Evidence map›Paper›PMID 25984460›Full record

ArticleBritish journal of medicine and medical research2014

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

Moses Galukande, Florence Mirembe, Henry Wabinga

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Article in British journal of medicine and medical research, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 5 pooled it
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 5 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Moses GalukandeMoses Galukande, Department of Surgery, College of Health Sciences, Makerere University, Uganda.
Florence MirembeFlorence Mirembe, Department of Obstetrics and Gynaecology, College of Health Sciences, Makerere University, Uganda.
Henry WabingaHenry Wabinga, Department of Histopathology, College of Health Sciences, Makerere University, Uganda.

Funding

Wellcome Trust 087540Wellcome Trust 100891
6 · The paper itself

Abstract

aimsTo assess patient delay differences between early and late stage breast cancer among women in Uganda. STUDY

designA 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.

resultsThe 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.

conclusionDelay 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.

Indexed as

breast cancerlate presentationPatient delayUganda

Identifiers

PMID25984460
PMCPMC4430806

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.