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

▶

May 31, 2023 248 likes •300 views

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#

SLIDE 1

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##

SLIDE 2

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##

SLIDE 3

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#

SLIDE 4

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)#