Factors associated with attrition in patients with breast cancer: a retrospective study.

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dc.contributor.authorHazrah, Priyaen_US
dc.contributor.authorParshad, Rajinderen_US
dc.contributor.authorDhir, Mashaalen_US
dc.contributor.authorSingh, Rajviren_US
dc.date.accessioned2007-09-08en_US
dc.date.accessioned2009-06-03T05:22:26Z
dc.date.available2007-09-08en_US
dc.date.available2009-06-03T05:22:26Z
dc.date.issued2007-09-08en_US
dc.description.abstractBACKGROUND: Attrition in follow up is a key limitation of longitudinal studies, especially in cancer patients in developing countries. We did a retrospective analysis of possible factors that resulted in attrition of patients with breast cancer during follow up. METHODS: This study is a comparison between patients who came for a follow up regularly to our clinic with those who did not but could be contacted on phone or by post. A computerized grouped database was constructed with the following parameters: age, religious community, other co-morbid conditions if present, distance from place of residence to our city, residence in city/ village, initial stage of the disease, type of treatment and disease relapse or death. RESULTS: Using binary logistic regression, disease relapse was found to be the most important cause of non-compliance. The odds ratio for irregularity or loss to follow up of patients with disease relapse was 2.53 (95% CI: 1.17-5.46; p = 0.02) for patients who were alive with disease relapse and 6.1 8 (95% CI: 3.47-11.02; p < 0.001) for patients who had died due to the disease compared with those who were alive and free of disease. The age and place of residence in a village were other significant factors. The odds of attrition due to age were 1.03 (95% CI: 1.01-1.05; p = 0.04) for each year of increase in age and that of residence in a village was 1.85 (95% CI: 1.02-3.36; p = 0.04). CONCLUSION: Age, disease relapse and residing in a village are important causes of attrition during follow up of patients with breast cancer in India.en_US
dc.description.affiliationDepartment of Surgical Disciplines, All India Institute of Medical Sciences, New Delhi 110029, India.en_US
dc.identifier.citationHazrah P, Parshad R, Dhir M, Singh R. Factors associated with attrition in patients with breast cancer: a retrospective study. National Medical Journal of India. 2007 Sep-Oct; 20(5): 230-3en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/118324
dc.language.isoengen_US
dc.source.urihttps://www.nmji.inen_US
dc.subject.meshAdulten_US
dc.subject.meshAgeden_US
dc.subject.meshAged, 80 and overen_US
dc.subject.meshBreast Neoplasms --psychologyen_US
dc.subject.meshDatabases as Topicen_US
dc.subject.meshFemaleen_US
dc.subject.meshHumansen_US
dc.subject.meshIndiaen_US
dc.subject.meshMaleen_US
dc.subject.meshMiddle Ageden_US
dc.subject.meshNeoplasm Recurrence, Localen_US
dc.subject.meshPatient Complianceen_US
dc.subject.meshRetrospective Studiesen_US
dc.subject.meshRisk Factorsen_US
dc.subject.meshTreatment Failureen_US
dc.titleFactors associated with attrition in patients with breast cancer: a retrospective study.en_US
dc.typeJournal Articleen_US
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