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Demoras en el diagnóstico y tratamiento de mujeres con cáncer de mama en Bogotá, Colombia

Piñeros, Marion | 2011-11-07

Objective. Establish provider delay for breast cancer and related factors. Material and Methods. 1 106 women with breast cancer were approached in health care institutions of Bogota, Colombia. According to the history of first consul-tation, we established diagnostic and treatment incidence rates, which were compared for different variables. A Cox hazard model was established. Results. Median time from first consultation to diagnosis and start of treatment were 91 days (CI95%:82-97 days) and 137 days (CI95%:127-147 days) respectively. Diagnosis and treatment were faster in women with higher educational level, affiliated to the “special” social security, with better socioeconomic conditions and in screening-detected breast cancers. Conclusion. Provider delay isexcessive. There are clear inequities in access to services and a need of reducing the waiting times for women with a suspicion of breast cancer.