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

作者: Alaaddin M Salih , Musab M Alfaki , Dafallah M Alam-Elhuda , Momin M Nouradyem

DOI: 10.7314/APJCP.2016.17.4.2105

关键词: Cross-sectional studyObservational studyReferralYoung adultMedicinePediatricsConfidence intervalLogistic regressionRetrospective cohort studyBreast cancer

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

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