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    Causes of diagnostic and treatment delays in locally advanced breast cancer: a nationwide multicenter survey and electronic health records analysis in Turkiye
    (Almqvist & Wiksell International, 2025) Karadeniz Çakmak, Güldeniz; Tali, Ufuk; Balbaloğlu, Hakan; Taşdöven, İlhan; Özkurt, Enver; Karanlık, Hasan; Zihni, İsmail; Doğan, Lütfi; Akçay, Müfide; Günay, Semra; Basım, Pelin; Küçük, G. Ozan; Pergel, Ahmet; Maralcan, Göktürk; Uğurlu, M. Ümit; Gürleyik, Günay; Akan, Arzu; Uzunköy, Ali; Yıldırım, Emine; Köksal, Hande; Haberal, Elifcan; Gülçelik, M. Ali; Morkavuk, Barış; Kıvılcım, Taner; Uçar, B. İmge; Koçer, H. Belma; Gümüşay, Özge; Uras, Cihan; Varlı, Metin; Ersoy, Yeliz; Özçınar, Beyza; Kafadar, Tolga; Badak, Bartu; Dağ, Ahmet; Sezer, Atakan; Özkan Gürdal, Sibel; Ağcaoğlu, Orhan; Cantürk, N. Zafer; Yıldız, O. Eren; Dalcı, Kubilay; Altınok, Ayşe; Aktaş, Ayşegül; Kebudi, Abut; Dilege, Ece; BAtu, H. Figen; Vural, Veli; Sakman, Gürhan; Bölükbaşı, Yasemin; Emiroğlu, Selman; Cabioğlu, Neslihan; Deniz, Oğuzhan; Filiz, A. İlker; Yıldırım, A. Cihat; Bayır, Duygu; Ölmez, Özgür; Bakkal, Bekir H.; Bahadır, Burak; Alıcıoğlu, Banu; Büyükuysal, M. Çağatay; Özaydın, Yiğit; Kaya, Hamide; Bakır, Nurullah; Cömert, Mustafa; Özmen, Vahit
    Delays in breast cancer (BC) diagnosis and treatment negatively impact survival outcomes. Understanding patient- and provider-related factors behind these delays is crucial. This study aimed to identify nationwide reasons for delayed diagnosis and treatment of locally advanced BC in Turkiye. A prospective, multicenter hospital-based survey was conducted across 35 institutions between 2023 and 2024. Patient- and provider-related delays were assessed via a structured 61-item face-to-face survey, supplemented by clinical data from electronic health records. Delays exceeding 3 months were clinically categorized as significant. A total of 1322 women participated from seven regions across Turkiye. Factors contributing to diagnostic delays on a national level included economic reasons (5.5%), lack of family support (3.3%), lack of knowledge (12.4%), lack of time due to household work (3.8%), difficulty in finding an appointment (6.7%), pregnancy-related reasons (1.1%), fear of losing the breast (8.9%), fear of death (9.8%), and transportation difficulties (5.1%). Provider-related delays were infrequent. About 89.3% of the patients had the initial doctor appointment and 89.6% had the first specialist consultation within one month. Treatment planning was predominantly based on a multidisciplinary team decision in 88.3% of patients. Regarding treatment initiation, 93.2% started required treatment within 1 month of decision. Patient-related factors are the major causes of diagnostic delay in Turkiye. On the other hand, from the provider's perspective, the presence of multidisciplinary teams, including dedicated breast surgeons, represents a key factor in ensuring the timely implementation of diagnostic procedures and treatment strategies.