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Instituto Nacional de Salud Pública

2011, Number 6

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salud publica mex 2011; 53 (6)

Delay for diagnosis and treatment of breast cancer in Bogotá, Colombia

Piñeros M, Sánchez R, Perry F, Armando GO, Ocampo R, Cendales R

Language: Spanish
References: 36
Page: 478-485
PDF size: 106.39 Kb.


ABSTRACT

Objective. Establish provider delay for breast cancer and related factors. Material and Methods. 1 106 women with breast cancer were approached in health care institutions of Bogota, Colombia. According to the history of first consultation, we established diagnostic and treatment incidence rates, which were compared for different variables. A Cox hazard model was established. Results. Median time from first consultation to diagnosis and start of treatment were 91 days (CI95%:82-97 days) and 137 days (CI95%:127-147 days) respectively. Diagnosis and treatment were faster in women with higher educational level, affiliated to the “special” social security, with better socioeconomic conditions and in screening-detected breast cancers. Conclusion. Provider delay is excessive. There are clear inequities in access to services and a need of reducing the waiting times for women with a suspicion of breast cancer.


REFERENCES

  1. Ferlay J, Shin HR, Bray F, Forman D, Mathers C, Parkin D. GLOBOCAN 2008, Cancer Incidence and Mortality Worldwide: IARC Cancer Base No. 10, 459. [Internet]. Disponible en: http://globocan iarc fr 2010

  2. Berry DA, Cronin KA, Plevritis SK, Fryback DG, Clarke L, Zelen M, et al. Effect of screening and adjuvant therapy on mortality from breast cancer. N Engl J Med 2005 27;353(17):1784-1792.

  3. Kalager M, Zelen M, Langmark F, Adami HO. Effect of screening mammography on breast-cancer mortality in Norway. N Engl J Med 2010 23;363(13):1203-1210.

  4. Lozano-Ascencio R, Gomez-Dantes H, Lewis S, Torres-Sanchez L, Lopez-Carrillo L. Breast cancer trends in Latin America and the Caribbean. Salud Publica Mex 2009;51 Suppl 2:s147-56:s147-s156.

  5. Pineros M, Hernandez G, Bray F. Increasing mortality rates of common malignancies in Colombia: an emerging problem. Cancer 2004 15;101(10):2285-2292.

  6. Piñeros M, Pardo C, Gamboa O, Hernández G. Atlas de mortalidad por cáncer en Colombia. Bogotá, DC: Instituto Nacional de Cancerología ESE/Instituto Geográfico Agustín Codazzi (IGAC), 2010.

  7. Burgess CC, Ramirez AJ, Richards MA, Love SB. Who and what influences delayed presentation in breast cancer? Br J Cancer 1998;77(8):1343-1348.

  8. Ramirez AJ, Westcombe AM, Burgess CC, Sutton S, Littlejohns P, Richards MA. Factors predicting delayed presentation of symptomatic breast cancer: a systematic review. Lancet 1999 3;353(9159):1127-1131.

  9. Coleman MP, Quaresma M, Berrino F, Lutz JM, De AR, Capocaccia R, et al. Cancer survival in five continents: a worldwide population-based study (CONCORD). Lancet Oncol 2008;9(8):730-756.

  10. Unger-Saldaña K, Infante-Castaneda C. Delay of medical care for symptomatic breast cancer: A literature review. Salud Publica Mex 2009;51(Supp. 2):270-285.

  11. Ministerio de Salud. Guía Clínica Cáncer de mama en personas de 15 años y más. 1a ed. Santiago de Chile: Ministerio de Salud, 2009.

  12. Mayo NE, Scott SC, Shen N, Hanley J, Goldberg MS, MacDonald N. Waiting time for breast cancer surgery in Quebec. CMAJ 2001 17;164(8):1133-1138.

  13. Barber MD, Jack W, Dixon JM. Diagnostic delay in breast cancer. Br J Surg 2004;91(1):49-53.

  14. Dang-Tan T, Franco EL. Diagnosis delays in childhood cancer: a review. Cancer 2007;110(4):703-713.

  15. Facione NC, Miaskowski C, Dodd MJ, Paul SM. The self-reported likelihood of patient delay in breast cancer: new thoughts for early detection. Prev Med 2002;34(4):397-407.

  16. Afzelius P, Zedeler K, Sommer H, Mouridsen HT, Blichert-Toft M. Patient’s and doctor’s delay in primary breast cancer. Prognostic implications. Acta Oncol 1994;33(4):345-351.

  17. Arndt V, Sturmer T, Stegmaier C, Ziegler H, Dhom G, Brenner H. Patient delay and stage of diagnosis among breast cancer patients in Germany -- a population based study. Br J Cancer 2002 8;86(7):1034-1040.

  18. Tartter PI, Pace D, Frost M, Bernstein JL. Delay in diagnosis of breast cancer. Ann Surg 1999;229(1):91-96.

  19. Goodson WH, Moore DH. Causes of physician delay in the diagnosis of breast cancer. Arch Intern Med 2002 24;162(12):1343-1348.

  20. Arndt V, Sturmer T, Stegmaier C, Ziegler H, Becker A, Brenner H. Provider delay among patients with breast cancer in Germany: a population-based study. J Clin Oncol 2003 15;21(8):1440-1446.

  21. Robertson R, Campbell NC, Smith S, Donnan PT, Sullivan F, Duffy R, et al. Factors influencing time from presentation to treatment of colorectal and breast cancer in urban and rural areas. Br J Cancer 2004 19;90(8):1479-1485.

  22. Bigby J, Holmes MD. Disparities across the breast cancer continuum. Cancer Causes Control 2005;16(1):35-44.

  23. Velasquez-De Charry LC, Carrasquilla G, Roca-Garavito S. Equity in access to treatment for breast cancer in Colombia. Salud Publica Mex 2009;51 Suppl 2:s246-s253.

  24. Pineros M, Sanchez R, Cendales R, Perry F, Ocampo R. Patient delay among Colombian women with breast cancer. Salud Publica Mex 2009;51(5):372-380.

  25. Piñeros M, Sánchez R, Cendales R, Perry F, Ocampo R, García OA. Características sociodemográficas, clínicas y de la atención de mujeres con cáncer de mama en Bogotá. Rev Col Cancerol 2008;12(4):181-190.

  26. UICC International Union Against Cancer. TNM Classification of Malignant Tumours. Sixth ed. USA: John Wiley & Sons, 2002.

  27. Trufelli DC, Miranda VC, Santos MB, Fraile NM, Pecoroni PG, Gonzaga SF, et al. Analysis of delays in diagnosis and treatment of breast cancer patients at a public hospital. Rev Assoc Med Bras 2008;54(1):72-76.

  28. Crispo A, Montella M, Barba M, Schittulli F, De Marco MR, Grimaldi M, et al. Association between mode of breast cancer detection and diagnosis delay. Breast 2009;18(6):382-386.

  29. Macleod U, Mitchell ED, Burgess C, Macdonald S, Ramirez AJ. Risk factors for delayed presentation and referral of symptomatic cancer: evidence for common cancers. Br J Cancer 2009 3;101 Suppl 2:S92-S101: S92-S101.

  30. Angus J, Pazsat L, McKeever P, Trebilcock A, Shivji F, Edwards B. Pathways to breast cancer diagnosis and treatment: exploring the social relations of diagnostic delays. Texto Contexto Enferm 2007;16(4):591-598.

  31. Caplan LS, Helzlsouer KJ, Shapiro S, Wesley MN, Edwards BK. Reasons for delay in breast cancer diagnosis. Prev Med 1996;25(2):218-224.

  32. Charry LC, Carrasquilla G, Roca S. Equity regarding early breast cancer screening according to health insurance status in Colombia. Rev Salud Publica (Bogota ) 2008;10(4):571-582.

  33. Taplin SH, Ichikawa L, Yood MU, Manos MM, Geiger AM, Weinmann S, et al. Reason for late-stage breast cancer: absence of screening or detection, or breakdown in follow-up? J Natl Cancer Inst 2004;20;96(20):1518-1527.

  34. Aziz Z, Iqbal J, Akram M. Effect of social class disparities on disease stage, quality of treatment and survival outcomes in breast cancer patients from developing countries. Breast J 2008;14(4):372-375.

  35. Nosarti C, Crayford T, Roberts JV, Elias E, McKenzie K, David AS. Delay in presentation of symptomatic referrals to a breast clinic: patient and system factors. Br J Cancer 2000;82(3):742-748.

  36. Anderson BO, Braun S, Lim S, Smith RA, Taplin S, Thomas DB. Early detection of breast cancer in countries with limited resources. Breast J 2003;9 Suppl 2:S51-S59.




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