Evidence map›Paper›PMID 33478965›Full record

ArticleBMJ open2021

Knowledge of symptoms, time to presentation and barriers to medical help-seeking among Omani women diagnosed with breast cancer: a cross-sectional study.

Mohammed Al-Azri, Khalid Al-Baimani, Huda Al-Awaisi, Zahid Al-Mandhari, Jasem Al-Khamayasi, Yaseen Al-Lawati, Sathiya Murthi Panchatcharam

Abstract read
In one paragraph

Article in BMJ open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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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

11 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

7 authors.

Mohammed Al-AzriFamily Medicine and Public Health, Sultan Qaboos University, Muscat, Oman mhalazri@squ.edu.om.ORCID 0000-0002-6136-4081
Khalid Al-BaimaniOncology Unit, Department of Medicine, Sultan Qaboos University, Muscat, Oman.
Huda Al-AwaisiNursing Directorate, Sultan Qaboos University Hospital, Sultan Qaboos University, Muscat, Oman.
Zahid Al-MandhariDepartment of Oncology, The Royal Hospital, Muscat, Oman.
Jasem Al-KhamayasiCollege of Medicine and Health Sciences, Sultan Qaboos University, Muscat, Oman.
Yaseen Al-LawatiCollege of Medicine and Health Sciences, Sultan Qaboos University, Muscat, Oman.
Sathiya Murthi PanchatcharamResearch Section, Medical Simulation and Skills Development Centre, Oman Medical Speciality Board, Muscat, Oman.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo identify knowledge of breast cancer (BC) symptoms, time taken to consult a doctor and factors contributing to delays in medical help-seeking.

designA cross-sectional study of Omani women diagnosed with BC.

settingThe two main teaching hospitals in Oman: Royal Hospital and Sultan Qaboos University Hospital.

participantsAdult Omani women recently diagnosed with BC. TOOLS: The Breast Module of the Cancer Awareness Measure and the International Cancer Benchmarking Partnership questionnaire were used to collect data.

resultsA total of 300 women with BC participated (response rate: 91.0%). The mean age at diagnosis was 43.0±12.50 years and 33.5% were diagnosed at stage III or IV. Although most women (74.4%) recognised breast/armpit lumps to be a symptom of BC, less than half identified other symptoms, including breast/armpit pain (44.0%), changes in the position of the nipple (36.2%), redness (31.7%), fatigue (26.3%), weight loss (23.4%) and loss of appetite (20.8%). While most (91.6%) were aware that BC could be cured if detected early, only 66.4% sought medical help within a month of developing symptoms. Initial responses to symptoms included informing husbands (40.2%) or family members (36.5%). Barriers to seeking medical help included feeling scared (68.9%) and worried about what the doctor might find (62.8%). Highly educated women were more likely to recognise the following as BC symptoms: changes in nipple position (OR: 0.16, 95% CI 0.03 to 0.81), breast pain (OR: 0.10, 95% CI 0.01 to 0.86) and unexplained weight loss (OR: 0.18, 95% CI 0.04 to 0.88) (all p<0.05).

conclusionsAlthough many Omani women with BC were aware of the importance of early diagnosis, most demonstrated inadequate knowledge of symptoms, did not prioritise seeking medical help and reported emotional barriers to help-seeking. More educational measures are needed to improve symptom recognition and address help-seeking barriers to minimise delays in diagnosis.

Indexed as

Health Knowledge, Attitudes, PracticeHelp-Seeking BehaviorPatient Acceptance of Health CareAdultBreast NeoplasmsCross-Sectional StudiesFemaleHumansOmanPreventive MedicineSurveys and QuestionnairesTime-to-Treatmentadult oncologybreast tumourspreventive medicine

Identifiers

PMID33478965
PMCPMC7825262

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LicenceCC BY-NC
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Registered trials

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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.