Muestra métricas de impacto externas asociadas a la publicación. Para mayor detalle:
| Indexado |
|
||||
| DOI | 10.5867/MEDWAVE.2024.09.2801 | ||||
| Año | 2024 | ||||
| Tipo | artículo de investigación |
Citas Totales
Autores Afiliación Chile
Instituciones Chile
% Participación
Internacional
Autores
Afiliación Extranjera
Instituciones
Extranjeras
INTRODUCTION Breast cancer progression involves physiological mechanisms such as metastasis. Delays in diagnosis and treatment increase the risk of mortality and are associated with barriers to healthcare access. In Chile, breast cancer is highly prevalent, and early diagnosis has improved, although disparities in the disease evolution persist. This study characterized diagnostic and staging tests, waiting times, and sociodemographic profiles to identify delays and inequities in care. METHODS Survey study. Using a non-probabilistic sample, a questionnaire was applied in an encrypted platform with prior informed consent. The instrument collected data on requested tests, associated times, staging, and sociodemographic characteristics. These variables were analyzed using descriptive statistics, tests of association, confidence intervals, and comparison tests using bootstrapping. RESULTS A sample of 263 persons was obtained. The most requested tests were biopsy (99.62%) and blood tests (80.23%). The median number of tests requested was six (Q1:4, Q3:8), with a mean of 5.87 (standard deviation: 2.24). No significant differences were observed in the percentage of persons from whom the total number of examinations were requested according to the studied variables. The day-hour-result intervals ranged from 1 to 365 days. The median day-hour-result of the biopsy was 15 days (Q1:10, Q3:30). People between 40 and 49 years old, non-residents of the capital city, belonging to income quintile I, with high school education, from the public health system, with late-stage diagnosis had higher median day-hour-result in biopsy. There was no significant difference in the number of requested tests according to staging (I and II, or III and IV). CONCLUSIONS Biopsy in Chile is the test of choice for diagnostic confirmation in breast cancer. Other tests are requested regardless of the diagnosis stage, contrary to the recommendations of clinical guidelines. Cancer prognosis is crucial, especially in countries with greater inequalities.
| Ord. | Autor | Género | Institución - País |
|---|---|---|---|
| 1 | Campana, Carla | Mujer |
Universidad del Desarrollo - Chile
|
| 2 | Galvez, Marcela Oyarte | Mujer |
Inst Salud Publ Chile - Chile
Instituto de Salud Pública de Chile - Chile |
| 3 | CABIESES-VALDES, BALTICA BEATRIZ | - |
Universidad del Desarrollo - Chile
Ctr Prevenc & Control Canc - Chile |
| 4 | Obach, Alexandra | Mujer |
Universidad del Desarrollo - Chile
Ctr Prevenc & Control Canc - Chile Centro para la Prevención y Control del Cáncer (CECAN) - Chile |
| Fuente |
|---|
| Agencia Nacional de Investigación y Desarrollo |
| Chilean Center for Cancer Prevention and Control |
| CECAN |
| Centro para la Prevención y Control del Cáncer de Chile |
| Doctoral Program in Science and Innovation in Medicine, Universidad del Desarrollo |
| Agradecimiento |
|---|
| The authors express their gratitude to Patients, cancer patient organizations, and health institutions for their contribution in recruitment, the Doctoral Program in Science and Innovation in Medicine, Universidad del Desarrollo, and the Chilean Center for Cancer Prevention and Control (CECAN), ANID FONDAP 152220002 ANID Chile. Funding Project funded by the Centro para la Prevenci\u00F3n y Control del C\u00E1ncer de Chile (CECAN), ANID FONDAP 152220002 ANID Chile. |