Evidence map›Paper›PMID 40022695›Full record

ArticleAsian Pacific journal of cancer prevention : APJCP2025

Pathway of Healthcare for Breast Cancer among Women in an Eastern State of India: A Mixed Method Cross-Sectional Study.

Anuvarshini Ramalingam, Rajath Rao, Bijaya Nanda Naik, Sanjay Pandey, Santosh Kumar Nirala, Pritanjali Singh, Jagjit Kumar Pandey

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In one paragraph

Article in Asian Pacific journal of cancer prevention : APJCP, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

7 authors.

Anuvarshini RamalingamDepartment of Community and Family Medicine, Senior Resident, All India Institute of Medical Sciences Patna, Patna, India.ORCID 0000-0002-4149-5885
Rajath RaoDepartment of Community Medicine, Kasturba Medical College Mangalore, Manipal Academy of Higher Education, Karnataka, Manipal, 576104, India.
Bijaya Nanda NaikDepartment of Community and Family Medicine, Senior Resident, All India Institute of Medical Sciences Patna, Patna, India.
Sanjay PandeyDepartment of Community and Family Medicine, Senior Resident, All India Institute of Medical Sciences Patna, Patna, India.
Santosh Kumar NiralaDepartment of Community and Family Medicine, Senior Resident, All India Institute of Medical Sciences Patna, Patna, India.
Pritanjali SinghDepartment of Radiotherapy, Professor, All India Institute of Medical Sciences Patna, Patna, India.
Jagjit Kumar PandeyDepartment of Surgical Oncology, Associate Professor, All India Institute of Medical Sciences Patna, Patna, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveBreast cancer is the most common cancer among women, however the majority of them visit hospitals at the advanced stage. Knowledge of the pathway of care will aid in timely intervention and better prognosis. METHODS AND ANALYSIS: A mixed method cross-sectional study was conducted at AIIMS Patna among breast cancer patients. A total of 171 breast cancer patients were enrolled in this study. Piloted study tools were used. Descriptive analysis for quantitative part and manual thematic analysis for the qualitative part were performed.

resultsOut of total 171 participants, the majority 88.9% (83.3-92.77%) had visited AIIMS Patna indirectly. About 60(20.6%) visited informal providers/quacks and 60(39.5%) of the study participants visited more than one hospital before arriving at AIIMS Patna. The place of residence, treatment delay, and stage of cancer were found to be the independent predictor for the pathway of healthcare for breast cancer. The reasons behind seeking delayed definitive care were identified under two major themes: presentation delay (Misunderstanding/difficulty in identifying symptoms, neglect of disease, lack of awareness about the disease, family support, financial constraints) and treatment delay (misdiagnosis, multiple referrals, dissatisfaction with the treatment, COVID-19 lockdown, informal providers/quacks).

conclusion9 out of 10 breast cancer patients had not come directly for definitive care and among them, 3 out of 5 had visited multiple healthcare providers. So, it is important to educate the public on breast cancer, make systematized referral pathways, to orient private sectors, and to have trained manpower for screening purposes.

Indexed as

Breast NeoplasmsHealth Knowledge, Attitudes, PracticeHealth Services AccessibilityPatient Acceptance of Health CareAdultAgedCross-Sectional StudiesFemaleFollow-Up StudiesHumansIndiaMiddle AgedPrognosisTime-to-Treatmentbreast cancerHealthcare pathwayMixed method study

Identifiers

PMID40022695
PMCPMC12118023

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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.