Delay in provision of breast cancer care in patients seen at a district hospital diagnostic breast unit in South Africa

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dc.contributor.advisorPanieri, Eugenioen_ZA
dc.contributor.advisorMalherbe, Francoisen_ZA
dc.contributor.authorNg'ang'a, Mukuhien_ZA
dc.date.accessioned2018-05-14T12:29:36Z
dc.date.available2018-05-14T12:29:36Z
dc.date.issued2018en_ZA
dc.description.abstractBackground: There is evidence to show that delays in breast cancer management are detrimental to patient outcome. The aim of this study was to determine time trends and causes of delay in a newly established diagnostic breast clinic based at a district hospital in South Africa. Method: All patients who presented to Mitchells Plain District Hospital Breast Clinic from January to December 2015 and had a diagnosis of breast cancer were included in this study. The intervals between the time she first noted her symptoms to initial contact with a health professional and delivery of definitive therapy was documented. Patient delay referred to the interval from when the patient first noted her symptoms to her initial contact with a health care provider. Provider delay referred to the interval between the first hospital visit and onset of therapy. Result: A total of 33 patients were enrolled in this study. The median overall total delay (time lapse between the moment the patient first noticed her symptoms to time definitive anti-cancer treatment was started) was 157days, (range 29 to 839 days). Median patient delay (time lapse between the moment the patient first noticed her symptoms and the visit to a health professional) was 56 days, (range 7 to 730 days). Median overall provider delay (time lapse between the patients' first encounter with a clinician to time definitive anti-cancer treatment was started) was 84 days, (range 22 to 338 days). Median Referral delay was 11 days (range 4 to 39 days). Median Diagnostic delay was 15 days (range 9 to 135 days) and median treatment delay was 45 days (range 5 to 246 days). Conclusion: The median overall total delay for patients diagnosed with breast cancer at Mitchells Plain District Hospital does not compares well with institutions in developed nations but it is similar to studies done in developing nations. The largest contributor to this delay was patient delay. The main contributors to provider delay was related to diagnosis (almost exclusively related to tissue diagnosis) and treatment (mainly patients who received surgery as their first definitive therapy).en_ZA
dc.identifier.apacitationNg'ang'a, M. (2018). <i>Delay in provision of breast cancer care in patients seen at a district hospital diagnostic breast unit in South Africa</i>. (Thesis). University of Cape Town ,Faculty of Health Sciences ,Department of Surgery. Retrieved from http://hdl.handle.net/11427/28069en_ZA
dc.identifier.chicagocitationNg'ang'a, Mukuhi. <i>"Delay in provision of breast cancer care in patients seen at a district hospital diagnostic breast unit in South Africa."</i> Thesis., University of Cape Town ,Faculty of Health Sciences ,Department of Surgery, 2018. http://hdl.handle.net/11427/28069en_ZA
dc.identifier.citationNg'ang'a, M. 2018. Delay in provision of breast cancer care in patients seen at a district hospital diagnostic breast unit in South Africa. University of Cape Town.en_ZA
dc.identifier.ris TY - Thesis / Dissertation AU - Ng'ang'a, Mukuhi AB - Background: There is evidence to show that delays in breast cancer management are detrimental to patient outcome. The aim of this study was to determine time trends and causes of delay in a newly established diagnostic breast clinic based at a district hospital in South Africa. Method: All patients who presented to Mitchells Plain District Hospital Breast Clinic from January to December 2015 and had a diagnosis of breast cancer were included in this study. The intervals between the time she first noted her symptoms to initial contact with a health professional and delivery of definitive therapy was documented. Patient delay referred to the interval from when the patient first noted her symptoms to her initial contact with a health care provider. Provider delay referred to the interval between the first hospital visit and onset of therapy. Result: A total of 33 patients were enrolled in this study. The median overall total delay (time lapse between the moment the patient first noticed her symptoms to time definitive anti-cancer treatment was started) was 157days, (range 29 to 839 days). Median patient delay (time lapse between the moment the patient first noticed her symptoms and the visit to a health professional) was 56 days, (range 7 to 730 days). Median overall provider delay (time lapse between the patients' first encounter with a clinician to time definitive anti-cancer treatment was started) was 84 days, (range 22 to 338 days). Median Referral delay was 11 days (range 4 to 39 days). Median Diagnostic delay was 15 days (range 9 to 135 days) and median treatment delay was 45 days (range 5 to 246 days). Conclusion: The median overall total delay for patients diagnosed with breast cancer at Mitchells Plain District Hospital does not compares well with institutions in developed nations but it is similar to studies done in developing nations. The largest contributor to this delay was patient delay. The main contributors to provider delay was related to diagnosis (almost exclusively related to tissue diagnosis) and treatment (mainly patients who received surgery as their first definitive therapy). DA - 2018 DB - OpenUCT DP - University of Cape Town LK - https://open.uct.ac.za PB - University of Cape Town PY - 2018 T1 - Delay in provision of breast cancer care in patients seen at a district hospital diagnostic breast unit in South Africa TI - Delay in provision of breast cancer care in patients seen at a district hospital diagnostic breast unit in South Africa UR - http://hdl.handle.net/11427/28069 ER - en_ZA
dc.identifier.urihttp://hdl.handle.net/11427/28069
dc.identifier.vancouvercitationNg'ang'a M. Delay in provision of breast cancer care in patients seen at a district hospital diagnostic breast unit in South Africa. [Thesis]. University of Cape Town ,Faculty of Health Sciences ,Department of Surgery, 2018 [cited yyyy month dd]. Available from: http://hdl.handle.net/11427/28069en_ZA
dc.language.isoengen_ZA
dc.publisher.departmentDepartment of Surgeryen_ZA
dc.publisher.facultyFaculty of Health Sciencesen_ZA
dc.publisher.institutionUniversity of Cape Town
dc.subject.otherSurgeryen_ZA
dc.titleDelay in provision of breast cancer care in patients seen at a district hospital diagnostic breast unit in South Africaen_ZA
dc.typeMaster Thesis
dc.type.qualificationlevelMasters
dc.type.qualificationnameMMeden_ZA
uct.type.filetypeText
uct.type.filetypeImage
uct.type.publicationResearchen_ZA
uct.type.resourceThesisen_ZA
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