Causes of Diagnostic and Treatment Delays in Locally Advanced Breast Cancer: a Nationwide Multicenter Survey and Electronic Health Records Analysis in Turkiye
dc.contributor.author | Karadeniz Cakmak, Guldeniz | |
dc.contributor.author | Tali, Ufuk | |
dc.contributor.author | Balbaloglu, Hakan | |
dc.contributor.author | Tasdoven, Ilhan | |
dc.contributor.author | Ozkurt, Enver | |
dc.contributor.author | Karanlik, Hasan | |
dc.contributor.author | Ozmen, Vahit | |
dc.date.accessioned | 2025-08-15T19:10:54Z | |
dc.date.available | 2025-08-15T19:10:54Z | |
dc.date.issued | 2025 | |
dc.description.abstract | Delays in breast cancer (BC) diagnosis and treatment negatively impact survival outcomes. Understanding patient- and provider-related factors behind these delays is crucial. This study aimed to identify nationwide reasons for delayed diagnosis and treatment of locally advanced BC in Turkiye. A prospective, multicenter hospital-based survey was conducted across 35 institutions between 2023 and 2024. Patient- and provider-related delays were assessed via a structured 61-item face-to-face survey, supplemented by clinical data from electronic health records. Delays exceeding 3 months were clinically categorized as significant. A total of 1322 women participated from seven regions across Turkiye. Factors contributing to diagnostic delays on a national level included economic reasons (5.5%), lack of family support (3.3%), lack of knowledge (12.4%), lack of time due to household work (3.8%), difficulty in finding an appointment (6.7%), pregnancy-related reasons (1.1%), fear of losing the breast (8.9%), fear of death (9.8%), and transportation difficulties (5.1%). Provider-related delays were infrequent. About 89.3% of the patients had the initial doctor appointment and 89.6% had the first specialist consultation within one month. Treatment planning was predominantly based on a multidisciplinary team decision in 88.3% of patients. Regarding treatment initiation, 93.2% started required treatment within 1 month of decision. Patient-related factors are the major causes of diagnostic delay in Turkiye. On the other hand, from the provider's perspective, the presence of multidisciplinary teams, including dedicated breast surgeons, represents a key factor in ensuring the timely implementation of diagnostic procedures and treatment strategies. | en_US |
dc.description.sponsorship | United Nations Institute for Training and Research; Global Surgery Foundation and Zonguldak Bulent Ecevit University [GSFA.2023.NF.009.ZBEU] | en_US |
dc.description.sponsorship | The project was funded by United Nations Institute for Training and Research and The Global Surgery Foundation and Zonguldak Bulent Ecevit University (GSFA.2023.NF.009.ZBEU_Zonguldak Bulent Ecevit University). | en_US |
dc.identifier.doi | 10.1093/eurpub/ckaf108 | |
dc.identifier.issn | 1101-1262 | |
dc.identifier.issn | 1464-360X | |
dc.identifier.uri | https://doi.org/10.1093/eurpub/ckaf108 | |
dc.identifier.uri | https://hdl.handle.net/20.500.12514/9162 | |
dc.language.iso | en | en_US |
dc.publisher | Oxford Univ Press | en_US |
dc.relation.ispartof | European Journal of Public Health | en_US |
dc.rights | info:eu-repo/semantics/closedAccess | en_US |
dc.title | Causes of Diagnostic and Treatment Delays in Locally Advanced Breast Cancer: a Nationwide Multicenter Survey and Electronic Health Records Analysis in Turkiye | en_US |
dc.type | Article | en_US |
dspace.entity.type | Publication | |
gdc.author.wosid | Bahadır, Burak/Aer-2273-2022 | |
gdc.author.wosid | Pergel, Ahmet/Mck-4075-2025 | |
gdc.author.wosid | Vural, Veli/I-9539-2017 | |
gdc.author.wosid | Karanlik, Hasan/Aau-3529-2020 | |
gdc.author.wosid | Cakmak, Guldeniz/L-4890-2019 | |
gdc.author.wosid | Dağ, Ahmet/Aag-8409-2021 | |
gdc.author.wosid | Gumusay, Ozge/Aat-3435-2021 | |
gdc.description.department | Artuklu University | en_US |
gdc.description.departmenttemp | [Karadeniz Cakmak, Guldeniz; Tali, Ufuk; Balbaloglu, Hakan; Tasdoven, Ilhan; Deniz, Oguzhan; Ozaydin, Yigit; Kaya, Hamide; Comert, Mustafa] Zonguldak Bulent Ecevit Univ, Sch Med, Dept Gen Surg, Zonguldak, Turkiye; [Ozkurt, Enver] Istanbul Florence Nightingale Hosp, Dept Gen Surg, Istanbul, Turkiye; [Karanlik, Hasan] Istanbul Univ, Oncol Inst, Dept Gen Surg, Istanbul, Turkiye; [Zihni, Ismail; Batu, H. Figen; Vural, Veli] Akdeniz Univ, Fac Med, Dept Gen Surg, Antalya, Turkiye; [Dogan, Lutfi] Univ Hlth Sci, Ankara Oncol Training & Res Hosp, Dept Gen Surg, Ankara, Turkiye; [Akcay, Mufide] Ataturk Univ, Fac Med, Dept Gen Surg, Erzurum, Turkiye; [Gunay, Semra; Kivilcim, Taner] Okan Univ, Fac Med, Dept Gen Surg, Istanbul, Turkiye; [Basim, Pelin] Istanbul Medipol Univ, Fac Med, Dept Gen Surg, Istanbul, Turkiye; [Kucuk, G. Ozan] Univ Hlth Sci, Samsun Training & Res Hosp, Dept Gen Surg, Samsun, Turkiye; [Pergel, Ahmet] Recep Tayyip Erdogan Univ, Fac Med, Dept Gen Surg, Rize, Turkiye; [Maralcan, Gokturk] Gaziantep SANKO Univ, Fac Med, Dept Gen Surg, Gaziantep, Turkiye; [Ugurlu, M. Umit] Marmara Univ, Fac Med, Dept Gen Surg, Istanbul, Turkiye; [Gurleyik, Gunay] Univ Hlth Sci, Istanbul Haydarpasa Numune Hlth Practice & Res Hos, Dept Gen Surg, Istanbul, Turkiye; [Akan, Arzu] Univ Hlth Sci, Cemil Tascioglu Training & Res Hosp, Dept Gen Surg, Istanbul, Turkiye; [Uzunkoy, Ali] Harran Univ, Fac Med, Dept Gen Surg, Sanli Urfa, Turkiye; [Yildirim, Emine] Atlas Univ, Fac Med, Gen Surg Dept, Istanbul, Turkiye; [Koksal, Hande] Selcuk Univ, Fac Med, Dept Gen Surg, Konya, Turkiye; [Gulcelik, M. Ali; Morkavuk, Baris] Univ Hlth Sci, Gulhane Fac Med, Dept Gen Surg, Ankara, Turkiye; [Ucar, B. Imge; Yildirim, A. Cihat] Kutahya Hlth Sci Univ, Fac Med, Dept Gen Surg, Kutahya, Turkiye; [Kocer, H. Belma] Sakarya Univ, Fac Med, Dept Gen Surg, Sakarya, Turkiye; [Gumusay, Ozge] Acibadem Univ, Fac Med, Dept Clin Oncol, Istanbul, Turkiye; [Uras, Cihan] Acibadem Univ, Fac Med, Dept Gen Surg, Istanbul, Turkiye; [Varli, Metin] Mardin Artuklu Univ, Fac Med, Dept Gen Surg, Mardin, Turkiye; [Ersoy, Yeliz] Bezmialem Vakif Univ, Fac Med, Dept Gen Surg, Istanbul, Turkiye; [Ozcinar, Beyza; Cabioglu, Neslihan] Istanbul Univ, Fac Med, Dept Gen Surg, Istanbul, Turkiye; [Kafadar, Tolga] Dicle Univ, Fac Med, Dept Gen Surg, Diyarbakir, Turkiye; [Badak, Bartu] Eskisehir Osman Gazi Univ, Fac Med, Dept Gen Surg, Eskisehir, Turkiye; [Dag, Ahmet] Mersin Univ, Fac Med, Dept Gen Surg, Mersin, Turkiye; [Sezer, Atakan] Trakya Univ, Fac Med, Dept Gen Surg, Edirne, Turkiye; [Ozkan Gurdal, Sibel] Tekirdag Namik Kemal Univ, Fac Med, Dept Gen Surg, Tekirdag, Turkiye; [Agcaoglu, Orhan; Dilege, Ece] Koc Univ, Fac Med, Dept Gen Surg, Istanbul, Turkiye; [Canturk, N. Zafer] Kocaeli Univ, Fac Med, Dept Gen Surg, Kocaeli, Turkiye; [Yildiz, O. Eren] Hatay Samandag Hosp, Dept Gen Surg, Hatay, Turkiye; [Dalci, Kubilay] Cukurova Univ, Fac Med, Dept Gen Surg, Adana, Turkiye; [Altinok, Ayse] Altinbas Univ, Medikapk Bahcelievler Hosp, Dept Gen Surg, Istanbul, Turkiye; [Bolukbasi, Yasemin] Koc Univ, Fac Med, Dept Radiat Oncol, Istanbul, Turkiye; [Filiz, A. Ilker] Baskent Univ, Istanbul Hosp, Dept Gen Surg, Istanbul, Turkiye; [Bayir, Duygu] Eskisehir Osman Gazi Univ, Fac Med, Dept Clin Oncol, Eskisehir, Turkiye; [Olmez, Ozgur] Zonguldak Bulent Ecevit Univ, Fac Med, Dept Clin Oncol, Zonguldak, Turkiye; [Bakkal, Bekir H.] Zonguldak Bulent Ecevit Univ, Fac Med, Dept Radiat Oncol, Zonguldak, Turkiye; [Bahadir, Burak] Zonguldak Bulent Ecevit Univ, Fac Med, Dept Clin Pathol, Zonguldak, Turkiye; [Alicioglu, Banu] Zonguldak Bulent Ecevit Univ, Fac Med, Dept Radiol, Zonguldak, Turkiye; [Buyukuysal, M. Cagatay] Zonguldak Bulent Ecevit Univ, Fac Med, Dept Biostat, Zonguldak, Turkiye | en_US |
gdc.description.publicationcategory | Makale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı | en_US |
gdc.description.scopusquality | Q1 | |
gdc.description.woscitationindex | Science Citation Index Expanded - Social Science Citation Index | |
gdc.description.wosquality | Q2 | |
gdc.identifier.pmid | 40628383 | |
gdc.identifier.wos | WOS:001524065400001 | |
gdc.wos.citedcount | 0 |