NORTH)PAKISTAN )) An#observational#study#conducted#at#Nuclear# - PowerPoint PPT Presentation

DETERMINANT)FACTORS)FOR)PRESENTATION) DELAY)IN)BREAST)CANCER)PATIENTS)IN) NORTH)PAKISTAN )) An#observational#study#conducted#at#Nuclear# • Medicine,#Oncology#and#Radiotherapy#Institute# (NORI)#Islamabad,#PAKISTAN# Study#duration:#March#2010##to#September#2011# • Presenting#and#First#Author# Dr.#Muhammaad#Aleem#Khan##

Purpose(( To#determine# ! #the#percentage#of#breast#cancer#patients# with#delayed#presentation,# ! the#reasons#of#delay#and## ! the#association#between#socio7demographic# variables#with#the#delayed#presentation# n=#315## Socio7demographic#data#Age#at#diagnosis;#family#history;# Education,#Marital,#economic#and#menopausal#status# Presentation#Delay#>#than#4#weeks#from#appearance#of#symptoms# to#the#consultation#from#expert#physician##

Questionnaire(( 1. Thought#it#was#not#a#big#problem#and#time#wasted#at# traditional#healers#and#quacks## 2. Painless#lump;#thought#it#was#not#dangerous.## 3. Thought#the#treatment#was#expensive#and#not#having# enough# resources## 4. Felt#shyness#to#show#breasts#to#male#doctors#with#no# access#to#female#doctors.## 5. Others # Chi7square#test#for#association#between#socio7demographic# variables#and#delayed#presentation.# #Logistic#regression#analysis#to#estimate#adjusted#odds#ratios#(OR)# and#confidence#intervals#(CI)#of#different#socio7demographic#variable# and#their#influence#on#delayed#presentation#

Results( ! 228#(72.4#%)#of#patients#presented#late.# ! #Out#of#228#(100%),#42.1#%#thought#the#lump#was#not# dangerous#enough#to#consult#the#doctor#as#it#was# painless,#25#%#wasted#time#at#traditional#healers#and# quacks,#18.5%#felt#shyness#to#show#breasts#to#male# doctors#with#no#access#to#female#doctors#in#their# surroundings,#10.5#%#thought#the#treatment#was# expensive#and#they#were#not#having#enough#resources# and#3.9%#presented#late#due#to#other#reasons#like#they# were#pregnant#or#lactating#at#that#time .# Family#history,#Economic,#education,#and#menopausal#status#had#significant# association#with#the#delayed#presentations#( P"<"0.05)."" Women"who" belonged#to#low7middle#economic#status,#had#a#negative#family# history,#were#postmenopausal#and#who#had#less#than#8#school#years#of#education# were#more#likely#to#experience#a#presentation#delay#(OR#of#15.95,#5.7,#2.9,#2.1#and# 95%#CI#was#6.5739.3,#2.9711.2,#1.476.1,#1.174.2#respectively)#