E Leon-Rodriguez1, C Molina-Calzada2, M M Rivera-Franco2, A Campos-Castro2. 1. Hematology and Oncology Department, Instituto Nacional de Ciencias Medicas y Nutricion Salvador Zubiran, Vasco de Quiroga 15 Belisario Dominguez Seccion XVI, 14080, Mexico City, Mexico. eucarios@hotmail.com. 2. Hematology and Oncology Department, Instituto Nacional de Ciencias Medicas y Nutricion Salvador Zubiran, Vasco de Quiroga 15 Belisario Dominguez Seccion XVI, 14080, Mexico City, Mexico.
Abstract
PURPOSE: The objective of this study was to compare treatment intervals in breast cancer patients according to the detection method (breast self-exam vs screening). PATIENTS AND METHODS: We conducted a retrospective analysis including 291 breast cancer patients at a Mexican tertiary referral hospital. RESULTS: Breast cancer detection method was mostly breast self-exam (60%). The median patient interval was 60.5 days, and was associated with marital status and socioeconomic level. Differences between the two groups were statistically significant for global interval, p = 0.002; however, health system interval was not statistically different. CONCLUSION: In our country, breast cancer screening is opportunistic, with several weaknesses within its management and quality systems. Our study showed that even in specialized health care centers, breast cancer is detected by self-exam in up to 2/3 of patients, which can explain the advanced stages at diagnosis in our country. In developing countries, the immediate health care access for breast cancer patients should be prioritized as an initial step to reduce the global treatment initiation interval in order to reduce mortality.
PURPOSE: The objective of this study was to compare treatment intervals in breast cancerpatients according to the detection method (breast self-exam vs screening). PATIENTS AND METHODS: We conducted a retrospective analysis including 291 breast cancerpatients at a Mexican tertiary referral hospital. RESULTS:Breast cancer detection method was mostly breast self-exam (60%). The median patient interval was 60.5 days, and was associated with marital status and socioeconomic level. Differences between the two groups were statistically significant for global interval, p = 0.002; however, health system interval was not statistically different. CONCLUSION: In our country, breast cancer screening is opportunistic, with several weaknesses within its management and quality systems. Our study showed that even in specialized health care centers, breast cancer is detected by self-exam in up to 2/3 of patients, which can explain the advanced stages at diagnosis in our country. In developing countries, the immediate health care access for breast cancerpatients should be prioritized as an initial step to reduce the global treatment initiation interval in order to reduce mortality.
Entities:
Keywords:
Breast cancer; Breast self-exam; Mammogram; Mexico
Authors: A Maghous; F Rais; S Ahid; N Benhmidou; K Bellahamou; H Loughlimi; E Marnouche; S Elmajjaoui; H Elkacemi; T Kebdani; N Benjaafar Journal: BMC Cancer Date: 2016-06-07 Impact factor: 4.430
Authors: Rubén Martín-Payo; Llara Ferreras-Losilla; Xana González-Méndez; Claudia Leirós-Díaz; Andrea Martínez-Urquijo; Maria Del Mar Fernández-Álvarez Journal: Mhealth Date: 2021-01-20