Abstract
In Morocco, most of the cervical cancer patients have been reported diagnosed at advanced stage indicating delay in seeking diagnosis and treatment. The main purpose of this investigation was to measure the delay from the first symptom to treatment among Moroccan women with cervical cancer. Methods: We conducted a cross-sectional study at the National Institute of Oncology Sidi Mohammed Ben Abdellah in Rabat, Morocco. A consecutive series of patients with locally advanced cervical cancer or metastasic [stage II-IV] were recruited. We calculated delay by using two events dates of two periods in patient's pathway. Multivariate binary logistic regression analysis was performed to measure the association between all categories of delay and magnitude of total delay. Results: Four hundred and one patients were reached in this study. The median total delay was 183 days, the median patient delay was 120 days, the median diagnosis delay was 110 days, and the median Treatment delay was 57 days. Bivariate analysis showed that patients who did not have respectively patient and diagnosis delay were less likely to have total delay (p<0.001, p<0.001). Conclusions: Future studies are needed to better inform the scientific and healthcare system to effectively address a clear picture of delays.
Highlights
Introduction cancer screeningAfter his evaluation a generalization of the program was launched, in primary health centers, by trainedCervical cancer is one of the most leading causes of doctors, midwives, and nurses by using visual inspection women death in many countries despite the advancement in with acetic acid (VIA) as the screening tool for cervical cancer treatment and diagnosis
According to the socio-demographic and clinical data which are presented in table 1, of the all patients identified 53.4% were aged above 50 years
There is no standardized definition of delay; the studies on delays have several common themes regarding the length of delay based on dates of important events in diagnostic journey of the patients
Summary
Cervical cancer is one of the most leading causes of doctors, midwives, and nurses by using visual inspection women death in many countries despite the advancement in with acetic acid (VIA) as the screening tool for cervical cancer treatment and diagnosis. It is the fourth most common cancer. 7 % of the overall budget of the National Plan of Prevention and Control of Cancer from 2010 to 2019 is devoted to prevention, and more than 86% of the budget for early detection is intended to ensure access to early detection programs [10]
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