a need for more systematic and patient friendly approach by the regulatory authorities, hospital management and staff. Timely intervention of those under stress is recommended more frequently during CP.

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Identifying the Factors Causing Delayed Presentation of Cancer Patients to a Government Medical College of Central India

Cited by 19 publications

References 38 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

Reasons behind late presentation of cancer patients to radiotherapy department of a tertiary Hospital in Southern Odisha: a cross sectional study

Cancer during Corona Pandemic: Plight of cancer patients when two evils join hands

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