Evidence map›Paper›PMID 37787090›Full record

ArticleCancer medicine2023

Factors associated with diagnostic and pre-treatment intervals among breast cancer patients attending care at the Uganda Cancer Institute: A cross-sectional study.

Jennifer Achan, Francis Xavier Kasujja, Ronald Opito, Henry Wabinga, Christopher Garimoi Orach, Amos Deogratius Mwaka

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Article in Cancer medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

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4citing papers in PubMed, 1 pooled it
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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Jennifer AchanDepartment of Community Health & Behavioral Sciences, School of Public Health, College of Health Sciences, Makerere University, Kampala, Uganda.
Francis Xavier KasujjaDepartment of Community Health & Behavioral Sciences, School of Public Health, College of Health Sciences, Makerere University, Kampala, Uganda.ORCID 0000-0002-4081-2826
Ronald OpitoDepartment of Public Health, School of Health Sciences, Soroti University, Soroti, Uganda.
Henry WabingaDepartment of Pathology, School of Biomedical Sciences, College of Health Sciences, Makerere University, Kampala, Uganda.
Christopher Garimoi OrachDepartment of Community Health & Behavioral Sciences, School of Public Health, College of Health Sciences, Makerere University, Kampala, Uganda.
Amos Deogratius MwakaDepartment of Medicine, School of Medicine, College of Health Sciences, Makerere University, Kampala, Uganda.ORCID 0000-0001-7952-2327

Funding

Medical Research Council MC_UU_00033/3
6 · The paper itself

Abstract

backgroundMost breast cancer (BC) patients in Uganda are diagnosed with advanced-stage disease and experience poor outcomes. This study examined the diagnostic and pre-treatment intervals and factors associated with these intervals among BC patients attending care at the Uganda Cancer Institute (UCI).

methodsThis was a cross-sectional, facility-based study. Data were collected using structured questionnaire administered by trained research assistants and analyzed using STATA version 14.0. Modified Poisson regressions models were used to determine the strength of associations between independent variables and diagnostic and pre-treatment intervals.

resultsThe mean age (±SD) of the 401 participants was 47.1 ± 11.7 years. Four in 10 participants had stage III (41.9%; n = 168) and over a third (34.7%; n = 140) stage IV cancers. The median interval from first consultation to diagnosis, i.e. diagnostic interval (DI) was 5.6 months (IQR: 1.5-17.0), while the median interval from histological diagnosis to start of chemotherapy, i.e. pre-treatment interval (PTI) was 1.7 months (IQR: 0.7-4.5). Majority (85%, n = 341) of participants were diagnosed at ≥3 months from first consultation with clinicians. Participants with tertiary education and those who lived within 100-199 km from the UCI were about four times and twice more likely to be diagnosed early (DI <3 months from first consultation) ([aPR = 3.88; 95% CI: 1.15-13.0] and [aPR = 2.19; 95% CI: 1.06-4.55]), respectively. About half (48.3%; n = 176) of participants started chemotherapy within 1 month of cancer diagnosis. Patients who lived more than 300 km from the UCI were less likely to start chemotherapy within 1 month of histology diagnosis of cancer. [Correction added on October 17, 2023 after first online publication. The term ', i.e.' has been included in the results section in this version.]

conclusionMajority of breast cancer patients are diagnosed late and in advanced stages. There is need to promote all efforts toward timely diagnosis when cancers are still in early stages by identifying factors responsible for prolonged diagnostic intervals among breast cancer patients.

Indexed as

Breast NeoplasmsAdultCross-Sectional StudiesEducational StatusFemaleHumansMiddle AgedSurveys and QuestionnairesUgandabreast cancercancer stagediagnosisdiagnostic intervalpre-treatment interval

Identifiers

PMID37787090
PMCPMC10587984

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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.