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Breast cancer management delay - time for improvement: a reflection from the eastern province of saudi arabia.

Abdelhadi MS - J Family Community Med (2008)

Bottom Line: Random retracing of these patients' records identified three points of delay: community related, primary heath care and tertiary care.It was found that the patients spent 6-15 weeks and around 32-38 hand offs before receiving the final care.This unnecessary delay creates anxiety and mistrust of the operating health system leading patients to seek alternative medicine or treatment abroad.

View Article: PubMed Central - PubMed

Affiliation: Department of Surgery, College of Medicine, King Faisal University, Dammam, Saudi Arabia.

ABSTRACT

Objective: Breast cancer is the commonest international malignancy among women. Its increased prevalence over recent years in our part of the world has prompted women to randomly seek medical advice. Many patients are delayed for weeks to months prior to receiving medical treatment. This review explores the causes of delay and proposes possible solutions.

Materials and methods: This review was undertaken at King Fahd Hospital of the University, a tertiary care center with the capacity of 420 beds. It accommodates a large number of referrals from the Eastern Province, other regions of the Kingdom, in addition to many walk-in patients. Most of the patients referred with breast cancer are directed to the breast clinic for treatment. There was random re-tracing of patients' steps from the discovery of the suspicious breast mass to the delivery of care.

Results: The total number of diagnosed breast cancer cases at this center between 1997-2007 was 303, with a total number of 975 registered visits. Random retracing of these patients' records identified three points of delay: community related, primary heath care and tertiary care. It was found that the patients spent 6-15 weeks and around 32-38 hand offs before receiving the final care.

Conclusion: This unnecessary delay creates anxiety and mistrust of the operating health system leading patients to seek alternative medicine or treatment abroad. A multidisciplinary one-stop breast oncology clinic may be the solution to the above problem. It may allow the fast tracking of breast cancer patients through a highly specialized and welltrained multidisciplinary team that offers the highest quality of care, thereby optimizing the chances of cure with the least delay and possible morbidity.

No MeSH data available.


Related in: MedlinePlus

Process Mapping 1 - Current patients steps
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Figure 5: Process Mapping 1 - Current patients steps

Mentions: The delay continues even when the patient reaches the hospital. In a busy public hospital, a breast cancer patient can rarely circumvent the long appointment waiting lists. Most hospitals do not have sub-specialized facilities for breast diseases. The referred patients go through the long process of referrals and many handoffs before they are actually seen by the specialist. The waiting time for our patients ranges approximately between 6-15 weeks. Value time is 2 weeks and the number of handoffs is 38, causing a great deal of anxiety and inconvenience for both the patient and family. The value time is defined as the actual time during which the patient actually undergoes a procedure or is in contact with a physician or receiving treatment (Figure 5 – Process Mapping I).


Breast cancer management delay - time for improvement: a reflection from the eastern province of saudi arabia.

Abdelhadi MS - J Family Community Med (2008)

Process Mapping 1 - Current patients steps
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3377124&req=5

Figure 5: Process Mapping 1 - Current patients steps
Mentions: The delay continues even when the patient reaches the hospital. In a busy public hospital, a breast cancer patient can rarely circumvent the long appointment waiting lists. Most hospitals do not have sub-specialized facilities for breast diseases. The referred patients go through the long process of referrals and many handoffs before they are actually seen by the specialist. The waiting time for our patients ranges approximately between 6-15 weeks. Value time is 2 weeks and the number of handoffs is 38, causing a great deal of anxiety and inconvenience for both the patient and family. The value time is defined as the actual time during which the patient actually undergoes a procedure or is in contact with a physician or receiving treatment (Figure 5 – Process Mapping I).

Bottom Line: Random retracing of these patients' records identified three points of delay: community related, primary heath care and tertiary care.It was found that the patients spent 6-15 weeks and around 32-38 hand offs before receiving the final care.This unnecessary delay creates anxiety and mistrust of the operating health system leading patients to seek alternative medicine or treatment abroad.

View Article: PubMed Central - PubMed

Affiliation: Department of Surgery, College of Medicine, King Faisal University, Dammam, Saudi Arabia.

ABSTRACT

Objective: Breast cancer is the commonest international malignancy among women. Its increased prevalence over recent years in our part of the world has prompted women to randomly seek medical advice. Many patients are delayed for weeks to months prior to receiving medical treatment. This review explores the causes of delay and proposes possible solutions.

Materials and methods: This review was undertaken at King Fahd Hospital of the University, a tertiary care center with the capacity of 420 beds. It accommodates a large number of referrals from the Eastern Province, other regions of the Kingdom, in addition to many walk-in patients. Most of the patients referred with breast cancer are directed to the breast clinic for treatment. There was random re-tracing of patients' steps from the discovery of the suspicious breast mass to the delivery of care.

Results: The total number of diagnosed breast cancer cases at this center between 1997-2007 was 303, with a total number of 975 registered visits. Random retracing of these patients' records identified three points of delay: community related, primary heath care and tertiary care. It was found that the patients spent 6-15 weeks and around 32-38 hand offs before receiving the final care.

Conclusion: This unnecessary delay creates anxiety and mistrust of the operating health system leading patients to seek alternative medicine or treatment abroad. A multidisciplinary one-stop breast oncology clinic may be the solution to the above problem. It may allow the fast tracking of breast cancer patients through a highly specialized and welltrained multidisciplinary team that offers the highest quality of care, thereby optimizing the chances of cure with the least delay and possible morbidity.

No MeSH data available.


Related in: MedlinePlus