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Effect of care-delivery delay on the survival of Mexican women with breast cancer
- Source :
- Salud Pública de México, Vol 58, Iss 2, Pp 237-250 (2016)
- Publication Year :
- 2016
- Publisher :
- Instituto Nacional de Salud Pública, 2016.
-
Abstract
- Objective. To estimate the effect of care-delivery delays on survival among women with breast cancer. Materials and methods. 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 mammo- graphy results and diagnostic biopsy be reduced. DOI: http://dx.doi.org/10.21149/spm.v58i2.7793
Details
- Language :
- English, Spanish; Castilian
- ISSN :
- 00363634 and 16067916
- Volume :
- 58
- Issue :
- 2
- Database :
- Directory of Open Access Journals
- Journal :
- Salud Pública de México
- Publication Type :
- Academic Journal
- Accession number :
- edsdoj.58be9ce95e1d4c3f871f11b28752ab1c
- Document Type :
- article