Projet de lutte contre le cancer du col utérin à Brazzaville: acquis et perspectives

Peko, J. F.; Nsonde-Malanda, J.; Dangou, J. M.; Buambo, S.; N'Golet, A; Gombe-Mbalawa, C.

doi:10.1007/s12558-010-0127-8

Cited by 1 publication

(3 citation statements)

References 12 publications

(15 reference statements)

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“…We enrolled 182 patients with a mean age of 50 years. Our results corroborate those reported by some authors (1-4) but are higher than those found by others (5)(6)(7)(8) showing that ages varied between 45 and 48.3 years. However, the mean age remains lower than that reported by one author (6) in Germany, which was 57.3 years.…”

Section: Discussionsupporting

confidence: 92%

“…More than 70% of breast cancers in sub-Saharan Africa are diagnosed at a late stage due to delayed access to quali ed personnel, reducing the chances of cure and survival (3,4). And the Congo is no exception, as this scourge is also the leading cause of cancer in women, ahead of cervical cancer (5).…”

Section: Introductionmentioning

confidence: 99%

“…Breast cancer accounted for 30.1% of all cancers in women, with 110 cases diagnosed in 2017 (5). Access time to specialist consultations appears to be a factor in the quality of care and a potential indicator of inequalities in access to care.…”

Section: Introductionmentioning

confidence: 99%

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Determinants underlying delayed access to specialist consultations for breast cancer patients in Brazzaville in 2023.

WOROMOGO,

Michel,

DAGNAGNEWENDE

et al. 2024

Preprint

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Background: Breast cancer is leading rang of incidence and mortality worldwide. In sub-Saharan Africa it’s diagnosed belatedly in 70% of case. The purpose of this work is to study different aspects of patients with late diagnosis of breast cancer at the specialist in Congo. Methods: We carried out a cross-sectional study in the medical oncology service of the University Hospital of Brazzaville. Was be included all patient having a breast cancer histologically confirmed. Logistic regress was used for data analyze and the p value significant if ≤ 5%. Results: One hundred and eighty-two patients were recorded. The mean age was 50.01 ± 11.30 years. Delays in consulting a specialist represented 84.07 % of cases including the incriminated factors were the lack of financial means 35.54%, socio-cultural habits 21.08%, and fear 18.67%. Delay in diagnosis was significantly associated with lack of finance (p = 0.011) and the number of stages greater than 2 (p <0.001). Multivariate analysis shows an association between diagnostic delays and a number of steps greater than 2 (p <0.001) and familial history of cancer. Conclusion: More than three quarters of patients had delayed access to a specialist consultation. Factors mediated by the patient are mainly fear, lack of finance and socio-cultural habits. We also noted the concept of comorbidity, have been through more than 2 stages before the cancer centre and family history of cancer. So routine screening, the subsidy of care are all that will make it possible to remedy this scourge.

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Section: Discussionsupporting

confidence: 92%

Section: Introductionmentioning

confidence: 99%