BACKGROUND: To identify potential delays in the management of patients with breast cancer examined at a public hospital, from time of suspicion until diagnosis and beginning of treatment. METHODS: Retrospective study which analyzed data related to time elapsed in different intervals between suspicion, diagnosis and onset of systemic cancer-directed treatments, of consecutive breast cancer patients cared for at the medical oncology clinic of the Mario Covas Hospital during 2006. RESULTS: Sixty-eight women, with a mean age of 56.3 years (standard deviation: 12.2 years), were included. Of all the intervals, the longest delay occurred between the mammographic suspicion of cancer and performance of biopsy (median of 72 days, range: 4 - 1095 days); this was significantly longer (P<0.001) than in the other intervals analyzed. Furthermore, this interval in particular, was significantly longer in patients with advanced stage breast cancer when compared to those at the initial stage (P=0.014). CONCLUSION: Breast cancer patients treated in a public hospital in Brazil suffer delays, especially during the diagnosis of their disease. Minimizing the time between mammography and biopsy of suspicious lesions appears to be the most critical step to correct this situation.
BACKGROUND: To identify potential delays in the management of patients with breast cancer examined at a public hospital, from time of suspicion until diagnosis and beginning of treatment. METHODS: Retrospective study which analyzed data related to time elapsed in different intervals between suspicion, diagnosis and onset of systemic cancer-directed treatments, of consecutive breast cancerpatients cared for at the medical oncology clinic of the Mario Covas Hospital during 2006. RESULTS: Sixty-eight women, with a mean age of 56.3 years (standard deviation: 12.2 years), were included. Of all the intervals, the longest delay occurred between the mammographic suspicion of cancer and performance of biopsy (median of 72 days, range: 4 - 1095 days); this was significantly longer (P<0.001) than in the other intervals analyzed. Furthermore, this interval in particular, was significantly longer in patients with advanced stage breast cancer when compared to those at the initial stage (P=0.014). CONCLUSION:Breast cancerpatients treated in a public hospital in Brazil suffer delays, especially during the diagnosis of their disease. Minimizing the time between mammography and biopsy of suspicious lesions appears to be the most critical step to correct this situation.
Authors: Raimunda Magalhães da Silva; Cleoneide Paulo Oliveira Pinheiro; Indara Cavalcante Bezerra; José Manuel Peixoto Caldas; Christina César Praça Brasil Journal: Asian Pac J Cancer Prev Date: 2018-08-24
Authors: Lorena Sofia Dos Santos Andrade; Tácila Thamires De Melo Santos; Milena Edite Case de Oliveira; Kedma Anne Lima Gomes; Adriana Raquel Araújo Pereira Soares; Tiago Almeida de Oliveira; Mathias Weller Journal: J Public Health Res Date: 2021-03-10
Authors: Rafael Aliosha Kaliks; Lucíola de Barros Pontes; Cinthia Leite Frizzera Borges Bognar; Kelly Cristine Carvalho Santos; Sílvio Eduardo Bromberg; Paulo Gustavo Tenório do Amaral; Theodora Karnakis; Michael Chen; Cláudia Toledo de Andrade; Joacira Dantas; Daísa de Mesquita Escobosa; Auro Del Giglio Journal: Einstein (Sao Paulo) Date: 2013 Apr-Jun
Authors: Tácila Thamires de Melo Santos; Lorena Sofia Dos Santos Andrade; Milena Edite Case de Oliveira; Kedma Anne Lima Gomes; Tiago Almeida de Oliveira; Mathias Weller Journal: Asian Pac J Cancer Prev Date: 2020-02-01