Effect of care-delivery delay on the survival of Mexican women with breast cancer.
Salud Publica Mex
; 58(2): 237-50, 2016 Apr.
Article
in En
| MEDLINE
| ID: mdl-27557382
ABSTRACT
OBJECTIVE:
To estimate the effect of care-delivery delays on survival among women with breast cancer. MATERIALS ANDMETHODS:
A retrospective analysis of 854 women attending 11 hospitals from 2007-2009 was carried out. Kaplan-Meier estimators and a Cox proportional-risk model were employed.RESULTS:
A total of 10.5% of cases were diagnosed in stage I. 82% of sampled women delayed care for more than 67 days between noticing a symptom and initiating treatment. The median time from receipt of results of the mammography to biopsy was 31 days (IQR 14-56). Compared with those who were in quartile I (Q1), survival was lower among those in Q3 and Q4 (HR=1.68, 95%CI 0.94-3.00; HR=1.76, 95% CI 1.04-2.98, respectively).CONCLUSIONS:
To increase survival, it is suggested that the time between receipt of the mammography results and diagnostic biopsy be reduced.
Full text:
1
Database:
MEDLINE
Main subject:
Breast Neoplasms
/
Delivery of Health Care
/
Time-to-Treatment
Type of study:
Diagnostic_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limits:
Adult
/
Aged
/
Female
/
Humans
/
Middle aged
Country/Region as subject:
Mexico
Language:
En
Journal:
Salud Publica Mex
Year:
2016
Type:
Article