Factors affecting breast cancer treatment delay in Turkey: a study from Turkish Federation of Breast Diseases Societies
dc.contributor.author | Ozmen, Vahit | |
dc.contributor.author | Boylu, Sukru | |
dc.contributor.author | Ok, Engin | |
dc.contributor.author | Canturk, Nuh Zafer | |
dc.contributor.author | Celik, Varol | |
dc.contributor.author | Kapkac, Murat | |
dc.contributor.author | Girgin, Sadullah | |
dc.contributor.author | Tireli, Mustafa | |
dc.contributor.author | Ihtiyar, Enver | |
dc.contributor.author | Demircan, Orhan | |
dc.contributor.author | Baskan, Mazhar Semih | |
dc.contributor.author | Koyuncu, Ayhan | |
dc.contributor.author | Tasdelen, Ismet | |
dc.contributor.author | Dumanli, Esra | |
dc.contributor.author | Ozdener, Fatih | |
dc.contributor.author | Zaborek, Piotr | |
dc.date.accessioned | 2019-07-27T12:10:23Z | |
dc.date.accessioned | 2019-07-28T09:56:19Z | |
dc.date.available | 2019-07-27T12:10:23Z | |
dc.date.available | 2019-07-28T09:56:19Z | |
dc.date.issued | 2015 | |
dc.identifier.issn | 1101-1262 | |
dc.identifier.issn | 1464-360X | |
dc.identifier.uri | https://dx.doi.org/10.1093/eurpub/cku086 | |
dc.identifier.uri | https://hdl.handle.net/20.500.12418/7952 | |
dc.description | WOS: 000352013300004 | en_US |
dc.description | PubMed ID: 25096257 | en_US |
dc.description.abstract | Background: One of the most important factors in breast cancer (BC) mortality is treatment delay. The primary goal of this survey was to identify factors affecting the total delay time (TDT) in Turkish BC patients. Methods: A total of 1031 patients with BC were surveyed using a uniform questionnaire. The time between discovering the first symptom and signing up for the first medical visit (patient delay time; PDT) and the time between the first medical visit and the start of therapy (system delay time; SDT) were modelled separately with multilevel regression. Results: The mean PDT, SDT and TDT were 4.8, 10.5 and 13.8 weeks, respectively. In all, 42% of the patients had a TDT >12 weeks. Longer PDT was significantly correlated with disregarding symptoms and having age of between 30 and 39 years. Shorter PDT was characteristic of patients who: had stronger self-examination habits, received more support from family and friends and had at least secondary education. Predictors of longer SDT included disregard of symptoms, distrust in success of therapy and medical system and having PDT in excess of 4 weeks. Shorter SDT was linked to the age of >60 years. Patients who were diagnosed during a periodic check-up or opportunistic mammography displayed shorter SDT compared with those who had symptomatic BC and their first medical examination was by a surgeon. Conclusion: TDT in Turkey is long and remains a major problem. Delays can be reduced by increasing BC awareness, implementing organized population-based screening programmes and founding cancer centres. | en_US |
dc.description.sponsorship | Roche Mustahzarlari San. A.S., Istanbul, Turkey | en_US |
dc.description.sponsorship | This study was supported by a grant from Roche Mustahzarlari San. A.S., Istanbul, Turkey. | en_US |
dc.language.iso | eng | en_US |
dc.publisher | OXFORD UNIV PRESS | en_US |
dc.relation.isversionof | 10.1093/eurpub/cku086 | en_US |
dc.rights | info:eu-repo/semantics/openAccess | en_US |
dc.title | Factors affecting breast cancer treatment delay in Turkey: a study from Turkish Federation of Breast Diseases Societies | en_US |
dc.type | article | en_US |
dc.relation.journal | EUROPEAN JOURNAL OF PUBLIC HEALTH | en_US |
dc.contributor.department | [Ozmen, Vahit] Istanbul Univ, Istanbul Fac Med, Dept Gen Surg, TR-34390 Istanbul, Turkey -- [Boylu, Sukru] Adnan Menderes Univ, Fac Med, Dept Gen Surg, Aydin, Turkey -- [Ok, Engin] Erciyes Univ, Fac Med, Dept Gen Surg, Kayseri, Turkey -- [Canturk, Nuh Zafer] Kocaeli Univ, Fac Med, Dept Gen Surg, Kocaeli, Turkey -- [Celik, Varol] Istanbul Univ, Cerrahpasa Med Fac, Dept Gen Surg, TR-34390 Istanbul, Turkey -- [Kapkac, Murat] Ege Univ, Fac Med, Dept Gen Surg, Izmir, Turkey -- [Girgin, Sadullah] Dicle Univ, Fac Med, Dept Gen Surg, Diyarbakir, Turkey -- [Tireli, Mustafa] Celal Bayar Univ, Fac Med, Dept Gen Surg, Manisa, Turkey -- [Ihtiyar, Enver] Osmangazi Univ, Fac Med, Dept Gen Surg, Eskisehir, Turkey -- [Demircan, Orhan] Acibadem Univ, Fac Med, Dept Gen Surg, Adana, Turkey -- [Baskan, Mazhar Semih] Ankara Univ, Fac Med, Dept Gen Surg, TR-06100 Ankara, Turkey -- [Koyuncu, Ayhan] Cumhuriyet Univ, Fac Med, Dept Gen Surg, Sivas, Turkey -- [Tasdelen, Ismet] Uludag Univ, Fac Med, Dept Med Oncol, Bursa, Turkey -- [Dumanli, Esra -- Ozdener, Fatih] Roche Mustahzarlari San AS, Dept Med, Istanbul, Turkey -- [Zaborek, Piotr] Warsaw Sch Econ, Coll World Econ, Warsaw, Poland | en_US |
dc.identifier.volume | 25 | en_US |
dc.identifier.issue | 1 | en_US |
dc.identifier.endpage | 14 | en_US |
dc.identifier.startpage | 9 | en_US |
dc.relation.publicationcategory | Makale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı | en_US |
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