دورية أكاديمية
أعرض في EDS

Barriers to Cancer Care in Northern Tanzania: Patient and Health-System Predictors for Delayed Presentation.

التفاصيل البيبلوغرافية
العنوان: Barriers to Cancer Care in Northern Tanzania: Patient and Health-System Predictors for Delayed Presentation.
المؤلفون: Rick TJ; Department of Physician Assistant Studies, Saint Catherine's University, St Paul, MN.; Department of Radiotherapy, Erasmus MC, Rotterdam, the Netherlands., Aagard M; Walden University, Minneapolis, MN., Erwin E; BORN Ontario, Ottawa, Ontario, Canada., Leintz C; Department of Physician Assistant Studies, Saint Catherine's University, St Paul, MN., Danik E; Kilimanjaro Christian Medical Center, Cancer Care Center, Moshi, Tanzania., Serventi F; Kilimanjaro Christian Medical Center, Cancer Care Center, Moshi, Tanzania., Henke O; Kilimanjaro Christian Medical Center, Cancer Care Center, Moshi, Tanzania.; Section Global Health, University Hospital Bonn, Bonn, Germany., Yeates K; Department of Medicine, Queen's University, Kingston, Ontario, Canada.
المصدر: JCO global oncology [JCO Glob Oncol] 2021 Sep; Vol. 7, pp. 1500-1508.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: American Society of Clinical Oncology Country of Publication: United States NLM ID: 101760170 Publication Model: Print Cited Medium: Internet ISSN: 2687-8941 (Electronic) Linking ISSN: 26878941 NLM ISO Abbreviation: JCO Glob Oncol Subsets: MEDLINE
أسماء مطبوعة: Original Publication: Alexandria, VA : American Society of Clinical Oncology, [2020]-
مواضيع طبية MeSH: Health Personnel* , Neoplasms*/epidemiology , Neoplasms*/therapy, Ambulatory Care Facilities ; Humans ; Medical Assistance ; Surveys and Questionnaires ; Tanzania/epidemiology
مستخلص: Purpose: Cancer is a growing problem in Africa, and delays in receiving timely cancer care often results in poorer outcomes. The purpose of this study was to identify the patient and health-system factors associated with delayed cancer care in adults living in the Northern Zone of Tanzania.
Patients and Methods: Between July 2018 and July 2019, we surveyed adult patients presenting to an oncology clinic in Northern Tanzania. Delayed presentation was defined as 12 weeks or longer from initial symptoms to presentation for cancer care. Multivariate logistic regression and adjusted relative risk (aRR) were used to identify factors predicting delayed presentation.
Results: Among 244 adult patients with cancer who completed the survey, 78% (n = 191) had delayed presentation. Patient-related factors associated with delayed presentation included lower educational attainment ( P = .03), increased travel time ( P = .05), lack of cancer knowledge ( P < .05), and fear of cancer and cancer treatments ( P < .05) on multivariate analysis. On analysis of aRR, patients without private car and those with health insurance had higher risk of delayed presentation (aRR: 1.27; 95% CI, 1.02 to 1.32 and aRR: 1.15; 95% CI, 1.01 to 1.32). There was a strong association with increased number of visits before presentation at the cancer center and delayed presentation ( P = .0009).
Conclusion: Cancer awareness and prevention efforts targeting patients and community-level health care workers are key to reduce delays in cancer care in Northern Tanzania.
Competing Interests: Tara J. RickResearch Funding: Varian Medical Systems (Inst)Travel, Accommodations, Expenses: Varian Medical Systems Oliver HenkeHonoraria: Roche Pharma AGTravel, Accommodations, Expenses: Amring PharmaNo other potential conflicts of interest were reported.
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تواريخ الأحداث: Date Created: 20211019 Date Completed: 20211102 Latest Revision: 20230403
رمز التحديث: 20230403
مُعرف محوري في PubMed: PMC8791818
DOI: 10.1200/GO.21.00253
PMID: 34665667
قاعدة البيانات: MEDLINE
الوصف
تدمد:2687-8941
DOI:10.1200/GO.21.00253