Evidence map›Paper›PMID 32721102›Full record

ArticleCancer reports (Hoboken, N.J.)2019

Factors influencing delayed presentation of breast cancer at a tertiary care hospital in Pakistan.

Mehreen Baig, Iram Sohail, Humera Naz Altaf, Omar Shahzad Altaf

Abstract read
In one paragraph

Article in Cancer reports (Hoboken, N.J.), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 3 pooled it
–field-weighted citation impact
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

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.

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

21 citing papers in PubMed, 3 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

4 authors.

Mehreen BaigMRCS General Surgery, Department of surgery, Surgical Unit I, Foundation University Medical College, Rawalpindi, Pakistan.
Iram SohailFRCS Histopathology, Department of Pathology, Foundation University Medical College, Rawalpindi, Pakistan.
Humera Naz AltafFCPS General Surgery, Department of Surgery, Shifa College of Medicine, Shifa Tameer e' Millat University, Islamabad, Pakistan.ORCID 0000-0002-3143-0156
Omar Shahzad AltafTehsil Head Quarter Hospital Hazro Khebar Pakhtoonkhawa, Hazro, Pakistan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBreast cancer is the leading cause of death despite the continuous development of newer and more effective modalities of treatment for breast cancer. In Asia, Pakistan has the highest rate of breast cancer. Breast cancer treatment shows better prognosis when it is diagnosed at an early stage, but mortality increases significantly with delayed diagnosis and advanced stage of disease. Delay in diagnosis and nonavailability of treatment are the major factors responsible for advanced stage and low survival.

aimsThe objective of our study was to identify the factors responsible for delayed presentation of patients with breast carcinoma. METHODS AND

resultsA cross-sectional study using a questionnaire method was conducted at the Foundation University Medical College from January 2015 to December 2016. A total of 89 patients gave consent and were interviewed using a prestructured questionnaire during the study. Age ranged from 25 to 64 years. Majority of patients were in stage T3N1M0 (31.5%). Second most common stage was T4N0M0 (14.6%). Thirteen patients (12.4%) were in stage T3N0M0, and 10 patients (11.2%) were in T3N2M0. Delay ranged from 3 months to more than 1 year; 43.8% presented with delay of 3 to 6 months. The reasons for delay were lack of knowledge about breast cancer (41%), lack of availability of health care services (32.6%), purdah and religious reasons (6.7%), and fear of being diagnosed with cancer (10.1%).

conclusionThe main reasons for delay identified in our study were lack of knowledge and availability of appropriate health care facilities. In order to improve outcome of breast cancer, more focus is needed on spreading awareness and improving health care services in rural areas.

Indexed as

Health Knowledge, Attitudes, PracticeAdultBreast NeoplasmsCross-Sectional StudiesDelayed DiagnosisEarly Detection of CancerFemaleHealth FacilitiesHumansMiddle AgedNeoplasm MetastasisNeoplasm StagingPakistanPatient Acceptance of Health CareReligion and PsychologySurveys and Questionnairesawarenessbreast cancerhealth care facilitiesknowledge

Identifiers

PMID32721102
PMCPMC7941474

What OpenQuestion holds

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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.