Factors Affecting Presentation Delay to the Hospital Among Breast Cancer Patients: A Retrospective Analysis

Objective: Breast cancer constituted 13.5% of all reported new cancer in India, with a notable mortality rate due to late presentation.  The current research aims to address the extent of delay in presentation to the hospital and the factors that contribute to delayed presentation among breast canc...

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Main Authors: Kajal Nehra, Jisa George T, Geeta Bhardwaj, Rajesh Pasricha
Format: Article
Language:English
Published: Tehran University of Medical Sciences 2024-12-01
Series:Journal of Family and Reproductive Health
Subjects:
Online Access:https://jfrh.tums.ac.ir/index.php/jfrh/article/view/2769
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author Kajal Nehra
Jisa George T
Geeta Bhardwaj
Rajesh Pasricha
author_facet Kajal Nehra
Jisa George T
Geeta Bhardwaj
Rajesh Pasricha
author_sort Kajal Nehra
collection DOAJ
description Objective: Breast cancer constituted 13.5% of all reported new cancer in India, with a notable mortality rate due to late presentation.  The current research aims to address the extent of delay in presentation to the hospital and the factors that contribute to delayed presentation among breast cancer patients. Materials and methods: A descriptive cross-sectional study was conducted among 138 primary breast cancer patients aged 18 to 60 years, with a time lag of more than 2 weeks between the initial recognition of symptoms and the first medical interaction. These patients were attending the oncology Outpatient Department (OPD) of tertiary care center in Central India, where female breast cancer patients receive treatment and follow-up care. The analysis employed binary logistic regression to assess the factors significantly affecting the delayed presentation to the hospital. Results: Most of the participants were aged between 40 and 50 years and did not have a family history of breast cancer. The median delay in presentation to the hospital was 2 months. Women having breast lump as initial breast symptom tend to present late (> 3 months) to the hospital (p=0.037) and if the breast lump was smaller, they are more likely to delay seeking medical attention compared to those with larger breast lump (p=0.012). Conclusion: The study indicates that many patients delayed seeking help due to small breast lumps. Improved screening services are needed for early detection. Future awareness campaigns should emphasize the link between breast lumps and cancer to reduce delays and improve patient quality of life.
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institution Kabale University
issn 1735-8949
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language English
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series Journal of Family and Reproductive Health
spelling doaj-art-c28c0e73a8704203a58318face4bdee02025-01-06T08:41:35ZengTehran University of Medical SciencesJournal of Family and Reproductive Health1735-89491735-93922024-12-0118410.18502/jfrh.v18i4.17422Factors Affecting Presentation Delay to the Hospital Among Breast Cancer Patients: A Retrospective AnalysisKajal Nehra0Jisa George T1Geeta Bhardwaj2Rajesh Pasricha3Nursing College, All India Institute of Medical Sciences (AIIMS), Bhopal, Madhya Pradesh, IndiaNursing College, All India Institute of Medical Sciences (AIIMS), Bhopal, Madhya Pradesh, IndiaNursing College, All India Institute of Medical Sciences (AIIMS), Bhopal, Madhya Pradesh, IndiaDepartment of Radiation Oncology, All India Institute of Medical Sciences (AIIMS), Bhopal Objective: Breast cancer constituted 13.5% of all reported new cancer in India, with a notable mortality rate due to late presentation.  The current research aims to address the extent of delay in presentation to the hospital and the factors that contribute to delayed presentation among breast cancer patients. Materials and methods: A descriptive cross-sectional study was conducted among 138 primary breast cancer patients aged 18 to 60 years, with a time lag of more than 2 weeks between the initial recognition of symptoms and the first medical interaction. These patients were attending the oncology Outpatient Department (OPD) of tertiary care center in Central India, where female breast cancer patients receive treatment and follow-up care. The analysis employed binary logistic regression to assess the factors significantly affecting the delayed presentation to the hospital. Results: Most of the participants were aged between 40 and 50 years and did not have a family history of breast cancer. The median delay in presentation to the hospital was 2 months. Women having breast lump as initial breast symptom tend to present late (> 3 months) to the hospital (p=0.037) and if the breast lump was smaller, they are more likely to delay seeking medical attention compared to those with larger breast lump (p=0.012). Conclusion: The study indicates that many patients delayed seeking help due to small breast lumps. Improved screening services are needed for early detection. Future awareness campaigns should emphasize the link between breast lumps and cancer to reduce delays and improve patient quality of life. https://jfrh.tums.ac.ir/index.php/jfrh/article/view/2769Breast CancerDelayed PresentationHospital
spellingShingle Kajal Nehra
Jisa George T
Geeta Bhardwaj
Rajesh Pasricha
Factors Affecting Presentation Delay to the Hospital Among Breast Cancer Patients: A Retrospective Analysis
Journal of Family and Reproductive Health
Breast Cancer
Delayed Presentation
Hospital
title Factors Affecting Presentation Delay to the Hospital Among Breast Cancer Patients: A Retrospective Analysis
title_full Factors Affecting Presentation Delay to the Hospital Among Breast Cancer Patients: A Retrospective Analysis
title_fullStr Factors Affecting Presentation Delay to the Hospital Among Breast Cancer Patients: A Retrospective Analysis
title_full_unstemmed Factors Affecting Presentation Delay to the Hospital Among Breast Cancer Patients: A Retrospective Analysis
title_short Factors Affecting Presentation Delay to the Hospital Among Breast Cancer Patients: A Retrospective Analysis
title_sort factors affecting presentation delay to the hospital among breast cancer patients a retrospective analysis
topic Breast Cancer
Delayed Presentation
Hospital
url https://jfrh.tums.ac.ir/index.php/jfrh/article/view/2769
work_keys_str_mv AT kajalnehra factorsaffectingpresentationdelaytothehospitalamongbreastcancerpatientsaretrospectiveanalysis
AT jisageorget factorsaffectingpresentationdelaytothehospitalamongbreastcancerpatientsaretrospectiveanalysis
AT geetabhardwaj factorsaffectingpresentationdelaytothehospitalamongbreastcancerpatientsaretrospectiveanalysis
AT rajeshpasricha factorsaffectingpresentationdelaytothehospitalamongbreastcancerpatientsaretrospectiveanalysis