Evidence map›Paper›PMID 37642061›Full record

ArticleAsian Pacific journal of cancer prevention : APJCP2023

Early Detection of Breast Cancer in Indonesia: Barriers Identified in a Qualitative Study.

Ajeng Viska Icanervilia, Lina Choridah, Antoinette D I Van Asselt, Johanna P M Vervoort, Maarten J Postma, Anggraeni Ayu Rengganis, Kardinah Kardinah

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Article in Asian Pacific journal of cancer prevention : APJCP, 2023. 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.

  1. Article
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  4. Review
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.

Ajeng Viska IcanerviliaDepartment of Radiology, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia (Icanervilia, Choridah, Rengganis).ORCID 0000-0003-2906-8423
Lina ChoridahDepartment of Radiology, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia (Icanervilia, Choridah, Rengganis).ORCID 0000-0002-0917-9372
Antoinette D I Van AsseltDepartment of Health Sciences, University of Groningen, University Medical Center Groningen, Groningen, the Netherlands (Icanervilia, van Asselt, Vervoort, Postma).
Johanna P M VervoortDepartment of Health Sciences, University of Groningen, University Medical Center Groningen, Groningen, the Netherlands (Icanervilia, van Asselt, Vervoort, Postma).
Maarten J PostmaDepartment of Health Sciences, University of Groningen, University Medical Center Groningen, Groningen, the Netherlands (Icanervilia, van Asselt, Vervoort, Postma).
Anggraeni Ayu RengganisDepartment of Radiology, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia (Icanervilia, Choridah, Rengganis).ORCID 0000-0001-7082-5911
Kardinah KardinahNational Cancer Center, Dharmais Hospital, Jakarta, Indonesia (Kardinah).ORCID 0000-0002-9836-2119

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe lack of early detection in breast cancer management has been identified as the primary factor contributing to the high mortality rate. The introduction of BPJS Kesehatan, Indonesia's national health insurance, was intended to ensure the provision of adequate health services for breast cancer patients. This study aimed to investigate the current state of health services in Indonesia concerning the early detection of breast cancer, following the implementation of BPJS Kesehatan introduction.

methodsThe study was conducted in 2017 in Yogyakarta, Indonesia. Subjects were recruited using a purposive sampling technique with maximum variation. The sample comprised breast cancer patients, health care professionals (HCPs), and healthy women from the general population with no history of breast cancer. The subjects' experiences and knowledge of health services regarding the early detection of breast cancer were investigated through in-depth interviews. Thematic analysis was used to synthesize the results from interviews with 25 participants.

resultThis study identified several issues that hinder the timely detection of breast cancer. The lack of both screening and diagnostic procedures emerged as a prominent obstacle in breast cancer management. The study identified the following barriers: (1) limited community knowledge about early detection; (2). lack of urgency among patients to seek medical treatment; (3) limited access to health facilities; and (4) inconsistent adherence among health care professionals to guidelines for both screening and diagnostic procedures.

conclusionsThis study revealed multiple factors contributing to the delay in breast cancer detection in Indonesia, leading to suboptimal management of the disease. It is crucial for the government to prioritize the improvement of enabling factors across all levels of care for early detection. These factors include initiatives to increase public awareness, improve access to health services, strengthen the referral system, and enhance health facilities.

Indexed as

Breast NeoplasmsEarly Detection of CancerFemaleGovernmentHumansIndonesiaQualitative Researchbreast cancerearly detectionEarly Diagnosishealth servicesqualitative research

Identifiers

PMID37642061
PMCPMC10685222

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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.