Delay in breast cancer diagnosis: a Brazilian cohort study.

Abstract:

OBJECTIVES:To evaluate the delay in breast cancer (BC) diagnosis and its risk factors. STUDY DESIGN:A cohort study of BC patients referred to treatment at oncological reference hospital, Brazil. Delay in BC diagnosis was defined as a time interval ≥90 days between the first contact with a care provider and a BC diagnosis. METHODS:The association between independent variables and delay was performed by univariate analysis and multiple logistic regression. RESULTS:Five hundred and twenty-six women were included in the study. Delay was observed in 68.8% and was associated with performing histopathological examination at oncological reference hospital (odds ratio [OR]: 3.96, 95% confidence interval [CI]: 1.91-8.20) or at another public health service (OR: 2.31; 95% CI: 1.50-3.56) and attending gynecological consultations annually (OR: 3.24; 95% CI: 1.97-5.33) or every 2-3 years (OR: 2.86; 95% CI: 1.55-5.28). Patients who presented a lump as the first sign or symptom had a lower chance of delay (OR: 0.43; 95% CI: 0.29-0.65). CONCLUSIONS:Improvements in the structure and access to health services are needed to reduce the time to diagnosis.

journal_name

Public Health

journal_title

Public health

authors

Medeiros GC,Thuler LCS,Bergmann A

doi

10.1016/j.puhe.2018.10.012

subject

Has Abstract

pub_date

2019-02-01 00:00:00

pages

88-95

eissn

0033-3506

issn

1476-5616

pii

S0033-3506(18)30340-8

journal_volume

167

pub_type

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