ArticleJournal of global oncology2019
Breast Cancer Diagnostic Delays Among Young Mexican Women Are Associated With a Lack of Suspicion by Health Care Providers at First Presentation.
Article in Journal of global oncology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it, 26 citations in OpenAlex.
- Exploring Whether and How People Experiencing High Deprivation Access Diagnostic Services: A Qualitative Systematic Review.Health expectations : an international journal of public participation in health care and health policy · 2024Pooled it
- Article
- Assessing disparities in cancer resources distribution in Mexico.BMC health services research · 2025Article
- Treatment delays in patients with lung cancer: a retrospective study conducted at the National Cancer Institute of Mexico between 2004 and 2021.The oncologist · 2025Article
- Quality of care in Colombian women with early-onset breast cancer in two time periods: findings from a nationwide administrative registry cohort.Lancet regional health. Americas · 2025Article
- Diagnostic delays in breast cancer among young women: An emphasis on healthcare providers.Breast (Edinburgh, Scotland) · 2024Article
- Breaking barriers: enhancing cancer detection in younger patients by overcoming diagnostic bias in primary care.Frontiers in medicine · 2024Article
- Factors that Affect Performance of Clinical Breast Examination and Mammography Screening among Brazilian Women.Asian Pacific journal of cancer prevention : APJCP · 2023Article
- Factors associated with diagnostic and pre-treatment intervals among breast cancer patients attending care at the Uganda Cancer Institute: A cross-sectional study.Cancer medicine · 2023Article
- Breast cancer survival in Mexico between 2007 and 2016 in women without social security: a retrospective cohort study.Lancet regional health. Americas · 2023Article
- Factors Associated with Diagnostic Delays among Tunisian Breast Cancer Patients.Asian Pacific journal of cancer prevention : APJCP · 2023Article
- Understanding system barriers and facilitators in transnational clinical cancer research: The value of rapid and multimodal ethnographic inquiry.Frontiers in sociology · 2022Article
- Shorter delay to treatment by integrated diagnostic services and NGO-provided support among breast cancer patients in two Brazilian referral centres.Journal of public health research · 2021Article
- Value of a breast imaging unit in the detection of breast cancer in Mexico.Ecancermedicalscience · 2021Article
- Conceptual Framework to Guide Early Diagnosis Programs for Symptomatic Cancer as Part of Global Cancer Control.JCO global oncology · 2021Article
- Young Women With Breast Cancer in Mexico: Results of the Pilot Phase of the Joven & Fuerte Prospective Cohort.JCO global oncology · 2020Article
Corrections and comments
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Authors and funding
3 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThere is insufficient evidence in the literature regarding the association between young age and diagnostic delay of breast cancer (BC). This study aimed to determine whether young age increases the risk of diagnostic delays among patients with BC and also to identify the mechanisms through which young age affects diagnostic delay. PATIENTS AND
methodsThis was a cross-sectional study of 592 patients with symptomatic BC treated at two of the largest public cancer hospitals in Mexico City available for the uninsured and those covered by Seguro Popular. A validated questionnaire was administered via face-to-face interviews with the patients, and their medical files were reviewed. Path analyses, using multivariable logistic regression models, were conducted to assess the relationship between age and diagnostic delay, as well as the role of potential confounders.
resultsYounger participants (40 years of age or younger) had significantly longer diagnostic intervals and presented with more advanced cancer stage than did their older counterparts. Younger participants more often sought initial health care in private services led by gynecologists, more frequently experienced a lack of cancer suspicion by the first physician they consulted, used a higher number of different health services, and had more medical consultations before arrival to a cancer care center. Younger age was significantly associated with longer diagnostic delays after controlling for education, occupation, lack of health insurance, history of benign breast conditions, type of first health service used, specialty of the first physician consulted, first symptom presented, and benign interpretation of the first breast image study.
conclusionYoung age increased the risk of diagnostic delays, which seems to be a result of an increased risk of lack of cancer suspicion at the first health care service consulted.
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