Breast cancer time to treatment in Martinique: predictive factors and effect on survival.
Public Health
; 225: 147-150, 2023 Dec.
Article
in En
| MEDLINE
| ID: mdl-37925839
ABSTRACT
BACKGROUND:
Martinique is the second French Region with the lowest physician-to-population ratio, which may affect waiting times for access to care.OBJECTIVES:
To assess (i) factors influencing waiting times from diagnosis to cancer-related treatments in breast cancer women in Martinique, and (ii) the impact of waiting times on patients' survival. STUDYDESIGN:
Retrospective observational study.METHODS:
Data on women diagnosed with invasive breast cancer between 1st January 2013 and 31st December 2017 and initially treated by surgery were extracted from the Martinique population-based registry. A cox model was performed to find predictive factors for waiting times. A log-rank test was used to compare time-to-treatment between groups.RESULTS:
In total, 713 patients were included (mean age 58 ± 13). Median time from diagnosis to surgery was 40 [25-60] days. Age at diagnosis was found to predict variations in waiting times. Patients > 75 had longer waiting time to surgery than those < 40 or [40-50] (P = 0.016 and P < 0.001, respectively). Women with a time-to-treatment ≥ 4 months had a significant lower survival (P < 0.01).CONCLUSIONS:
Specific interventions are needed to improve waiting time from diagnosis to initial treatment, as they are longer than recommended and affect survival time.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Breast Neoplasms
Limits:
Aged
/
Female
/
Humans
/
Middle aged
Country/Region as subject:
Caribe
/
Martinica
Language:
En
Journal:
Public Health
Year:
2023
Document type:
Article