Predictors of delay in the cervical cancer care cascade in Kampala, Uganda
2024

Delays in Cervical Cancer Care in Uganda

Sample size: 268 publication Evidence: moderate

Author Information

Author(s): Swanson Megan, Ayadi Alison El, Nakalembe Miriam, Namugga Jane, Nakisige Carol, Chen Lee-may, Huchko Megan J

Hypothesis

What factors contribute to delays in the cervical cancer care cascade in Kampala, Uganda?

Conclusion

The study identified barriers and facilitators in the cervical cancer care process that could be targeted to improve care timeliness.

Supporting Evidence

  • Median patient interval was 74 days, diagnostic interval was 83 days, and treatment interval was 34 days.
  • Delays in patient interval were linked to beliefs about symptoms and confusion about care options.
  • Facilitators for timely patient intervals included perceiving symptoms as serious and suspecting cancer.
  • Diagnostic delays were associated with symptomatic bleeding and visiting multiple clinics.
  • Early-stage disease and direct tertiary care presentation helped reduce diagnostic delays.

Takeaway

This study looked at why women in Uganda take a long time to get treated for cervical cancer and found some things that could help speed up their care.

Methodology

Data was collected from 268 Ugandan women newly diagnosed with cervical cancer, focusing on sociodemographic, reproductive health, and care journey factors.

Limitations

The study may not capture all factors influencing care delays and is limited to a specific geographic area.

Participant Demographics

Ugandan women newly diagnosed with cervical cancer.

Statistical Information

Confidence Interval

95% CI

Digital Object Identifier (DOI)

10.21203/rs.3.rs-5467551

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