Patterns of seeking medical care among Egyptian breast cancer patients: Relationship to late-stage presentation

Shimaa M. Mousa, Ibrahim A. Seifeldin, Ahmed Hablas, Eman S. Elbana, Amr S. Soliman

Research output: Contribution to journalArticle

21 Scopus citations

Abstract

Breast cancer is the most common cancer among Egyptian women, accounting for 37.6% of female tumors, and is often diagnosed at later stages. The objective of this study was to investigate breast cancer patient navigation through the health care system in the Nile Delta. Interviews were conducted with 163 newly diagnosed breast cancer patients at the Tanta Cancer Center (TCC), the major cancer center of the region. Patients described their medical care pathway from the initial symptom experienced until their arrival at TCC. Patients whose initial contact was with a general surgeon (OR: 7.6, 95% CI: 2.1, 27.6), primary care provider (OR: 12.2, 95% CI: 2.9, 51.0), or gynecologist (OR: 8.6, 95% CI: 1.4, 53.4) were significantly more likely to experience a delay in reaching the TCC as compared to those visiting a surgical oncologist. Overcoming health care system and patient navigation barriers in developing countries may reduce the time for breast cancer patients to reach a cancer center for early management.

Original languageEnglish (US)
Pages (from-to)555-561
Number of pages7
JournalBreast
Volume20
Issue number6
DOIs
StatePublished - Dec 2011

Keywords

  • Breast cancer
  • Developing countries
  • Egypt
  • Medical care
  • Patient navigation
  • Referral

ASJC Scopus subject areas

  • Surgery

Fingerprint Dive into the research topics of 'Patterns of seeking medical care among Egyptian breast cancer patients: Relationship to late-stage presentation'. Together they form a unique fingerprint.

  • Cite this