Patient Delay in Accessing Breast Cancer Care in a Sub Saharan African Country: Uganda.

Simple item page
dc.contributor.authorGalukande, Moses
dc.contributor.authorMirembe, Florence
dc.contributor.authorWabinga, Henry
dc.date.accessioned2016-03-07T04:34:10Z
dc.date.available2016-03-07T04:34:10Z
dc.date.issued2014-05-01
dc.description.abstractAims: To assess patient delay differences between early and late stage breast cancer among women in Uganda. Study Design: A retrospective analytical study. Place and Duration of the Study: A study conducted at a tertiary teaching hospital. Selected patients’ data available for the period between 2008 and 2011 were included in this study. Methodology: We included 201 women with histologically confirmed breast cancer. The variables analysed included age, residence, histological subtype, stage at presentation and time delays. Ethical approval was obtained. Results: The mean age for the early and late presenters was 49 and 46 years respectively (p=0.065). Rural women were more likely to present late. Triple negative breast cancer (TNBC) and HER2+ were the majority cancer subtypes for the late presenters. On average women waited for 29 months before they presented for specialized cancer treatment (median 12 months; range 1-120 months). The duration of symptoms didn’t differ between the two groups (p=0.295) and 75% of early stage presenters, reported at least 6 months after noticing symptoms. Only 9% of the TNBC patients presented under 3 months in comparison to 14 % for HER2+, 33% for Luminal B and 36% for luminal A. Overall 23% (39/168) presented with early stage disease. Conclusion: Delay in seeking appropriate breast cancer care in Uganda was excessive, a sign of a neglected disease. Tumor biology factors seem to play a role in late stage presentation. Research in factors that lead to prolonged delay in accessing care in a resource poor context are needed urgently.en_US
dc.identifier.citationGalukande Moses, Mirembe Florence, Wabinga Henry. Patient Delay in Accessing Breast Cancer Care in a Sub Saharan African Country: Uganda. British Journal of Medicine and Medical Research. 2014 May; 4(13): 2599-2610.en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/175202
dc.language.isoenen_US
dc.source.urihttps://sciencedomain.org/abstract/3768en_US
dc.subjectPatient delayen_US
dc.subjectbreast canceren_US
dc.subjectlate presentationen_US
dc.subjectUgandaen_US
dc.titlePatient Delay in Accessing Breast Cancer Care in a Sub Saharan African Country: Uganda.en_US
dc.typeArticleen_US
Files
Original bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
bjmmr2014v4n13p2599.pdf
Size:
253.15 KB
Format:
Adobe Portable Document Format
Description:
Original Research Article
Download
License bundle
Now showing 1 - 1 of 1
No Thumbnail Available
Name:
license.txt
Size:
1.71 KB
Format:
Item-specific license agreed upon to submission
Description:
Download
Collections
Journal of Advances in Medicine and Medical Research