INTRODUCTION: The prognosis for a woman with breast cancer is related to the time that elapses before diagnosis and integral treatment. Colombian women face barriers that determine effective access to the health system. OBJECTIVE: To establish the determinants of timely treatment for breast cancer in a group of women supported by a non-governmental organization in Bogotá. MATERIALS AND METHODS: An observational analytical study was carried out on 136 women with breast cancer supported by the non-governmental organization. The cut-off point for timely treatment was defined as 90 days, calculated as the time between the appearance of symptoms and the initiation of treatment. Predictors of timely treatment were explored by means of multivariate analysis. RESULTS: Although 96% of the women had health insurance only 26.4% received timely treatment, and 36 of them reported being denied medical services. Of these women, 23% took legal action to gain access to their healthcare rights. Significant associations were established by multivariate analysis for timely treatment among women belonging to socioeconomic strata IV and V (OR=3.39), as well as those with higher education (OR=2.72). CONCLUSIONS: According to the international literature, the prognosis for women with breast cancer improves when they are able to access opportune treatment. In this group of women socioeconomic factors appeared to determine effective access to treatment, revealing the existence of inequalities that may be socially determined.
INTRODUCTION: The prognosis for a woman with breast cancer is related to the time that elapses before diagnosis and integral treatment. Colombian women face barriers that determine effective access to the health system. OBJECTIVE: To establish the determinants of timely treatment for breast cancer in a group of women supported by a non-governmental organization in Bogotá. MATERIALS AND METHODS: An observational analytical study was carried out on 136 women with breast cancer supported by the non-governmental organization. The cut-off point for timely treatment was defined as 90 days, calculated as the time between the appearance of symptoms and the initiation of treatment. Predictors of timely treatment were explored by means of multivariate analysis. RESULTS: Although 96% of the women had health insurance only 26.4% received timely treatment, and 36 of them reported being denied medical services. Of these women, 23% took legal action to gain access to their healthcare rights. Significant associations were established by multivariate analysis for timely treatment among women belonging to socioeconomic strata IV and V (OR=3.39), as well as those with higher education (OR=2.72). CONCLUSIONS: According to the international literature, the prognosis for women with breast cancer improves when they are able to access opportune treatment. In this group of women socioeconomic factors appeared to determine effective access to treatment, revealing the existence of inequalities that may be socially determined.
Authors: Lauren E Schleimer; Jean-Marie Vianney Dusengimana; John Butonzi; Catherine Kigonya; Abirami Natarajan; Aline Umwizerwa; Daniel S O'Neil; Ainhoa Costas-Chavarri; Jean-Paul Majyambere; Lawrence N Shulman; Nancy L Keating; Cyprien Shyirambere; Tharcisse Mpunga; Lydia E Pace Journal: Surgery Date: 2019-08-27 Impact factor: 3.982