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Relationship between Delayed Breast Cancer Diagnosis and Behavioral Economic Factors and Personality Characteristics
Yoshiaki Shinden1, Kayo Kamimura2, Naoki Hayashi1,3
1Department of Digestive Surgery, Breast and Thyroid Surgery, Kagoshima University Graduate School of Medical and Dental Sciences, 8-35-1, Sakuragaoka, Kagoshima- City, Japan.
Patients with breast cancer who delay seeking diagnosis often exhibit low time preference, meaning they prioritize immediate rewards over future benefits. This characteristic, along with less screening experience and advanced disease stage, is linked to delayed breast cancer diagnosis.
Area of Science:
- Oncology
- Behavioral Economics
- Psychology
Background:
- Delayed breast cancer diagnosis can lead to advanced, incurable disease stages.
- Factors contributing to patient delays in seeking treatment remain incompletely understood.
- Identifying these factors is crucial for timely intervention and improved patient outcomes.
Purpose of the Study:
- To investigate behavioral economic factors and personality traits associated with delayed diagnosis in breast cancer patients.
- To understand why some patients delay seeking medical attention for breast cancer symptoms.
Main Methods:
- Analysis of questionnaires from 41 breast cancer patients.
- Definition of delayed diagnosis: >6 months between symptom onset and medical visit.
- Assessment of behavioral economic factors, personality characteristics, and screening history.
Main Results:
- Eleven patients (26.8%) experienced delayed diagnosis.
- Significant factors included less breast cancer screening experience, progressive disease stage, and low time/future time preference.
- No other significant behavioral economic factors or personality differences were identified.
Conclusions:
- Low time preference is a key characteristic of breast cancer patients who delay seeking diagnosis.
- Understanding time preference may inform strategies to reduce diagnostic delays.
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