Factors Associated with Delay in Treatment of Cancer

Authors

  • Charan Amogh Raj KR Mandya institute of medical sciences, Mandya, India
  • Manikanta KV Mandya institute of medical sciences, Mandya, India
  • Sudhir Mandya institute of medical sciences, Mandya, India
  • Harish BR Mandya institute of medical sciences, Mandya, India

DOI:

https://doi.org/10.55489/njcm.13082022121

Keywords:

Cancer, Delay, Neglect, Aware, Treatment

Abstract

Introduction: This is a cross sectional study conducted on cancer patients who presented at the peripheral cancer center, Mandya Institute of Medical Sciences, Mandya with an objective to find out the possible factors influencing the delay in treatment of cancer.

Method: Each day the patients coming for radiotherapy treatment were selected, based on the inclusion criteria for the study and an informed consent was taken before collecting the data. Data was collected by questionnaire method and was entered in an excel sheet and analyzed.

Result: The result revealed that 65% of the patients belonged to the age group 50-69 and that the delay in treatment significantly increased with increase in age, 80% of the patients were not aware and their median delay was about 60 days, 59% of the patients neglected the symptoms and their median delay was about 60 days, and 5 percent of them took self-treatment and their median delay was 60 days.

Conclusion: This study, revealed that 4 important factors, all of which belonged to the patient, were responsible for the significant delay in the treatment. The 4 factors were age of the patient, awareness about the symptom, neglecting the symptom and history of self-treatment.

References

GBD 2015 Mortality and causes of death collaborators. Global, regional and national life expectancy, all-cause mortality and cause specific mortality for 249 causes of death, 1980-2015: a systemic analysis for the global burden of disease study 2015. The Lancet. 2016;7; 388:1459-1544.

Neal, R.D. (2009) Do diagnostic delays in cancer matter? British Journal of Cancer, 101, 9-12. Doi: https://doi.org/10.1038/sj.bjc.6605384 PMid:19956171 PMCid:PMC2790696

Vinay Kumar, Abul K Abbas, Jon C Aster. Neoplasia. Robbins and Cotran: Pathologic basis of disease. 2015; 1: 265.

Neal, R.D. (2009) Do diagnostic delays in cancer matter? British Journal of Cancer, 101, 9-12. Doi: https://doi.org/10.1038/sj.bjc.6605384 PMid:19956171 PMCid:PMC2790696 DOI: https://doi.org/10.1038/sj.bjc.6605384

Dinshaw KA, Shastri SS, Patil SS. Cancer control program in India: challenges for the new millennium. Health administrator. 2010;14: 10-13.

Imran Ali, Waseem A, Wani and KishwarSaleem. Cancer therapy. 2011;8: 56-70.

Rohini K. Bhatia, Sarah Rayne, William Rate, Lame Bakwenabatsile, BaratiMonare, ChidinmaAnakwenze. et al. Patient Factors Asso-ciated with Delays in Obtaining Cancer Care in Botswana. Journal of Global Oncology. 2018;4. doi: https://doi.org/10.1200/JGO.18.00088 PMid:30199305 PMCid:PMC6223504 DOI: https://doi.org/10.1200/JGO.18.00088

Battista RN. Early detection of cancer: an overview. Annual review of public health. 1988; 9:21-45. Doi: https://doi.org/10.1146/annurev.pu.09.050188.000321 PMid:3288232 DOI: https://doi.org/10.1146/annurev.pu.09.050188.000321

I. Majeed, A. Rana, M. Rafique, A. Waheed Anwar, F. Mahmood. Time delay barriers in diagnosis and treatment of cancer. WCRJ 2018; 5 (3): e118.

Syed E Mahmood. Prasad's Socioeconomic Scale Updated For 2019. National Journal of Community Medicine. 2019; 10:388.

Mara JIDVEIAN POPESCU. Factors Influencing Delayed Diagnosis in Oncology. Maedica(Bucur). 2020 Jun; 15(2): 191-195. doi: 10.26574/maedica.2020.15.2.191

Hansen, R.P., Olesen, F., Sørensen, H.T. et al. Socioeconomic patient characteristics predict delay in cancer diagnosis: a Danish cohort study. BMC Health Serv Res8, 49 (2008). Doi: https://doi.org/10.1186/1472-6963-8-49 PMid:18307790 PMCid:PMC2311301 DOI: https://doi.org/10.1186/1472-6963-8-49

Alok Kumar Dwivedi, SadaNandDwivedi, SuryanarayanaDeo, Rakesh Shukla, Arvind Pandey, Durgesh Kumar Dwivedi. An epidemio-logical study on delay in treatment initiation of cancer patients [serial online]. 2011;4(2):66-79. Doi: https://doi.org/10.4236/health.2012.42012 DOI: https://doi.org/10.4236/health.2012.42012

Macdonald, S., Macleod, U., Campbell, N. et al. Systematic review of factors influencing patient and practitioner delay in diagnosis of upper gastrointestinal cancer. Br J Cancer 94,1272-1280 (2006). Doi: https://doi.org/10.1038/sj.bjc.6603089 PMid:16622459 PMCid:PMC2361411 DOI: https://doi.org/10.1038/sj.bjc.6603089

Almuammar, A., Dryden, C. and Burr, J.A. (2010) Factors associated with late presentation of cancer: A limited literature review. Journal of Radiotherapy in Practice, 9, 117-123. doi: https://doi.org/10.1017/S146039690999029X DOI: https://doi.org/10.1017/S146039690999029X

Downloads

Published

2022-08-31

How to Cite

1.
KR CAR, KV M, Sudhir, BR H. Factors Associated with Delay in Treatment of Cancer. Natl J Community Med [Internet]. 2022 Aug. 31 [cited 2022 Sep. 30];13(08):547-52. Available from: https://www.njcmindia.com/index.php/file/article/view/121

Issue

Section

Original Research Articles