Patient‐mediated factors predicting early‐ and late‐stage presentation of breast cancer in Egypt

Stapleton, Jaye; Mullan, Patricia B.; Dey, Subhojit; Hablas, Ahmed; Gaafar, Rabab; Seifeldin, Ibrahim A.; Banerjee, Mousumi; Soliman, Amr S.

doi:10.1002/pon.1767

Cited by 72 publications

(71 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Many studies linked advanced ages, i.e. seniors, with late presentation (Facione, 1993;Ramirez et al, 1999;Stapleton et al, 2011). This is exactly at odd to our findings that did not correlate both issues.…”

Section: Discussionsupporting

confidence: 67%

Factors Delaying Presentation of Sudanese Breast Cancer Patients: an Analysis Using Andersen's Model

Salih

Alfaki²,

Alam-Elhuda³

et al. 2016

Asian Pacific Journal of Cancer Prevention

View full text Add to dashboard Cite

Purpose: A multicenter, observational, cross-sectional study was conducted to assess factors delaying presentation of breast cancer cases. Materials and Methods: Data were collected from a pair of highly specialized referral centers, both located in the center of the Sudanese capital, Khartoum. For a total of 153 eligible respondents, durations of delay, clinicodemographic factors and reasons of referral were collected from our respondents through self-administered questionnaires. Logistic regression analysis and ANOVA were used to test the relation between periods of delay and different factors. Odd ratios (OR's) and their correspondent Confidence intervals (95% CI's). Delay periods were studied with Andersen's model. Results: The average duration of delay in our study was 11.9 (±11.2) months. Only a quarter of our patients presented early within the first 3 months after onset of their symptoms. About 47.7% arrived later during the course of the first year, while it took beyond that for the last 27% to come. A prior diagnosis of BC was the only predictor of early presentation (for 3-12 months OR=9.6 (p<0.00), 95% CI 9.55-9.75; for >12 months OR=9.3 (p<0.00), 95% CI 9.33-9.33). Out of the 12 different reasons for delay given by our respondents, none showed a significant difference between patients presenting early or late. Financial incapacity (17.5%), ignorance about BC (14.3), and misinterpreting symptoms (12.7%) were the top three whys of delay. Conclusions: Our findings support existence of a non-uniform pattern of delay among Sudanese BC patients. Changing currently adopted awareness elevating strategies into much more inclusive approaches is strongly recommended.

show abstract

Section: Discussionsupporting

confidence: 67%

Factors Delaying Presentation of Sudanese Breast Cancer Patients: an Analysis Using Andersen's Model

Salih

Alfaki²,

Alam-Elhuda³

et al. 2016

Asian Pacific Journal of Cancer Prevention

View full text Add to dashboard Cite

show abstract

“…There must be increased public awareness regarding disease risk factors, symptoms and screening behaviors leading on to the detection of BC at earlier stages. The impact of practising breast screening behaviors on downstaging of BC has been clearly observed in our studies in LMICs [71] .…”

Section: Education and Awareness Enhancement For Improving Bc Outcomessupporting

confidence: 60%

“…In addition, community-level interventions might increase early presentation although the evidence is limited for that [78] . In our studies in other LMICs, we definitely found that increased individual awareness of BSE had a significant impact on early presentation [71] . Increasing awareness also has long term impact on early presentation, as has been suggested by studies in the United Kingdom [79] .…”

Section: Role Of Knowledge and Awareness In Bc Prevention In Lmicssupporting

confidence: 52%

“…Similar benefits were observed in Finland [68] with randomized trials not showing any benefits of BSE [69,70] , although these trials had limitations and BSE probably would not have led to additional benefits [61] . In fact, our studies in LMICs have clearly shown that BSE can have a significant impact on stage reduction [71] . It has been estimated that in India, up to 55%…”

Section: Status Of Cbe and Bse In Lmicsmentioning

confidence: 69%

See 1 more Smart Citation

Preventing breast cancer in LMICs via screening and/or early detection: The real and the surreal

Dey¹

2014

WJCO

Self Cite

View full text Add to dashboard Cite

To review the present status of breast cancer (BC) screening/early detection in low-and middle-income countries (LMICs) and identify the way forward, an open focused search for articles was undertaken in PubMed, Google Scholar and Google, and using a snowball technique, further articles were obtained from the reference list of initial search results. In addition, a query was put up on ResearchGate to obtain more references and find out the general opinion of experts on the topic. Experts were also personally contacted for their opinion. Breast cancer (BC) is the most common cancer in women in the world. The rise in incidence is highest in LMICs where the incidence has often been much lower than high-income countries. In spite of more women dying of cancer than pregnancy or childbirth related causes in LMICs, most of the focus and resources are devoted to maternal health. Also, the majority of women in LMICs present at late stages to a hospital to initiate treatment. A number of trials have been conducted in various LMICs regarding the use of clinical breast examination and mammography in various combinations to understand the best ways of implementing a population level screening/early detection of BC; nevertheless, more research in this area is badly needed for different LMIC specific contexts. Notably, very few LMICs have national level programs for BC prevention via screening/early detection and even stage reduction is not on the public health agenda. This is in addition to other barriers such as lack of awareness among women regarding BC and the presence of stigma, inappropriate attitudes and lack of following proper screening behavior, such as conducting breast self-examinations. The above is mixed with the apathy and lack of awareness of policy makers regarding the fact that BC prevention is much more cost-effective and humane than BC treatment. Implementation of population level programs for screening/early detection of BC, along with use of ways to improve awareness of women regarding BC, can prove critical in stemming the increasing burden of BC in LMICs. Use of newer modalities such as ultrasonography which is more suited to LMIC populations and use of mHealth for awareness creation and increasing screening compliance are much needed extra additions to the overall agenda of LMICs in preventing BC.© 2014 Baishideng Publishing Group Inc. All rights reserved.Key words: Breast cancer; Screening; Early detection; Mammography; Clinical breast examination; Breast self examination; Ultrasonography; Awareness; Developing countries; Low-and middle-income countries Core tip: Implementation of population level breast cancer (BC) screening/early detection programs will prove to be most cost-effective for low-and middleincome countries (LMICs). Accompanying awareness creation regarding BC among women, more research and change in policy are also necessary to reduce the burden of BC in LMICs.Dey S. Preventing breast cancer in LMICs via screening and/or early detection: The real and the surreal.

show abstract

“…[3] Public awareness of breast cancer and its screening had significantly influence its early presentation. [9] Therefore, this study was carried out to assess the knowledge and attitude about breast cancer among women in King Khalid Armed Forces Hospital, Tabuk.…”

Section: Discussion:-mentioning

confidence: 99%

Breast Cancer Knowledge, Attitudes and Practice Among Women in King Khalid Armed Forces Hospital, Tabuk 2017.

Albalawi¹,

Jamilah²

2017

IJAR

View full text Add to dashboard Cite

Objectives: This study aimed to assess knowledge, attitude and practice regarding breast cancer and its screening among women in King Khalid Armed Forces Hospital, Tabuk 2017. Methods: It was cross sectional study-facility based study carried out in Tabuk city including a random sample of women (336) aged 18 years and above attending family medicine clinic and women health center, King Khalid Armed Forces hospital throughout the period between 1 st of March and 30 of April, 2017. Breast cancer awareness measure (CAM) validated questionnaire was used to collect the data. Results: The age of almost one-third of them (34.2%) ranged between 30 and 39 years. Overall, the sufficient overall knowledge regarding breast cancer was observed among 13.1% of the participants. Multivariate logistic regression analysis revealed that older women were more likely to have insufficient knowledge about breast cancer compared to younger women (AOR=2.98, 95% CI=1. p=0.016 and AOR=2.83, p=0.049, respectively). Most of women (75.6%) rarely or never checked their breast , 8% did this at least once a month, 76.5% were not at all confident in noticing breast changes whereas only 1.2% of them were fairly confident ,27.4% saw a doctor about noticed breast changed whereas 44.9% of the women never noticed breast changes. Conclusion: Minority of adult women attending family medicine clinic and women health center, King Khalid Armed Forces hospital, Tabuk have sufficient knowledge of breast cancer. Most of them rarely or never checked their breast and not at all confident in noticing breast changes.

show abstract

Patient‐mediated factors predicting early‐ and late‐stage presentation of breast cancer in Egypt

Cited by 72 publications

References 21 publications

Factors Delaying Presentation of Sudanese Breast Cancer Patients: an Analysis Using Andersen's Model

Factors Delaying Presentation of Sudanese Breast Cancer Patients: an Analysis Using Andersen's Model

Preventing breast cancer in LMICs via screening and/or early detection: The real and the surreal

Breast Cancer Knowledge, Attitudes and Practice Among Women in King Khalid Armed Forces Hospital, Tabuk 2017.

Contact Info

Product

Resources

About