Diagnostic delay and suboptimal management in persistent idiopathic facial pain and persistent dentoalveolar pain; a cross-sectional study

2019 ◽  
Vol 127 (6) ◽  
pp. 498-503 ◽  
Author(s):  
Yazan Hassona ◽  
Ahmad El- Ma'aita ◽  
Jacqueline Amarin ◽  
Anas Al Taee
Keyword(s):  
Facial Pain ◽  
Diagnostic Delay ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Persistent Idiopathic Facial Pain

scholarly journals Pathways to care and diagnostic delay among cervical cancer patients attending a tertiary care hospital in Puducherry: a cross-sectional study

2020 ◽  
Vol 7 (6) ◽  
pp. 2298
Author(s):  
Roshina Sunny ◽  
Sitanshu Sekhar Kar ◽  
Dasari Papa ◽  
Sujiv Akkilagunta ◽  
Jeby Jose Olickal
Keyword(s):  
Cervical Cancer ◽  
Cancer Patients ◽  
Tertiary Care ◽  
Diagnostic Delay ◽  
Cross Sectional Study ◽  
Cancer Center ◽  
Care Hospital ◽  
Sectional Study ◽  
Cross Sectional ◽  
Care Facilities

Background: The high mortality among cervical cancer patients in India can be attributed to presentation at advanced stages. The varied and lengthy pathway taken up to diagnosis could be a major reason for advanced stage at presentation. Hence, we aimed to describe the care pathways and diagnostic delay among cervical cancer patients.Methods: A hospital-based cross-sectional study was conducted among 101 cervical cancer patients attending a cancer clinic at a Regional Cancer Center. The histo-pathologically confirmed cases of cervical cancer, who registered in July to October 2018 were approached. Data were collected through personal interviews using a semi-structured questionnaire. Descriptive statistics were used to describe the number of providers visited and diagnostic delay.Results: The median (range) number of providers visited by the patients up to diagnosis was 2 (1-5). As the first point of care, 14% of participants approached sub-center or primary care facilities, 27% approached secondary care facilities, 49% participants approached tertiary care facilities and 11% came directly to a regional cancer center. Diagnosis was made only in 24% of participants at secondary and tertiary care levels. The median (IQR) number of days to get diagnosed was 66 (30-130) days and three fourth of the patients had a diagnostic delay.Conclusions: The diagnostic delay was higher among patients who consulted multiple providers. Implementing a protocol to be followed at all three levels of health care delivery system may enhance the early diagnosis. 

scholarly journals Perceived diagnostic delay and cancer-related distress: a cross-sectional study of patients with colorectal cancer

2016 ◽  
Vol 26 (1) ◽  
pp. 29-36 ◽  
Author(s):  
Anne Miles ◽  
Paula L. McClements ◽  
Robert J.C. Steele ◽  
Claudia Redeker ◽  
Nick Sevdalis ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Diagnostic Delay ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional

scholarly journals Extent and determinants of catastrophic health expenditure for tuberculosis care in Chongqing municipality, China: a cross-sectional study

BMJ Open ◽  
2019 ◽  
Vol 9 (4) ◽  
pp. e026638 ◽  
Author(s):  
Weixia Duan ◽  
Wen Zhang ◽  
Chengguo Wu ◽  
Qingya Wang ◽  
Ya Yu ◽  
...  
Keyword(s):  
Health Insurance ◽  
Health Expenditure ◽  
Protective Factor ◽  
Diagnostic Delay ◽  
Cross Sectional Study ◽  
Catastrophic Health Expenditure ◽  
Patient Delay ◽  
Sectional Study ◽  
Cross Sectional ◽  
Chongqing Municipality

ObjectiveTo investigate the extent and associations of patient/diagnostic delay and other potential factors with catastrophic health expenditure (CHE) for tuberculosis (TB) care in Chongqing municipality, China.DesignA cross-sectional study.SettingFour counties of Chongqing municipality, China.ParticipantsA total of 1199 patients with active pulmonary TB beyond 16 years and without mental disorders were consecutively recruited in the four counties’ designated TB medical institutions.Outcome measuresThe incidence and intensity of CHE for TB care were described. The association between patients’ ‘sociodemographic and clinical characteristics such as patient delay, diagnostic delay, forms of TB, health insurance status and hospitalisation and CHE were analysed using univariate and multivariate logistic regression.ResultsThe incidence of CHE was 52.8% and out-of-pocket (OOP) payments were 93% of the total costs for TB care. Compared with patients without delay, the incidence and intensity of CHE were higher in patients who had patient delay or diagnostic delay. Patients who experienced patient delay or diagnostic delay, who was a male, elderly (≥60 years), an inhabitant, a peasant, divorced/widow, the New Cooperative Medical Scheme membership had greater risks of incurring CHE for TB care. Having a higher educational level appeared to be a protective factor. However, hospitalisation was not associated with CHE after controlling for other variables.ConclusionThe incidence and intensity of CHE for TB care are high, which provides baseline data about catastrophic costs that TB-related households faced in Chongqing of China. Variety of determinants of CHE implicate that it is essential to take effective measures to promote early seeking care and early diagnosis, improve the actual reimbursement rates of health insurance, especially for outpatients, and need more fine-tuned interventions such as precise poverty alleviation to reduce catastrophic costs of the vulnerable population.

scholarly journals Time intervals experienced between first symptom recognition and pathologic diagnosis of breast cancer in Addis Ababa, Ethiopia: a cross-sectional study

BMJ Open ◽  
2019 ◽  
Vol 9 (11) ◽  
pp. e032228 ◽  
Author(s):  
Alem Gebremariam ◽  
Adamu Addissie ◽  
Alemayehu Worku ◽  
Mathewos Assefa ◽  
Lydia E Pace ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Associated Factors ◽  
Addis Ababa ◽  
Diagnostic Delay ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Interval Time ◽  
Diagnostic Interval ◽  
Diagnostic Intervals

ObjectivesThis study aimed to estimate the magnitude of patient and diagnostic delays and associated factors among women with breast cancer in Addis Ababa.DesignThis is a cross-sectional study.Settings and participantsAll women newly diagnosed with breast cancer in seven major healthcare facilities in Addis Ababa (n=441) were included in the study.Main outcomes and measuresPatient interval (time from recognition of first symptom to medical consultation) and diagnostic interval (time from first consultation to diagnosis). Patient intervals >90 days and diagnostic intervals >30 days were considered delays, and associated factors were determined using multivariable Poisson regressions with robust variance.ResultsThirty-six percent (95% CI [31.1%, 40.3%]) of the patients had patient intervals of >90 days, and 69% (95% CI [64.6%, 73.3%]) of the patients had diagnostic intervals of >30 days. Diagnostic interval exceeded 1 year for 18% of patients. Ninety-five percent of the patients detected the first symptoms of breast cancer by themselves, with breast lump (78.0%) as the most common first symptom. Only 8.0% were concerned about cancer initially, with most attributing their symptoms to other factors. In the multivariable analysis, using traditional medicine before consultation was significantly associated with increased prevalence of patient delay (adjusted prevalence ratio (PR) = 2.13, 95% CI [1.68, 2.71]). First consultation at health centres (adjusted PR = 1.19, 95% CI [1.02, 1.39]) and visiting ≥4 facilities (adjusted PR = 1.24, 95% CI [1.10, 1.40]) were associated with higher prevalence of diagnostic delay. However, progression of symptoms before consultation (adjusted PR = 0.73, 95% CI [0.60, 0.90]) was associated with decreased prevalence of diagnostic delay.ConclusionsPatients with breast cancer in Addis Ababa have prolonged patient and diagnostic intervals. These underscore the need for public health programme to increase knowledge about breast cancer symptoms and the importance of early presentation and early diagnosis among the general public and healthcare providers.

Diagnostic delay in axial spondyloarthritis: A cross-sectional study of 432 patients

2017 ◽  
Vol 84 (4) ◽  
pp. 467-471 ◽  
Author(s):  
Vanina Masson Behar ◽  
Maxime Dougados ◽  
Adrien Etcheto ◽  
Sarah Kreis ◽  
Stéphanie Fabre ◽  
...  
Keyword(s):  
Axial Spondyloarthritis ◽  
Diagnostic Delay ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional

FRI0239 The Median Diagnostic Delay is Around 2 Years in Axial Spondyloarthritis: A Cross Sectional Study of 432 French Patients

2015 ◽  
Vol 74 (Suppl 2) ◽  
pp. 511.1-511
Author(s):  
V. Masson Behar ◽  
M. Dougados ◽  
I. Fabreguet ◽  
S. Dadoun ◽  
S. Kreis ◽  
...  
Keyword(s):  
Axial Spondyloarthritis ◽  
Diagnostic Delay ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional
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