Causes of diagnostic and treatment delays in locally advanced breast cancer: a nationwide multicenter survey and electronic health records analysis in Turkiye

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dc.contributor.authorKaradeniz Çakmak, Güldeniz
dc.contributor.authorTali, Ufuk
dc.contributor.authorBalbaloğlu, Hakan
dc.contributor.authorTaşdöven, İlhan
dc.contributor.authorÖzkurt, Enver
dc.contributor.authorKaranlık, Hasan
dc.contributor.authorZihni, İsmail
dc.contributor.authorDoğan, Lütfi
dc.contributor.authorAkçay, Müfide
dc.contributor.authorGünay, Semra
dc.contributor.authorBasım, Pelin
dc.contributor.authorKüçük, G. Ozan
dc.contributor.authorPergel, Ahmet
dc.contributor.authorMaralcan, Göktürk
dc.contributor.authorUğurlu, M. Ümit
dc.contributor.authorGürleyik, Günay
dc.contributor.authorAkan, Arzu
dc.contributor.authorUzunköy, Ali
dc.contributor.authorYıldırım, Emine
dc.contributor.authorKöksal, Hande
dc.contributor.authorHaberal, Elifcan
dc.contributor.authorGülçelik, M. Ali
dc.contributor.authorMorkavuk, Barış
dc.contributor.authorKıvılcım, Taner
dc.contributor.authorUçar, B. İmge
dc.contributor.authorKoçer, H. Belma
dc.contributor.authorGümüşay, Özge
dc.contributor.authorUras, Cihan
dc.contributor.authorVarlı, Metin
dc.contributor.authorErsoy, Yeliz
dc.contributor.authorÖzçınar, Beyza
dc.contributor.authorKafadar, Tolga
dc.contributor.authorBadak, Bartu
dc.contributor.authorDağ, Ahmet
dc.contributor.authorSezer, Atakan
dc.contributor.authorÖzkan Gürdal, Sibel
dc.contributor.authorAğcaoğlu, Orhan
dc.contributor.authorCantürk, N. Zafer
dc.contributor.authorYıldız, O. Eren
dc.contributor.authorDalcı, Kubilay
dc.contributor.authorAltınok, Ayşe
dc.contributor.authorAktaş, Ayşegül
dc.contributor.authorKebudi, Abut
dc.contributor.authorDilege, Ece
dc.contributor.authorBAtu, H. Figen
dc.contributor.authorVural, Veli
dc.contributor.authorSakman, Gürhan
dc.contributor.authorBölükbaşı, Yasemin
dc.contributor.authorEmiroğlu, Selman
dc.contributor.authorCabioğlu, Neslihan
dc.contributor.authorDeniz, Oğuzhan
dc.contributor.authorFiliz, A. İlker
dc.contributor.authorYıldırım, A. Cihat
dc.contributor.authorBayır, Duygu
dc.contributor.authorÖlmez, Özgür
dc.contributor.authorBakkal, Bekir H.
dc.contributor.authorBahadır, Burak
dc.contributor.authorAlıcıoğlu, Banu
dc.contributor.authorBüyükuysal, M. Çağatay
dc.contributor.authorÖzaydın, Yiğit
dc.contributor.authorKaya, Hamide
dc.contributor.authorBakır, Nurullah
dc.contributor.authorCömert, Mustafa
dc.contributor.authorÖzmen, Vahit
dc.date.accessioned2025-08-14T14:02:44Z
dc.date.available2025-08-14T14:02:44Z
dc.date.issued2025
dc.departmentFakülteler, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü,Genel Cerrahi Ana Bilim Dalı
dc.description.abstractDelays 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.
dc.identifier.citationKaradeniz Cakmak, G., Tali, U., Balbaloglu, H., Tasdoven, I., Ozkurt, E., Karanlik, H., ... & Ozmen, V. (2025). Causes of diagnostic and treatment delays in locally advanced breast cancer: a nationwide multicenter survey and electronic health records analysis in Turkiye. European Journal of Public Health, ckaf108. 10.1093/eurpub/ckaf108
dc.identifier.doi10.1093/eurpub/ckaf108
dc.identifier.issn1101-1262
dc.identifier.issn1464-360X
dc.identifier.pmid40628383
dc.identifier.urihttps://hdl.handle.net/20.500.12939/5847
dc.indekslendigikaynakPubMed
dc.institutionauthorAltınok, Ayşe
dc.language.isoen
dc.publisherAlmqvist & Wiksell International
dc.relation.ispartofEuropean Journal of Public Health
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Öğrenci
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectBreast cancer
dc.subjectElectronic health records analysis
dc.titleCauses of diagnostic and treatment delays in locally advanced breast cancer: a nationwide multicenter survey and electronic health records analysis in Turkiye
dc.typeArticle

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