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Article: Delayed presentation of symptomatic breast cancers in Hong Kong: Experience in a public cancer centre

TitleDelayed presentation of symptomatic breast cancers in Hong Kong: Experience in a public cancer centre
Authors
KeywordsSocioeconomic factors
Breast neoplasms
Time factors
Prognosis
Signs and symptoms
Issue Date2010
Citation
Hong Kong Medical Journal, 2010, v. 16, n. 5, p. 373-377 How to Cite?
AbstractObjective Delayed presentation is an important obstacle to improving cancer treatment outcomes. We aimed to study the magnitude of this problem in Hong Kong and the factors associated with delayed presentation of patients with symptomatic breast cancers. Design Retrospective study using self-administered questionnaires. Setting Clinical Oncology Department in a regional public hospital in Hong Kong. Patients A total of 158 Chinese women with breast cancer referred to our hospital between October 2006 and December 2007 consented to participate in this study. Among these, 59 (37%) patients were referred after having surgery in private sector. Results The mean total delay (from first symptom to treatment) was 22 weeks. The mean patient delay (from first symptom to first consultation) was 13 weeks, constituting the largest component (60%) of the total delay. After symptom onset, the delay exceeded 12 weeks for consulting a doctor in 29%, and for receipt of treatment in 52% of them. Low family income (
Persistent Identifierhttp://hdl.handle.net/10722/213940
ISSN
2015 Impact Factor: 0.887
2015 SCImago Journal Rankings: 0.279

 

DC FieldValueLanguage
dc.contributor.authorYau, T. K.-
dc.contributor.authorChoi, C. W.-
dc.contributor.authorNg, Esther-
dc.contributor.authorYeung, Rebecca-
dc.contributor.authorSoong, Inda S.-
dc.contributor.authorLee, Anne W M-
dc.date.accessioned2015-08-19T13:41:17Z-
dc.date.available2015-08-19T13:41:17Z-
dc.date.issued2010-
dc.identifier.citationHong Kong Medical Journal, 2010, v. 16, n. 5, p. 373-377-
dc.identifier.issn1024-2708-
dc.identifier.urihttp://hdl.handle.net/10722/213940-
dc.description.abstractObjective Delayed presentation is an important obstacle to improving cancer treatment outcomes. We aimed to study the magnitude of this problem in Hong Kong and the factors associated with delayed presentation of patients with symptomatic breast cancers. Design Retrospective study using self-administered questionnaires. Setting Clinical Oncology Department in a regional public hospital in Hong Kong. Patients A total of 158 Chinese women with breast cancer referred to our hospital between October 2006 and December 2007 consented to participate in this study. Among these, 59 (37%) patients were referred after having surgery in private sector. Results The mean total delay (from first symptom to treatment) was 22 weeks. The mean patient delay (from first symptom to first consultation) was 13 weeks, constituting the largest component (60%) of the total delay. After symptom onset, the delay exceeded 12 weeks for consulting a doctor in 29%, and for receipt of treatment in 52% of them. Low family income (<HK$5000 per month; P<0.001) and surgery in public hospitals (P=0.013) were both independent predictors of patient delay. Surgery in public hospitals (P=0.006) and low family income (P=0.005) were the only predictors of doctor/system delay and total delay, respectively. Conclusions Delayed presentation and treatment of symptomatic breast cancer remains an important issue in Hong Kong. Apart from socio-economic factors, limited access to public medical care was likely an important contributing factor in delays related to patients as well as to doctor/system.-
dc.languageeng-
dc.relation.ispartofHong Kong Medical Journal-
dc.rightsCreative Commons: Attribution 3.0 Hong Kong License-
dc.subjectSocioeconomic factors-
dc.subjectBreast neoplasms-
dc.subjectTime factors-
dc.subjectPrognosis-
dc.subjectSigns and symptoms-
dc.titleDelayed presentation of symptomatic breast cancers in Hong Kong: Experience in a public cancer centre-
dc.typeArticle-
dc.description.naturepublished_or_final_version-
dc.identifier.pmid20890002-
dc.identifier.scopuseid_2-s2.0-78649877725-
dc.identifier.hkuros266662-
dc.identifier.volume16-
dc.identifier.issue5-
dc.identifier.spage373-
dc.identifier.epage377-

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