Evidence map›Paper›PMID 40177154›Full record

ArticleEcancermedicalscience2025

Duration of intervals in the care-seeking pathway of lung cancer in Nepal.

Shama Pandey, Bishnu Dutta Paudel, Bibek Acharya, Sandhya Chapagain Acharya, Ambuj Karn, Saugat Poudyal, Manish Poudel, Pradeep Thapa, Jasmine Gurung, Ramila Shilpakar

Abstract read
In one paragraph

Article in Ecancermedicalscience, 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

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

1 citing paper in PubMed.

  1. Article
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

10 authors.

Shama PandeyNational Academy of Medical Sciences, Bir Hospital, Kathmandu 44600, Nepal.
Bishnu Dutta PaudelKIST Medical College and Teaching Hospital, Lalitpur 44700, Nepal.
Bibek AcharyaNational Academy of Medical Sciences, Bir Hospital, Kathmandu 44600, Nepal.
Sandhya Chapagain AcharyaNational Academy of Medical Sciences, Bir Hospital, Kathmandu 44600, Nepal.
Ambuj KarnNational Academy of Medical Sciences, Bir Hospital, Kathmandu 44600, Nepal.
Saugat PoudyalNational Academy of Medical Sciences, Bir Hospital, Kathmandu 44600, Nepal.
Manish PoudelTilganga Institute of Ophthalmology, Kathmandu 44600, Nepal.
Pradeep ThapaNational Academy of Medical Sciences, Bir Hospital, Kathmandu 44600, Nepal.
Jasmine GurungNational Academy of Medical Sciences, Bir Hospital, Kathmandu 44600, Nepal.
Ramila ShilpakarNational Academy of Medical Sciences, Bir Hospital, Kathmandu 44600, Nepal.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Patients with lung cancer in Nepal often present at an advanced stage. The purpose of this study was to determine the access, diagnostic and treatment intervals in patients with lung cancer and to identify factors that may be causing the delays leading to advanced presentation. Methods: This was a descriptive, cross-sectional study conducted in the Department of Clinical Oncology, Bir Hospital from July 2023 to April 2024 after obtaining ethical approval from the Institutional Review Board. Patients with newly diagnosed lung cancer were interviewed and data was collected. Data were presented in the forms of percentages and mean/median. Univariate and multivariate logistic regression analysis was done to assess the association between various factors and different delays. Results: Of the 100 patients included, 56% were men and the mean age was 64.5 ± 10.8 years. 64% of the patients had stage IV disease. The median access, diagnostic and treatment interval were 44.5 days, 45.5 days and 26 days, respectively. Access, diagnostic and treatment delays were seen in 72%, 63% and 42% of the patients, respectively. Receiving empirical anti-tubercular treatment and visiting informal healthcare providers as their first healthcare contact was associated with diagnostic delay whereas smoking was associated with treatment delay. Conclusion: There is a significant delay in the care-seeking pathway of lung cancer in Nepal. Implementing corrective measures to address these could help improve the outcomes for these patients.

Indexed as

delayed diagnosislung cancertime factors

Identifiers

PMID40177154
PMCPMC11959116

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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.