Cascade Analysis for Women Presenting with Breast Concerns to a Zonal Hospital in Mwanza, Tanzania (Record no. 27954)
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| fixed length control field | 02806nam a22003017a 4500 |
| 001 - CONTROL NUMBER | |
| control field | 20240606203447.0 |
| 003 - CONTROL NUMBER IDENTIFIER | |
| control field | 20240606203447.0 |
| 005 - DATE AND TIME OF LATEST TRANSACTION | |
| control field | 20240606204212.0 |
| 008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION | |
| fixed length control field | 240606b |||||||| |||| 00| 0 eng d |
| 040 ## - CATALOGING SOURCE | |
| Transcribing agency | ddc |
| 041 ## - LANGUAGE CODE | |
| Language code of text/sound track or separate title | English |
| 100 ## - MAIN ENTRY--PERSONAL NAME | |
| Fuller form of name | Tara M. Friebel-Klingner |
| 245 ## - TITLE STATEMENT | |
| Title | Cascade Analysis for Women Presenting with Breast Concerns to a Zonal Hospital in Mwanza, Tanzania |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. | |
| Place of publication, distribution, etc. | Mwanza, Tanzania : |
| Name of publisher, distributor, etc. | Catholic University of Health and Allied Sciences [CUHAS-Bugando] : |
| Date of publication, distribution, etc. | 2023 |
| 300 ## - PHYSICAL DESCRIPTION | |
| Extent | Pages 01-10 |
| Extent | Includes References |
| 490 ## - SERIES STATEMENT | |
| Series statement | JCO Global Oncology Volume 9 |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | Abstract :<br/><br/>Purpose: In Tanzania, high breast cancer mortality can be attributed to delays in diagnosis and treatment initiation. We adapted the cascade analysis method to depict sequential steps along the breast cancer care pathway in a tertiary hospital in Mwanza, to identify where correction of loss to attrition would have the biggest impact on improving outcomes.<br/><br/>Methods: This prospective cohort included adult women presenting with breast concerns between February 2020 and January 2022. Five cascade steps beginning with patients' initial clinical breast assessment (CBA) through cancer treatment were identified: (1) CBA, (2) ordering diagnostic test(s), (3) completion of diagnostic test(s), (4) receipt of final diagnosis, and (5) initiating cancer treatment.<br/><br/>Results: Overall, 721 eligible women with a median age of 42.8 years (IQR, 32.5-55.0) were included. Median time from presentation to treatment initiation was 35 days (IQR, 20-63). For step 1, 39.1% (n = 282) of patients were diagnosed with a benign concern and removed from the cascade. Completion rates for steps 2-4 were 95.0%, 90.2%, and 91.0, respectively. There were 156 (45.6%) patients diagnosed with breast cancer, and for step 5, 71.2% of patients initiated cancer treatment. In steps 2, 3, 4, and 5, there was a loss of 22, 41, 34, and 45 patients, respectively. If loss was eliminated at steps 2, 3, 4, or 5, an additional 6, 12, 11, or 45 patients, respectively, would have completed the pathway.<br/><br/>Conclusion: Initiating cancer treatment was identified as the step with the biggest loss and, if remedied, would have the biggest impact on improving breast cancer outcomes at Bugando Medical Centre. These results will inform future programs focused on reducing overall loss in the system and supporting patients with breast cancer. |
| 700 ## - ADDED ENTRY--PERSONAL NAME | |
| Fuller form of name | Emma Joo |
| Fuller form of name | Matogoro Kirahi |
| Fuller form of name | Lydia E. Pace |
| Fuller form of name | Elizabeth A. Platz |
| Fuller form of name | Nestory Masalu |
| Fuller form of name | Leonard Washington |
| Fuller form of name | Anne F. Rositch |
| 856 ## - ELECTRONIC LOCATION AND ACCESS | |
| Uniform Resource Identifier | <a href="https://doi.org/10.1200/GO.22.00345">https://doi.org/10.1200/GO.22.00345</a> |
| Link text | https://doi.org/10.1200/GO.22.00345 |
| 942 ## - ADDED ENTRY ELEMENTS (KOHA) | |
| Source of classification or shelving scheme | ddc |
| Koha item type | RESEARCH ARTICLES |
| Suppress in OPAC | |
| Withdrawn status | Lost status | Source of classification or shelving scheme | Damaged status | Not for loan | Home library | Current library | Date acquired | Total checkouts | Barcode | Date last seen | Price effective from | Koha item type |
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| MWALIMU NYERERE LEARNING RESOURCES CENTRE-CUHAS BUGANDO | MWALIMU NYERERE LEARNING RESOURCES CENTRE-CUHAS BUGANDO | 06/06/2024 | 20240606203447.0 | 06/06/2024 | 06/06/2024 | RESEARCH ARTICLES |