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Cited by 47Women's cancer prevention and managementGlobal Cancer Incidence and ScreeningBreast Lesions and Carcinomas

Impact of social and clinical factors on diagnostic delay of breast cancer: A Cross-sectional Study

Open access
Dianatinasab, Mostafa, Fararouei, Mohammad, Mohammadianpanah, Mohammad, Zare-Bandamiri, Mohammad·2016·Medicine
DOI 10.1097/md.0000000000004704PMC PMC5044888
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Abstract

One of the reasons for high mortality of breast cancer is long delay in seeking medical care. This study was designed to measure the association of a wide range of socio-demographic and clinical factors with the diagnostic delay in breast cancer among Iranian patients.This study was conducted on 505 newly diagnosed patients with breast cancer from southern part of Iran. Medical files of the patients who were admitted to the hospital from November 2013 to May 2015 were examined and clinical and demographic information were extracted.According to the results, illiterate patients were diagnosed on average 87.42 days later compared with those with a college degree (95%CI: 29.68-145.16, P = 0.003) and those from rural area were diagnosed on average 72.48 days later (95%CI: 35.94-109.03, P = 0.001) compared with urban residences. Single women were diagnosed 65.99 days later (95%CI: 7.37-124.61, P = 0.02) compared with those married. Lobular or medullary types of cancer were diagnosed 65.19 days later (95%CI: 2.67-127.70, P = 0.04) compared with ductal type. On the other hand, those who were able to perform breast self-exam were diagnosed 49.07 days earlier compared with others (95%CI: 18.69-79.45, P = 0.002). Those felt lump as the initiating symptom were diagnosed 62.01 days earlier, (95%CI: 8.17-115.85, P = 0.02) compared with those with other initial symptoms. The only factor associated with doctors diagnosis delay was the place of residence as rural residences were diagnosed on average 87.42 days later compared with urban residences, (95%CI: 53.82-121.92, P = 0.001).Higher education, living in cities, ductal type of tumor, and noticing lump in breast were the most important demographic and clinical factors associated with shorter breast cancer diagnosis delay. Informing women and doctors, especially general physicians who are practicing in rural areas, of the common symptoms of breast cancer as well as training women to perform breast self-examination are effective measures in reducing breast cancer diagnosis delay. Providing accessible and effective diagnosis services to rural women reduces diagnosis delay in rural patients.

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  • Patients living in rural areas commonly have limited medical resources and staffing since advanced medical services and equipment are primarily found in urban areas or private facilities.

    “Patients living in rural areas commonly have limited medical resources and staffing since advanced medical services and equipment are primarily found in urban areas or private facilities [40,41].”

    From Toward Safer Diagnoses: A SEIPS-Based Narrative Review of Diagnostic Errors (2026) · cites this paper as [40]

    The Discussion says rural areas in Iran provide only basic care and that residents must travel to cities for specialized services such as mammography and pathology. It does not establish a shortage of rural medical staff, and the citing sentence presents the finding more generally than the paper’s Iranian breast-cancer context. (LLM, conf=0.85)

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Research works printed but not linked: 1

  1. [22]Fararouei M Parisai Z Farahmand M Cancer incidence appears to be rising in a small province in Islamic Republic of Iran: a population-based cohort study. East Mediterr Health J 2015; 21: 319. 26343120

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Authors
Dianatinasab, M., Fararouei, M., Mohammadianpanah, M., & Zare-Bandamiri, M.
Affiliations
  • Shiraz University (IR)
  • Shiraz University of Medical Sciences (IR)
Corresponding author
Fararouei, Mohammad
ORCID
Venue
Medicine
Publisher
Ovid Technologies (Wolters Kluwer Health)
Published
2016-09
Volume
95
Issue
38
Pages
e4704
ISSN
0025-7974 (ISSN-L)
DOI
10.1097/md.0000000000004704
PMC
PMC5044888
OpenAlex
W2521578717
Cited by
47
References
37
Citations by year
2026: 1 · 2025: 3 · 2024: 3 · 2023: 4 · 2022: 5 · 2021: 8 · 2020: 7 · 2019: 5 · 2018: 4 · 2017: 7
FWCI
5.29
Type
journal article
Language
en
Open access
Licence
cc-by-nd
Locations
  • Medicine (publishedVersion, cc-by-nd)
  • PubMed Central (publishedVersion, cc-by-nd)
  • PubMed (publishedVersion)
Funders
  • Shiraz University of Medical Sciences
  • Shiraz University
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Women's cancer prevention and management
  • Health Sciences › Medicine › Oncology › Global Cancer Incidence and Screening
  • Health Sciences › Medicine › Pathology and Forensic Medicine › Breast Lesions and Carcinomas
Keywords
breast cancer, delayed diagnosis, sociodemographic factors, urban-rural residence, educational attainment, marital status, breast self-examination, breast cancer symptoms, cancer types, ductal carcinoma, lobular carcinoma, general practitioners, early detection, Iranian patients, southern Iran
MeSH terms
Adult, Breast Neoplasms, Cross-Sectional Studies, Educational Status, Female, Humans, Iran, Middle Aged, Rural Population, Socioeconomic Factors, Time Factors, Breast Self-Examination, Early Detection of Cancer, Delayed Diagnosis

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