Delay in presentation of symptomatic referrals to a breast clinic: patient and system factors
2000

Delay in Presentation of Breast Symptoms

Sample size: 692 publication Evidence: moderate

Author Information

Author(s): Nosarti C, Crayford T, Roberts J V, Elias E, McKenzie K, David A S

Primary Institution: King's College School of Medicine and Institute of Psychiatry

Hypothesis

What factors are associated with delays in presentation and assessment of women with breast symptoms?

Conclusion

Beliefs about breast symptoms significantly influence when women seek medical help.

Supporting Evidence

  • 35% of women delayed presentation for 4 weeks or more.
  • The most common reason for delay was thinking the symptom was not serious.
  • Patients who thought they had cancer were seen more promptly.

Takeaway

This study found that many women wait too long to see a doctor about breast symptoms because they think their symptoms aren't serious.

Methodology

The study analyzed 692 consecutive symptomatic referrals to a breast clinic, focusing on patient delay and associated factors.

Limitations

The study may not account for all socio-economic and ethnic factors influencing delay.

Participant Demographics

Women aged 40–75 years with breast symptoms.

Statistical Information

Confidence Interval

95% CI 3.6–8.0 for the most common reason for delay.

Digital Object Identifier (DOI)

10.1054/bjoc.1999.0990

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