E S Otieno1, J N Micheni, S K Kimende, K K Mutai. 1. Department of Medical Physiology, College of Health Sciences, University of Nairobi, P.O. Box 5510-00100, Nairobi, Kenya.
Abstract
OBJECTIVE: To determine the extent and nature of delayed presentation of patients treated for breast cancer at Kenyatta National Hospital (KNH). DESIGN: Prospective cross sectional study. SETTING: Kenyatta National Hospital (KNH) which is a tertiary, teaching and referral hospital in Nairobi, Kenya. RESULTS: A total of 166 patients were recruited into the study. The mean age was 47 years with a range between 17 and 88 years. Females constituted 98.8%, had an average of 4.5 children per subject with a median of 4 and a range of 0-11. A lump as the first noticed symptom present in 87.3% and 52.1% were pre-menopausal. Only 11 (6.62%) patients presented within 30 days of discovering their breast symptom, 34 (20.4%) presented between thirty and ninety days and the remaining 115 (73.1%) presented three months after noticing their symptom. Three reasons accounted for 67.5% of the delay. Thirty three (19.9%) kept away fearing that they would be told they had cancer while 39 (23.5%) presented late because their breast symptom was painless. Another 40 (24.1%) said they had earlier visited medical personnel who had reassured them that their symptoms were benign. CONCLUSION: Majority of patients treated for advanced breast disease presented to the healthcare providers at KNH more than three months after noticing their breast symptom and a sizeable number of patients were being reassured falsely that they have benign disease without the benefit of biopsy.
OBJECTIVE: To determine the extent and nature of delayed presentation of patients treated for breast cancer at Kenyatta National Hospital (KNH). DESIGN: Prospective cross sectional study. SETTING: Kenyatta National Hospital (KNH) which is a tertiary, teaching and referral hospital in Nairobi, Kenya. RESULTS: A total of 166 patients were recruited into the study. The mean age was 47 years with a range between 17 and 88 years. Females constituted 98.8%, had an average of 4.5 children per subject with a median of 4 and a range of 0-11. A lump as the first noticed symptom present in 87.3% and 52.1% were pre-menopausal. Only 11 (6.62%) patients presented within 30 days of discovering their breast symptom, 34 (20.4%) presented between thirty and ninety days and the remaining 115 (73.1%) presented three months after noticing their symptom. Three reasons accounted for 67.5% of the delay. Thirty three (19.9%) kept away fearing that they would be told they had cancer while 39 (23.5%) presented late because their breast symptom was painless. Another 40 (24.1%) said they had earlier visited medical personnel who had reassured them that their symptoms were benign. CONCLUSION: Majority of patients treated for advanced breast disease presented to the healthcare providers at KNH more than three months after noticing their breast symptom and a sizeable number of patients were being reassured falsely that they have benign disease without the benefit of biopsy.
Authors: Lydia E Pace; Tharcisse Mpunga; Vedaste Hategekimana; Jean-Marie Vianney Dusengimana; Hamissy Habineza; Jean Bosco Bigirimana; Cadet Mutumbira; Egide Mpanumusingo; Jean Paul Ngiruwera; Neo Tapela; Cheryl Amoroso; Lawrence N Shulman; Nancy L Keating Journal: Oncologist Date: 2015-06-01