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Studying Triple Negative Breast Cancer Using Orthotopic Breast Cancer Model
Published on: March 20, 2020
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Educational Opportunities for Down-Staging Breast Cancer in Low-Income Countries: an Example from Tanzania
Kristen Yang1, Khadija Msami2, Rose Calixte1
1Department of Community Health and Social Medicine, City University of New York School of Medicine, New York, NY, USA.
Summary
Late-stage breast cancer diagnosis in Tanzania is common due to barriers like financial and time restraints. Patient and physician education can help reduce diagnosis delays in low-income countries.
Area of Science:
- Oncology
- Public Health
- Health Disparities
Background:
- Breast cancer survival rates are significantly lower in Tanzania compared to Western countries, primarily due to late-stage diagnosis.
- Late presentation of breast cancer leads to poorer prognoses and reduced survival rates.
Purpose of the Study:
- To identify patient and health system factors associated with early versus late-stage breast cancer diagnosis in Tanzania.
- To inform interventions aimed at reducing diagnosis delays.
Main Methods:
- A study was conducted at Ocean Road Cancer Institute in Dar es Salaam, Tanzania.
- Interviews were conducted with 196 breast cancer patients diagnosed between January 2016 and August 2018.
- Questionnaires collected data on disease history, sociodemographics, healthcare navigation barriers, and patient attitudes.
Main Results:
- Patients diagnosed at early stages were more likely to have had previous breast examinations (54.5%) compared to late-stage patients (19.7%).
- Financial restraints were more frequently cited as barriers by late-stage patients (55.7%) than early-stage patients (35.5%).
- Time restraints were also significant barriers for late-stage diagnosis (47.5%) compared to early-stage (25.8%).
Conclusions:
- Addressing financial and time barriers is crucial for reducing late-stage breast cancer diagnosis.
- Patient and physician education presents an opportunity for immediate health system changes to decrease diagnosis delays.
- Findings are relevant for Tanzania, other low-income developing countries, and low-income communities in the USA.
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