OBJECTIVE: To estimate the effect of care-delivery delays on survival among women with breast cancer. MATERIALS AND METHODS: A retrospective analysis of 854 women attending 11 hospitals from 2007-2009 was carried out. Kaplan-Meier estimators and a Cox proportional-risk model were employed. RESULTS: A total of 10.5% of cases were diagnosed in stage I. 82% of sampled women delayed care for more than 67 days between noticing a symptom and initiating treatment. The median time from receipt of results of the mammography to biopsy was 31 days (IQR 14-56). Compared with those who were in quartile I (Q1), survival was lower among those in Q3 and Q4 (HR=1.68, 95%CI 0.94-3.00; HR=1.76, 95% CI 1.04-2.98, respectively). CONCLUSIONS: To increase survival, it is suggested that the time between receipt of the mammography results and diagnostic biopsy be reduced.
OBJECTIVE: To estimate the effect of care-delivery delays on survival among women with breast cancer. MATERIALS AND METHODS: A retrospective analysis of 854 women attending 11 hospitals from 2007-2009 was carried out. Kaplan-Meier estimators and a Cox proportional-risk model were employed. RESULTS: A total of 10.5% of cases were diagnosed in stage I. 82% of sampled women delayed care for more than 67 days between noticing a symptom and initiating treatment. The median time from receipt of results of the mammography to biopsy was 31 days (IQR 14-56). Compared with those who were in quartile I (Q1), survival was lower among those in Q3 and Q4 (HR=1.68, 95%CI 0.94-3.00; HR=1.76, 95% CI 1.04-2.98, respectively). CONCLUSIONS: To increase survival, it is suggested that the time between receipt of the mammography results and diagnostic biopsy be reduced.
Authors: Antonieta Medina-Lara; Bogdan Grigore; Ruth Lewis; Jaime Peters; Sarah Price; Paolo Landa; Sophie Robinson; Richard Neal; William Hamilton; Anne E Spencer Journal: Health Technol Assess Date: 2020-11 Impact factor: 4.014
Authors: Adriana Pérez-Fortis; Joke Fleer; Juan José Sánchez-Sosa; María Guadalupe Veloz-Martínez; Patricia Alanís-López; Maya J Schroevers; Adelita V Ranchor Journal: Support Care Cancer Date: 2017-05-17 Impact factor: 3.603
Authors: Naidhia Alves Soares Ferreira; Jean Henri Maselli Schoueri; Isabel Cristina Esposito Sorpreso; Fernando Adami; Francisco Winter Dos Santos Figueiredo Journal: Int J Environ Res Public Health Date: 2020-06-05 Impact factor: 3.390
Authors: Majid Taheri; Mohammad Tavakol; Mohammad Esmaeil Akbari; Amir Almasi-Hashiani; Mahmoud Abbasi Journal: Iran J Public Health Date: 2019-08 Impact factor: 1.429