Effect of care-delivery delay on the survival of Mexican women with breast cancer
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 mammography results and diagnostic biopsy be reduced.
| Main Authors: | , , , , , , , |
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| Format: | Digital revista |
| Language: | English |
| Published: |
Instituto Nacional de Salud Pública
2016
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| Online Access: | http://www.scielo.org.mx/scielo.php?script=sci_arttext&pid=S0036-36342016000200237 |
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