ArticleBMC health services research2023
Referral patterns for retinoblastoma patients in Ethiopia.
Article in BMC health services research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed.
- Factors influencing delayed medical treatment in children with retinoblastoma: a qualitative study.BMC cancer · 2025Article
- Family management characteristics in parents of children with retinoblastoma: a latent profile analysis.Frontiers in pediatrics · 2025Article
- Global, regional and national burden due to retinoblastoma in children aged younger than 10 years from 1990 to 2021.BMC medicine · 2024Article
- Health Services Needs Assessment for Retinoblastoma in Ethiopia.JCO global oncology · 2023Article
- Incidence and geographic distribution of retinoblastoma in Ethiopia.BMC ophthalmology · 2023Article
- Revolutionizing ocular cancer management: a narrative review on exploring the potential role of ChatGPT.Frontiers in public health · 2023Review
- Epidemiological aspect of retinoblastoma in the world: a review of recent advance studies.International journal of ophthalmology · 2023Review
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Authors and funding
5 authors.
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Abstract
backgroundIncreased lag time between the onset of symptoms and treatment of retinoblastoma (RB) is one of the factors contributing to delay in diagnosis. The aim of this study was to understand the referral patterns and lag times for RB patients who were treated at Menelik II Hospital in Addis Ababa, Ethiopia.
methodA single-center, cross- sectional study was conducted in January 2018. All new patients with a confirmed RB diagnosis who had presented to Menelik II Hospital from May 2015 to May 2017 were eligible. A questionnaire developed by the research team was administered to the patient's caregiver by phone.
resultsThirty-eight patients were included in the study and completed the phone survey. Twenty-nine patients (76.3%) delayed seeing a health care provider for ≥ 3 months from the onset of symptoms, with the most common reason being the belief that it was not a problem (96.5%), followed by 73% saying it was too expensive. The majority of patients (37/38, 97.4%) visited at least 1 additional health care facility prior to reaching a RB treatment facility. The mean overall lag time from noticing the first symptom to treatment was 14.31 (range 0.25-62.25) months.
conclusionLack of knowledge and cost are major barriers to patients first seeking care for RB symptoms. Cost and travel distance are major barriers to seeing referred providers and receiving definitive treatment. Delays in care may be alleviated by public education, early screening, and public assistance programs.
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