Evidence map›Paper›PMID 32908537›Full record

ArticleObstetrics and gynecology international2020

The Care Pathway Delays of Cervical Cancer Patient in Morocco.

Hind Mimouni, Khalid Hassouni, Boujemaa El Marnissi, Bouchra Haddou Rahou, Leila Alaoui, Rachid Ismaili, Abderraouf Hilali, Leila Loukili, Rachid Bekkali, Ahmed Nejmeddine

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Article in Obstetrics and gynecology international, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–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

4 citing papers in PubMed.

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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

10 authors.

Hind MimouniHassan First University of Settat, Settat, Morocco.ORCID https://orcid.org/0000-0002-5227-990X
Khalid HassouniRadiotherapy Department, Hassan II University Hospital, Fez, Morocco.
Boujemaa El MarnissiResearch and Development Department, Hassan II University Hospital, Fez, Morocco.
Bouchra Haddou RahouResearch Department, High Institute of Nursing Professions and Technical Health, Rabat, Morocco.
Leila AlaouiCancer Research Institute, Fez, Morocco.
Rachid IsmailiHassan First University of Settat, Settat, Morocco.
Abderraouf HilaliHassan First University of Settat, Settat, Morocco.
Leila LoukiliHassan First University of Settat, Settat, Morocco.
Rachid BekkaliFondation Lalla Salma Prevention and Treatment of Cancers, Rabat, Morocco.
Ahmed NejmeddineHassan First University of Settat, Settat, Morocco.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe aim of this study is to document time intervals in cervical cancer care pathways, from symptom onset to disease detection and start of treatment, and evaluate how clinical, sociodemographic, and treatment factors influence delays throughout a patient's clinical pathway.

methodsA retrospective study was conducted at the FEZ Oncology Hospital of the Hassan II University Hospital Center in Morocco.

results190 medical records of cervical cancer patients were collected. The dominant age group was 35-44, the median patient delay (PD) was 6 days, the median healthcare provider's delay (HCP) was 21 days, the median referral delay (RD) was 17 days, the median diagnostic delay (DD) was 9.5 days, the median total diagnostic delay (TDD) was 16 days, the median treatment delay (TD) was 67 days, and the median health system interval (HSI) was 92 days. Multivariate analysis revealed that age was associated with the patient delay, the healthcare provider's delay, the diagnosis delay, and the health system interval. The diagnosis year (the year in which the patient was diagnosed (either before 2012 or during 2012 as well as the other study years (from 2013 to 2017))), all investigations done prior to admission to the oncology hospital, and the age of first sexual activity were significantly associated with healthcare provider's delay.

conclusionThe integration of a model and standard care pathway into the Moroccan health system is essential in order to unify cervical cancer care in the country.

Identifiers

PMID32908537
PMCPMC7450345

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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.