Experiences of women with advanced cervical cancer before starting the treatment: Systematic review of qualitative studies.
Int J Gynaecol Obstet
; 161(1): 8-16, 2023 Apr.
Article
en En
| MEDLINE
| ID: mdl-36183310
ABSTRACT
BACKGROUND:
Advanced stage and high mortality are characteristics of cervical cancer in developing countries. Comprehension of the diagnosis itinerary is one of the main strategies to control the disease impact.OBJECTIVES:
To identify reasons for the delay in diagnosing symptomatic cervical cancer according to the patient's perspectives reported in qualitative studies. We searched four databases (PubMed, Embase, CINAHL, and Web of Science). SELECTION CRITERIA We included qualitative studies of women with advanced cervical cancer that explored their experiences before treatment. We excluded unoriginal, non-qualitative, and duplicated studies. DATA COLLECTION ANDANALYSIS:
We selected 39 articles for a full-text reading and included 15 in the present review. We chose the Consolidated Criteria for Reporting Qualitative Research (COREQ) for quality assessment and The Model of Pathways to Treatment to guide the codifying process. MAINRESULTS:
Four main themes emerged from thesynthesis:
(1) Health-seeking motivators; (2) Obstacles to seeking medical care; (3) Diagnosis delay; and (4) Coping with the disease. These themes were derived from patients' personal knowledge and beliefs, social relationships, socioeconomic status, and healthcare system characteristics.CONCLUSIONS:
Individual behavior, social factors, and healthcare organization contribute to the delay in diagnosing advanced cervical cancer.Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Adaptación Psicológica
/
Aceptación de la Atención de Salud
/
Neoplasias del Cuello Uterino
/
Investigación Cualitativa
/
Diagnóstico Tardío
/
Accesibilidad a los Servicios de Salud
Tipo de estudio:
Prognostic_studies
/
Qualitative_research
/
Systematic_reviews
Límite:
Female
/
Humans
Idioma:
En
Revista:
Int J Gynaecol Obstet
Año:
2023
Tipo del documento:
Article
País de afiliación:
Brasil