Factors Contributing to Late Breast Cancer Diagnosis at the Brazzaville University Hospital in 2020, Congo: A Cross-Sectional Analytic Study
Objectives Breast cancer is leading the cancer incidence and mortality ranks worldwide. Currently, breast cancer represents 30.1% of all cancers occurring in women in Congo. In sub-Saharan Africa, breast cancer is diagnosed delayed in 70% of cases. The purpose of this work is to study the epidemiolo...
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2025-01-01
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| Series: | Cancer Control |
| Online Access: | https://doi.org/10.1177/10732748241270634 |
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| author | Michel Ilboudo MD, MPH Sylvain Honoré Woromogo MD, PhD Dagnagnéwendé Dieudonné Kaboré MD, MPH Nina Assanatou Jumelle Zerbo MD, MPH Jean Bernard Nkoua Mbon MD, PhD |
| author_facet | Michel Ilboudo MD, MPH Sylvain Honoré Woromogo MD, PhD Dagnagnéwendé Dieudonné Kaboré MD, MPH Nina Assanatou Jumelle Zerbo MD, MPH Jean Bernard Nkoua Mbon MD, PhD |
| author_sort | Michel Ilboudo MD, MPH |
| collection | DOAJ |
| description | Objectives Breast cancer is leading the cancer incidence and mortality ranks worldwide. Currently, breast cancer represents 30.1% of all cancers occurring in women in Congo. In sub-Saharan Africa, breast cancer is diagnosed delayed in 70% of cases. The purpose of this work is to study the epidemiological aspects of patients with late diagnosis of breast cancer at the Brazzaville University Hospital, Congo. Methods We carried out a cross-sectional analytic study in the medical oncology service of the University Hospital of Brazzaville. We used systematic, exhaustive sampling. Logistic regression was used for data analysis, and P values ≤5% were considered significant. Results Data for 182 patients were collected. Delay in diagnosis represented 91.21% of cases. Delay in diagnosis was significantly associated with lack of finance ( P = 0.011) and with breast cancer stages greater than 2 ( P < 0.001), but the proximity to the center was suggestive. Multivariate analysis revealed an association between diagnostic delay and proximity to the center ( P = 0.025) as well as with breast cancer stages greater than 2 ( P < 0.001). Conclusion The delay in breast cancer diagnosis widely discussed in the literature remains relevant in Congo. Routine screening, the construction of a cancer center and its optimal equipment, and the subsidy of care are all critical factors for battling delayed breast cancer diagnosis in Congo. |
| format | Article |
| id | doaj-art-8735254d76ea49a197ac0618c36d6360 |
| institution | Kabale University |
| issn | 1526-2359 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Cancer Control |
| spelling | doaj-art-8735254d76ea49a197ac0618c36d63602025-01-28T10:03:21ZengSAGE PublishingCancer Control1526-23592025-01-013210.1177/10732748241270634Factors Contributing to Late Breast Cancer Diagnosis at the Brazzaville University Hospital in 2020, Congo: A Cross-Sectional Analytic StudyMichel Ilboudo MD, MPHSylvain Honoré Woromogo MD, PhDDagnagnéwendé Dieudonné Kaboré MD, MPHNina Assanatou Jumelle Zerbo MD, MPHJean Bernard Nkoua Mbon MD, PhDObjectives Breast cancer is leading the cancer incidence and mortality ranks worldwide. Currently, breast cancer represents 30.1% of all cancers occurring in women in Congo. In sub-Saharan Africa, breast cancer is diagnosed delayed in 70% of cases. The purpose of this work is to study the epidemiological aspects of patients with late diagnosis of breast cancer at the Brazzaville University Hospital, Congo. Methods We carried out a cross-sectional analytic study in the medical oncology service of the University Hospital of Brazzaville. We used systematic, exhaustive sampling. Logistic regression was used for data analysis, and P values ≤5% were considered significant. Results Data for 182 patients were collected. Delay in diagnosis represented 91.21% of cases. Delay in diagnosis was significantly associated with lack of finance ( P = 0.011) and with breast cancer stages greater than 2 ( P < 0.001), but the proximity to the center was suggestive. Multivariate analysis revealed an association between diagnostic delay and proximity to the center ( P = 0.025) as well as with breast cancer stages greater than 2 ( P < 0.001). Conclusion The delay in breast cancer diagnosis widely discussed in the literature remains relevant in Congo. Routine screening, the construction of a cancer center and its optimal equipment, and the subsidy of care are all critical factors for battling delayed breast cancer diagnosis in Congo.https://doi.org/10.1177/10732748241270634 |
| spellingShingle | Michel Ilboudo MD, MPH Sylvain Honoré Woromogo MD, PhD Dagnagnéwendé Dieudonné Kaboré MD, MPH Nina Assanatou Jumelle Zerbo MD, MPH Jean Bernard Nkoua Mbon MD, PhD Factors Contributing to Late Breast Cancer Diagnosis at the Brazzaville University Hospital in 2020, Congo: A Cross-Sectional Analytic Study Cancer Control |
| title | Factors Contributing to Late Breast Cancer Diagnosis at the Brazzaville University Hospital in 2020, Congo: A Cross-Sectional Analytic Study |
| title_full | Factors Contributing to Late Breast Cancer Diagnosis at the Brazzaville University Hospital in 2020, Congo: A Cross-Sectional Analytic Study |
| title_fullStr | Factors Contributing to Late Breast Cancer Diagnosis at the Brazzaville University Hospital in 2020, Congo: A Cross-Sectional Analytic Study |
| title_full_unstemmed | Factors Contributing to Late Breast Cancer Diagnosis at the Brazzaville University Hospital in 2020, Congo: A Cross-Sectional Analytic Study |
| title_short | Factors Contributing to Late Breast Cancer Diagnosis at the Brazzaville University Hospital in 2020, Congo: A Cross-Sectional Analytic Study |
| title_sort | factors contributing to late breast cancer diagnosis at the brazzaville university hospital in 2020 congo a cross sectional analytic study |
| url | https://doi.org/10.1177/10732748241270634 |
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