Barriers to Early Diagnosis and Treatment among Breast Cancer Survivors: Qualitative Study in Tertiary Care Hospital, North Karnataka

Authors

  • Nandini C Subbaiah Institute of Medical Sciences, Shivamogga
  • Roopakala N Navodaya Medical College & Research Centre, Raichur
  • Kashavva B Andanigoudar Karnataka Institute of Medical Sciences, Hubballi

DOI:

https://doi.org/10.55489/njcm.1332022398

Keywords:

Qualitative study, In-depth interview, Breast cancer survivors, early diagnosis

Abstract

Introduction: Around the World, Breast cancer has become one of the common cancers among women. Prevalence and mortality of Breast cancer in India are 18 lakh & 12.7 per lakh cases respectively. One of the important reasons behind late presentation & high death rate is the lack of breast cancer awareness.

Objectives: To assess the barriers in diagnosis and treatment among breast cancer patients and to explore the perception about cancer prevention among them.

Methods: A qualitative study was done among women with confirmed breast cancer who were admitted to KIMS, Hubballi, and Cancer hospital, Navanagar in April 2019. Data collection was done by the In-depth interview method and analyzed as per qualitative study protocol standards.

Results: The data was collected among 14 participants. Themes were generated accordingly. The findings showed lack of awareness, myths, financial constraints, negligence were the major barriers to the early presentation of breast cancer.

Conclusion: This study showed barriers such as lack of awareness, negligence, fear, financial constraints, myths and misconceptions, social stigma, lack of family support. Measures taken to reduce mortality by early diagnosis and treatment.

References

Bray F, Ferlay J, Soerjomataram I, Siegel RL, Torre LA, Jemal A. Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA: a cancer journal for clinicians. 2018 Nov;68(6):394-424. Available on: https://pubmed.ncbi.nlm.nih.gov/30207593/ https://doi.org/10.3322/caac.21492

Benson JR, Jatoi I. The global breast cancer burden. Future Oncol. 2012; 8(6):697-702. Available on: https://pubmed.ncbi.nlm.nih.gov/22764767/ https://doi.org/10.2217/fon.12.61

Asthana S, Chauhan S, Labani S. Breast and cervical cancer risk in India: update. Indian J Public Health. 2014;58(1):5-10. Available on: https://pubmed.ncbi.nlm.nih.gov/24748350/ https://doi.org/10.4103/0019-557X.128150

Sankaranarayanan R, Swaminathan R, Brenner H, et al. Cancer survival in Africa, Asia, and Central America: a population-based study. Lancet Oncol. 2010;11(2):165-173. Available on: https://pubmed.ncbi.nlm.nih.gov/20005175/ https://doi.org/10.1016/S1470-2045(09)70335-3

Allemani C, Weir HK, Carreira H, et al. Global surveillance of cancer survival 1995-2009: analysis of individual data for 25,676,887 patients from 279 population-based registries in 67 countries (CONCORD-2). Lancet. 2015;385(9972):977-1010. Available on: https://pubmed.ncbi.nlm.nih.gov/25467588/ https://doi.org/10.1016/S0140-6736(14)62038-9

William, N., O'CONNELL, R. and McCaskie, A. (2018). Bailey & love's short practice of surgery. 27th ed. CRC Press, p.865

Malvia S, Bagadi S, Dubey U, Saxena S. Epidemiology of breast cancer in Indian women. Asia-Pacific Journal of Clinical Oncology. 2017;13(4):289-295. Available on: https://pubmed.ncbi.nlm.nih.gov/28181405/ https://doi.org/10.1111/ajco.12661

McDonald, S. , Saslow, D. , Alciati, M.H. et al Performance and reporting of clinica l breast examination: a review of the literature. CA Cancer J Clin. 2004; 54(6): 345-361. Available on: https://pubmed.ncbi.nlm.nih.gov/15537577/ https://doi.org/10.3322/canjclin.54.6.345

Al-Naggar, R.A., Al-Naggar, D.H. , Bobryshev, Y.V. , Chen, R. , Assabri, A. Practice and barriers toward breast self-examination among young Malaysian women. Asian Pac J Cancer Prev. 2011; 12(5): 1173-1178. Available on: https://pubmed.ncbi.nlm.nih.gov/21875261/

Seah, M., Tan, S.M. Am I breast cancer smart? Assessing breast cancer knowledge among health professionals. Singapore Med J. 2007; 48(2): 158-162. Available on: https://pubmed.ncbi.nlm.nih.gov/17304397/

Abdollahzadeh F, Moradi N, Pakpour V, et al. Un-met supportive care needs of Iranian breast cancer patients. Asian Pac J Cancer Prev. 2014;15(9):3933-3938. Available on: https://pubmed.ncbi.nlm.nih.gov/24935576/ https://doi.org/10.7314/APJCP.2014.15.9.3933

Kaur N, Miglani R, Grover RK. Information and rehabilitation needs of Indian breast cancer patients. Report of a cross-sectional study. Indian J Cancer. 2014;51(3):262-266. Available on: https://pubmed.ncbi.nlm.nih.gov/25494119/ https://doi.org/10.4103/0019-509X.146768

Cappiello M, Cunningham RS, Knobf MT, Erdos D. Breast cancer survivors information and support after treatment. Clin Nurs Res. 2007;16(4):278-293. Available on: https://pubmed.ncbi.nlm.nih.gov/17991908/ https://doi.org/10.1177/1054773807306553

Bodapati SL, Babu GR. Oncologist Perspectives on Breast Cancer Screening in India-Results from a Qualitative Study in Andhra Pradesh [Internet]. Vol. 14, Asian Pacific Journal of Cancer Prevention. Asian Pacific Organization for Cancer Prevention; 2013. p. 5817-23. Available from: http://dx.doi.org/10.7314/APJCP.2013.14.10.5817 https://doi.org/10.7314/APJCP.2013.14.10.5817

Dey Subhojit,Sharma Surabhi,Arit Mishra,Suneeta Krishnan,Jyotsna Govil :Breast cancer Awareness and Prevention Behaviour among women of Delhi,India:Identifying Barriers to early detection.Breast cancer( Auckl ) 2016 ;10: 147-156. Available on: https://pubmed.ncbi.nlm.nih.gov/27789957/ https://doi.org/10.4137/BCBCR.S40358

Dsouza, Sushma & Vyas, Navya & Narayanan, Prakash & Parsekar, Shradha & Gore, Manisha & Sharan, Krishna. (2018). A Qualitative study on experiences and needs of Breast Cancer Survivors in Karnataka, India. Clinical Epidemiology and Global Health. 6. 69-74. Doi: 10.1016/j.cegh.2017.08.001. https://doi.org/10.1016/j.cegh.2017.08.001

Downloads

Published

2022-03-31

How to Cite

1.
Nandini C, Roopakala N, Andanigoudar KB. Barriers to Early Diagnosis and Treatment among Breast Cancer Survivors: Qualitative Study in Tertiary Care Hospital, North Karnataka. Natl J Community Med [Internet]. 2022 Mar. 31 [cited 2024 Nov. 23];13(03):190-4. Available from: https://njcmindia.com/index.php/file/article/view/398

Issue

Section

Original Research Articles