Low Lung Cancer Resection Rates in a Tertiary Level Thoracic Center in Nepal - Where Lies Our Problem?

Thapa, Bibhusal; Sayami, Prakash

doi:10.7314/apjcp.2014.15.1.175

Cited by 10 publications

(12 citation statements)

References 18 publications

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“…15.2 ± 24.4 (median 10) days in this study. This is shorter than time periods reported from symptom onset to contact with a medical doctor in other countries, including 71 days in Nepal [44], 94 days in India [45], and 35 days or 49.9 ± 96.9 days in Turkey [16,46], however, these studies did not include informal providers as first contact. In this study, informal healthcare providers were the first choice for seeking healthcare reported by most respondents (60%), hence this duration is shorter than other studies mentioned above.…”

Section: Plos Onementioning

confidence: 85%

“…This is supported by the finding that the mean duration in our study from first contact with any healthcare provider to diagnosis was longer than other studies (135.8 ± 126.7 days). In Nepal, this step took 50 days on average [44] where the first contact was a medically trained provider. This interval involves the patient reaching qualified doctors and the hospital system, and suggests that the sooner the patient gets diagnosed, the sooner the treatment initiates.…”

Section: Plos Onementioning

confidence: 99%

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Duration of intervals in the care seeking pathway for lung cancer in Bangladesh: A journey from symptoms triggering consultation to receipt of treatment

et al. 2021

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Timeliness in seeking care is critical for lung cancer patients’ survival and better prognosis. The care seeking trajectory of patients with lung cancer in Bangladesh has not been explored, despite the differences in health systems and structures compared to high income countries. This study investigated the symptoms triggering healthcare seeking, preferred healthcare providers (including informal healthcare providers such as pharmacy retailers, village doctors, and “traditional healers”), and the duration of intervals in the lung cancer care pathway of patients in Bangladesh. A cross-sectional study was conducted in three tertiary care hospitals in Bangladesh among diagnosed lung cancer patients through face-to-face interview and medical record review. Time intervals from onset of symptom and care seeking events were calculated and compared between those who sought initial care from different providers using Wilcoxon rank sum tests. Among 418 study participants, the majority (90%) of whom were males, with a mean age of 57 ±9.86 years, cough and chest pain were the most common (23%) combination of symptoms triggering healthcare seeking. About two-thirds of the total respondents (60%) went to informal healthcare providers as their first point of contact. Living in rural areas, lower levels of education and lower income were associated with seeking care from such providers. The median duration between onset of symptom to confirmation of diagnosis was 121 days, between confirmation of diagnosis and initiation of treatment was 22 days, and between onset of symptom and initiation of treatment was 151 days. Pre-diagnosis durations were longer for those who had sought initial care from an informal provider (p<0.05). Time to first contact with a health provider was shorter in this study compared to other developed and developing countries but utilizing informal healthcare providers caused delays in diagnosis and initiation of treatment. Encouraging people to seek care from a formal healthcare provider may reduce the overall duration of the care seeking pathway.

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Section: Plos Onementioning

confidence: 85%

Section: Plos Onementioning

confidence: 99%

Duration of intervals in the care seeking pathway for lung cancer in Bangladesh: A journey from symptoms triggering consultation to receipt of treatment

et al. 2021

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“…Furthermore, even medical student perceptions about the cause of lung cancer may be influenced by their smoking behavior and there was little knowledge of public health measures for smoking control (Khatiwada et al, 2012). Late presentation leading to advanced disease and poor pulmonary reserves preclude lung cancer resection in most cases (Thapa and Sayami, 2014), so another focus must be on eductaion as to symtpoms for early detection.…”

Section: Discussionmentioning

confidence: 99%

Malignant Neoplasm Burden in Nepal - Data from the Seven Major Cancer Service Hospitals for 2012

Pun¹,

Pradhananga²,

Siwakoti³

et al. 2016

Asian Pacific Journal of Cancer Prevention

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In Nepal, while no population based cancer registry program exists to assess the incidence, prevalence, morbidity and mortality of cancer, at the national level a number of hospital based cancer registries are cooperating to provide relevant data. Seven major cancer diagnosis and treatment hospitals are involved, including the BP Koirala Memorial Cancer hospital, supported by WHO-Nepal since 2003. The present retrospective analysis of cancer patients of all age groups was conducted to assess the frequencies of different types of cancer presenting from January 1st to December 31st 2012. A total of 7,212 cancer cases were registered, the mean age of the patients being 51.9 years. The most prevalent age group in males was 60-64 yrs (13.6%), while in females it was 50-54 yrs (12.8%). The commonest forms of cancer in males were bronchus and lung (17.6%) followed by stomach (7.3%), larynx (5.2%) and non Hodgkins lymphoma (4.5%). In females, cervix uteri (19.1%) and breast (16.3%), were the top ranking cancer sites followed by bronchus and lung (10.2%), ovary (6.1%) and stomach (3.8%). The present data provide an update of the cancer burden in Nepal and highlight the relatively young age of breast and cervical cancer patients.

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“…10,11 In addition, many other factors contribute to this late presentation, including a lack of access to health care facilities in rural areas, a long lag time from symptom onset to physician consultation, empirical use of antitubercular regimen by the health care providers owing to a higher prevalence of pulmonary tuberculosis, and delay in performing diagnosis testing, including CT scans and biopsy. 17,18…”

Section: Screening and Early Detectionmentioning

confidence: 99%

Lung Cancer in Nepal

Shilpakar

Paudel

Sharma

et al. 2022

Journal of Thoracic Oncology

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Low Lung Cancer Resection Rates in a Tertiary Level Thoracic Center in Nepal - Where Lies Our Problem?

Cited by 10 publications

References 18 publications

Duration of intervals in the care seeking pathway for lung cancer in Bangladesh: A journey from symptoms triggering consultation to receipt of treatment

Duration of intervals in the care seeking pathway for lung cancer in Bangladesh: A journey from symptoms triggering consultation to receipt of treatment

Malignant Neoplasm Burden in Nepal - Data from the Seven Major Cancer Service Hospitals for 2012

Lung Cancer in Nepal

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