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. 2021 Oct 1;22(10):3081-3092.
doi: 10.31557/APJCP.2021.22.10.3081.

Factors Affecting Delayed Presentation and Diagnosis of Breast Cancer in Asian Developing Countries Women: A Systematic Review

Farida Briani Sobri  1 , Adang Bachtiar  2 , Sonar Soni Panigoro  3 , Dumilah Ayuningtyas  2 , Hardya Gustada  4 , Patria Wardana Yuswar  5 , Aqsha Azhary Nur  1 , R Cita Resti Anantia Putri  6 , Anggindita Diah Widihidayati  6
Affiliations

Factors Affecting Delayed Presentation and Diagnosis of Breast Cancer in Asian Developing Countries Women: A Systematic Review

Farida Briani Sobri et al. Asian Pac J Cancer Prev. .

Abstract

Background: Advance in screening strategies and management had steadily decreased the mortality rates of breast cancer. In developing countries, conducting screening and early diagnosis of breast cancers may face several problems. This systematic review aims to determine factors affecting the delayed diagnosis of breast cancer in developing countries in Asia.

Methods: Literature research was conducted through Pubmed, ScienceDirect, Scopus, EbscoHost, Cochrane Library, and Google Scholar. The main keywords were "breast cancer", "delayed diagnosis" and "developing countries". Both quantitative and qualitative studies were included.

Results: A total of 26 studies were included. The definition of delayed presentation or diagnosis varied from 1 month to 6 months. Among all the factors from patients and providers, breast symptoms and examinations consistently showed a significant contribution in reducing delayed diagnosis. Strengthened by qualitative studies, patients' knowledge and perception also had a major role in delayed diagnosis.

Conclusion: Among Asian developing countries, breast symptoms and examination, as well as individual knowledge and perception, are the main factors related to delayed diagnosis of breast cancer.

Keywords: Asian developing countries; Knowledge; Perception; breast cancer; delayed diagnosis.

PubMed Disclaimer

Conflict of interest statement

None declared.

Figures

Figure 1
Figure 1
PRISMA Diagram of the Study
See this image and copyright information in PMC

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