巴基斯坦乳腺癌诊断延迟的可修改因素:一项流行病学研究
Asim Raza1,2, Shahbaz Ahmad Zakki1, Ijaz Ul Haq3
1Department of Public Health and Nutrition, The University of Haripur, Haripur, Pakistan.
Cancer control : journal of the Moffitt Cancer Center
|January 21, 2026
概括
巴基斯坦的乳腺癌诊断延迟与高成本,传统治疗师咨询和患者疏忽有关. 解决这些因素对于改善患者的治疗结果和公共卫生至关重要.
科学领域:
- 在瘤学瘤学.
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 乳腺癌 (BC) 是一个重要的全球健康问题,也是导致死亡的主要原因.
- 延迟诊断BC加剧了患者的不良结果,增加了公共卫生负担.
- 识别导致诊断延迟的可修改因素对于有针对性的干预措施至关重要.
研究的目的:
- 在巴基斯坦的乳腺癌患者中调查和确定与延迟诊断相关的可修改因素.
- 探索社会经济和行为因素对BC诊断的及时性的影响.
主要方法:
- 进行了一项流行病学分析横截面研究.
- 在巴基斯坦旁遮普省接受化疗的490名乳腺癌患者的数据被收集,使用问卷和医疗记录.
- 统计分析包括奇平方测试和前进阶段二进制物流回归.
主要成果:
- 乳腺癌患者中有很大一部分 (68.6%) 经历了诊断延迟.
- 延迟诊断的关键预测因素包括高的诊断成本 (AOR=0.627),与传统治疗师的咨询 (AOR=0.317) 和患者的疏忽 (AOR=2.35).
- 财务问题显示出与诊断延迟的边缘关联 (AOR=0.634).
结论:
- 巴基斯坦的乳腺癌诊断延迟与高的诊断成本,先前与传统治疗师进行咨询以及患者的疏忽有关.
- 这些发现突出了关键的干预领域,以减少诊断延迟和改善该地区的乳腺癌护理.
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