The Haiti Breast Cancer Initiative : Initial Findings and Analysis of Barriers-to-Care Delaying Patient Presentation
Joint Authors
Shulman, Lawrence N.
Meara, John G.
Damuse, Ruth
Pyda, Jordan
Hamiltong-Pierre, Jean
Sharma, Ketan
Ong, Cecilia T.
Costas, Ainhoa
Source
Issue
Vol. 2013, Issue 2013 (31 Dec. 2013), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2013-06-05
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
Background.
In Haiti, breast cancer patients present at such advanced stages that even modern therapies offer modest survival benefit.
Identifying the personal, sociocultural, and economic barriers-to-care delaying patient presentation is crucial to controlling disease.
Methods.
Patients presenting to the Hôpital Bon Sauveur in Cange were prospectively accrued.
Delay was defined as 12 weeks or longer from initial sign/symptom discovery to presentation, as durations greater than this cutoff correlate with reduced survival.
A matched case-control analysis with multivariate logistic regression was used to identify factors predicting delay.
Results.
Of N=123 patients accrued, 90 (73%) reported symptom-presentation duration and formed the basis of this study: 52 patients presented within 12 weeks of symptoms, while 38 patients waited longer than 12 weeks.
On logistic regression, lower education status (OR = 5.6, P=0.03), failure to initially recognize mass as important (OR = 13.0, P<0.01), and fear of treatment cost (OR = 8.3, P=0.03) were shown to independently predict delayed patient presentation.
Conclusion.
To reduce stage at presentation, future interventions must educate patients on the recognition of initial breast cancer signs and symptoms and address cost concerns by providing care free of charge and/or advertising that existing care is already free.
American Psychological Association (APA)
Sharma, Ketan& Costas, Ainhoa& Damuse, Ruth& Hamiltong-Pierre, Jean& Pyda, Jordan& Ong, Cecilia T.…[et al.]. 2013. The Haiti Breast Cancer Initiative : Initial Findings and Analysis of Barriers-to-Care Delaying Patient Presentation. Journal of Oncology،Vol. 2013, no. 2013, pp.1-6.
https://search.emarefa.net/detail/BIM-454447
Modern Language Association (MLA)
Sharma, Ketan…[et al.]. The Haiti Breast Cancer Initiative : Initial Findings and Analysis of Barriers-to-Care Delaying Patient Presentation. Journal of Oncology No. 2013 (2013), pp.1-6.
https://search.emarefa.net/detail/BIM-454447
American Medical Association (AMA)
Sharma, Ketan& Costas, Ainhoa& Damuse, Ruth& Hamiltong-Pierre, Jean& Pyda, Jordan& Ong, Cecilia T.…[et al.]. The Haiti Breast Cancer Initiative : Initial Findings and Analysis of Barriers-to-Care Delaying Patient Presentation. Journal of Oncology. 2013. Vol. 2013, no. 2013, pp.1-6.
https://search.emarefa.net/detail/BIM-454447
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-454447