I am trying to assess delays in the management of female patients with breast cancer. I am particularly interested in three delay intervals, but can adapt according to the tools available:
1. Patient-level delay: First symptom to first consultation.
2. Doctor-level delay: Initial consultations with GP and investigation of cancer-related symptoms.
3. System-level delay: Referral to specialist, consultations, diagnosis, and initiation of treatment.
Please let me know if you have any suggestions. Many thanks in advance!
Article Breast cancer delay in Latinas: the role of cultural beliefs...
Article Factors influencing diagnosis delay of advanced breast cance...
Article Patient delay in women presenting with advanced breast cance...
Check these out, they
may help you.
Hey Marianne, thank you so much for sharing these. In these articles and in those I have reviewed myself, delays are usually assessed by asking patients directly to recall their date of symptoms, consultation, diagnosis, etc. I was looking for sort of a standardized tool for this purpose to reduce some of the recall bias, but I guess this is the only way it can be done. Thank you so much once again for helping out!
Dear Usama,
I recently attended this conference, if you check the speakers list and their work to date you would find good references I think.
https://www.rsm.ac.uk/events/oncology/2020-21/ocp50/
Check the paper attached.
Good luck!
Thanks to @Dr Verna Vanderpuye for referencing the BMJ paper shared above.
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