Duration of the patient interval in breast cancer and factors associated with longer delays in low‐and middle‐income countries: A systematic review with meta‐analysis.
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| Title: | Duration of the patient interval in breast cancer and factors associated with longer delays in low‐and middle‐income countries: A systematic review with meta‐analysis. |
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| Authors: | Petrova, Dafina (AUTHOR), Garrido, Dunia (AUTHOR), Špacírová, Zuzana (AUTHOR), Fernández‐Martínez, Nicolás Francisco (AUTHOR), Ivanova, Ganka (AUTHOR), Rodríguez‐Barranco, Miguel (AUTHOR), Pollán, Marina (AUTHOR), Barrios‐Rodríguez, Rocío (AUTHOR), Sánchez, Maria José (AUTHOR) |
| Source: | Psycho-Oncology. Jan2023, Vol. 32 Issue 1, p13-24. 12p. 1 Diagram, 2 Graphs. |
| Subjects: | Middle-income countries, Breast cancer, Medical personnel, Sociocultural factors, Sociodemographic factors |
| Geographic Terms: | Middle East, Eastern Europe |
| Abstract: | Objective: Breast cancer survival is lower in low‐ and middle‐income countries (LMICs) partially due to many women being diagnosed with late‐stage disease. The patient interval refers to the time elapsed between the detection of symptoms and the first consultation with a healthcare provider and is considered one of the core indicators for early diagnosis and treatment. The goal of the current research was to conduct a meta‐analysis of the duration of the patient interval in LMICs and investigate the socio‐demographic and socio‐cultural factors related to longer delays in presentation. Methods: We conducted a systematic review with meta‐analysis (pre‐registered protocol CRD42020200752). We searched seven information sources (2009–2022) and included 50 articles reporting the duration of patient intervals for 18,014 breast cancer patients residing in LMICs. Results: The longest patient intervals were reported in studies from the Middle East (3–4 months), followed by South‐East Asia (2 months), Africa (1–2 months), Latin America (1 month), and Eastern Europe (1 month). Older age, not being married, lower socio‐economic status, illiteracy, low knowledge about cancer, disregarding symptoms or not attributing them to cancer, fear, negative beliefs about cancer, and low social support were related to longer delays across most regions. Longer delays were also related to use of alternative medicine in the Middle East, South‐East Asia, and Africa and distrust in the healthcare system in Eastern Europe. Conclusions: There is large variation in the duration of patient intervals across LMICs in different geographical regions. Patient intervals should be reduced and, for this purpose, it is important to explore their determinants taking into account the social, cultural, and economic context. [ABSTRACT FROM AUTHOR] |
| Copyright of Psycho-Oncology is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Psychology and Behavioral Sciences Collection |
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| Header | DbId: pbh DbLabel: Psychology and Behavioral Sciences Collection An: 161282495 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: Duration of the patient interval in breast cancer and factors associated with longer delays in low‐and middle‐income countries: A systematic review with meta‐analysis. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Petrova%2C+Dafina%22">Petrova, Dafina</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Garrido%2C+Dunia%22">Garrido, Dunia</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Špacírová%2C+Zuzana%22">Špacírová, Zuzana</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Fernández‐Martínez%2C+Nicolás+Francisco%22">Fernández‐Martínez, Nicolás Francisco</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Ivanova%2C+Ganka%22">Ivanova, Ganka</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Rodríguez‐Barranco%2C+Miguel%22">Rodríguez‐Barranco, Miguel</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Pollán%2C+Marina%22">Pollán, Marina</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Barrios‐Rodríguez%2C+Rocío%22">Barrios‐Rodríguez, Rocío</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Sánchez%2C+Maria+José%22">Sánchez, Maria José</searchLink> (AUTHOR) – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Psycho-Oncology%22">Psycho-Oncology</searchLink>. Jan2023, Vol. 32 Issue 1, p13-24. 12p. 1 Diagram, 2 Graphs. – Name: Subject Label: Subjects Group: Su Data: <searchLink fieldCode="DE" term="%22Middle-income+countries%22">Middle-income countries</searchLink><br /><searchLink fieldCode="DE" term="%22Breast+cancer%22">Breast cancer</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+personnel%22">Medical personnel</searchLink><br /><searchLink fieldCode="DE" term="%22Sociocultural+factors%22">Sociocultural factors</searchLink><br /><searchLink fieldCode="DE" term="%22Sociodemographic+factors%22">Sociodemographic factors</searchLink> – Name: SubjectGeographic Label: Geographic Terms Group: Su Data: <searchLink fieldCode="DE" term="%22Middle+East%22">Middle East</searchLink><br /><searchLink fieldCode="DE" term="%22Eastern+Europe%22">Eastern Europe</searchLink> – Name: Abstract Label: Abstract Group: Ab Data: Objective: Breast cancer survival is lower in low‐ and middle‐income countries (LMICs) partially due to many women being diagnosed with late‐stage disease. The patient interval refers to the time elapsed between the detection of symptoms and the first consultation with a healthcare provider and is considered one of the core indicators for early diagnosis and treatment. The goal of the current research was to conduct a meta‐analysis of the duration of the patient interval in LMICs and investigate the socio‐demographic and socio‐cultural factors related to longer delays in presentation. Methods: We conducted a systematic review with meta‐analysis (pre‐registered protocol CRD42020200752). We searched seven information sources (2009–2022) and included 50 articles reporting the duration of patient intervals for 18,014 breast cancer patients residing in LMICs. Results: The longest patient intervals were reported in studies from the Middle East (3–4 months), followed by South‐East Asia (2 months), Africa (1–2 months), Latin America (1 month), and Eastern Europe (1 month). Older age, not being married, lower socio‐economic status, illiteracy, low knowledge about cancer, disregarding symptoms or not attributing them to cancer, fear, negative beliefs about cancer, and low social support were related to longer delays across most regions. Longer delays were also related to use of alternative medicine in the Middle East, South‐East Asia, and Africa and distrust in the healthcare system in Eastern Europe. Conclusions: There is large variation in the duration of patient intervals across LMICs in different geographical regions. Patient intervals should be reduced and, for this purpose, it is important to explore their determinants taking into account the social, cultural, and economic context. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Psycho-Oncology is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
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| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1002/pon.6064 Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 12 StartPage: 13 Subjects: – SubjectFull: Middle-income countries Type: general – SubjectFull: Breast cancer Type: general – SubjectFull: Medical personnel Type: general – SubjectFull: Sociocultural factors Type: general – SubjectFull: Sociodemographic factors Type: general – SubjectFull: Middle East Type: general – SubjectFull: Eastern Europe Type: general Titles: – TitleFull: Duration of the patient interval in breast cancer and factors associated with longer delays in low‐and middle‐income countries: A systematic review with meta‐analysis. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Petrova, Dafina – PersonEntity: Name: NameFull: Garrido, Dunia – PersonEntity: Name: NameFull: Špacírová, Zuzana – PersonEntity: Name: NameFull: Fernández‐Martínez, Nicolás Francisco – PersonEntity: Name: NameFull: Ivanova, Ganka – PersonEntity: Name: NameFull: Rodríguez‐Barranco, Miguel – PersonEntity: Name: NameFull: Pollán, Marina – PersonEntity: Name: NameFull: Barrios‐Rodríguez, Rocío – PersonEntity: Name: NameFull: Sánchez, Maria José IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 01 Text: Jan2023 Type: published Y: 2023 Identifiers: – Type: issn-print Value: 10579249 Numbering: – Type: volume Value: 32 – Type: issue Value: 1 Titles: – TitleFull: Psycho-Oncology Type: main |
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