EP039/#692 Evaluation of the factors associated with the delay in initiation of treatment of advance stage cervical cancer patients. (4th December 2022)

• Record Type: Journal Article
• Authors: Akhter, Tohmina; Pervin, Shahana; Ara, Rifat; Nigar, Taslima; Yeasmin, Dilruba
• Is Part Of: International journal of gynecological cancer. Volume 32(2022)Supplement 3
• Page Start: A64
• Page End: A64
• Publication Date: 2022-12-04
• Subjects: Generative organs, Female -- Cancer -- Periodicals; 616.99465
• DOI: 10.1136/ijgc-2022-igcs.130
• Languages: English
• ISSNs: 1048-891X

Abstract

Abstract : Objectives: Background: Cervical cancer ranks 2nd in women cancer and third leading cause of female cancer death in Bangladesh. Delay in initiation of treatment in advanced stage cervical cancer patients is associated with significant morbidity and mortality. It is crucial to overcoming the barrier for initiation of effective treatment in appropriate time. Objective: Assessment of the factors that lead to delay in diagnosis and treatment of advanced stage cervical cancer patients. Methods: This observational cross-sectional study was conducted from November 2019 to October 2020 in the Gynecological Oncology department of National Institute of Cancer Research and Hospital, Dhaka.138 patients of advanced stage cervical cancer were included in the study. Results: The mean age of the patients was 48.74 (±9.57) years.30.4% of patients were illiterate and the majority(43.47%) belonged to low middle income family. Illiteracy, low monthly income, residents of rural areas, embarrassment, fear, lack of knowledge regarding cervical cancer, contacting a non-medical person prior to the first medical person, not performing per speculum examination at initial consultation, misdiagnosis, delay in referral to tertiary care centre hospital, long distance of the primary health care facility and tertiary care centre hospital from the residence were predictors of longer delays in treatment initiation ( p value<.05) . Conclusions: Financial Crisis, lack of education, Inappropiate management, lack of availability and accessibility of health services and radiotherapy resource limitation have led to delays. Proper initiatives should be taken to remove the obstacles in cancer care pathway and subsequently treatment outcome as well as quality of life will be improved.