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Predictors for the symptomatic prostate cancer patient's delays in seeking care.

Sunny, Lizzy (author)
Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper, Avdelningen för onkologi,Institute of Clinical Sciences, Department of Oncology
Hopfgarten, Thomas (author)
Karolinska Institutet
Adolfsson, Jan (author)
Karolinska Institutet
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Steineck, Gunnar, 1952 (author)
Karolinska Institutet,Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper,Institute of Clinical Sciences
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 (creator_code:org_t)
Elsevier BV, 2008
2008
English.
In: European Journal of Cancer. - : Elsevier BV. - 0959-8049. ; 44:5, s. 733-739
  • Journal article (peer-reviewed)
Abstract Subject headings
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  • Aim This study aims to determine the predictors for the symptomaticprostatecancerpatient’sdelays in seekingcare. Methods We followed a cohort of 931 men with prostatecancer from Stockholm County (Sweden) asking about socio-demographic and information-level characteristics as well as the length of delay in seekingcare. Results Of the 511 patients who returned a completed questionnaire, 219 (43%) reported having clinical symptoms before prostatecancer was diagnosed. Of all men with clinical symptoms, self-employed men were more likely to make an early first contact with the health-care system than pensioners or men with other employment (relative risk (RR), 3.9; 95% confidence interval (CI), 1.4–11.0). Men who had obtained moderate or much information from the internet about prostatecancer were more likely to have made an early first contact with the health-care system (RR, 2.2; 95% CI, 1.3–3.9). Men who had obtained moderate or much information from health-care staff (RR, 1.4; 95% CI, 1.0–1.6), or from any doctor (RR, 1.4; 95% CI, 1.0–1.8) or from family members/acquaintances (RR, 1.3; 95% CI, 1.0–1.9) had an early first visit to the health-care system. Men who were 70 to 80 years old started treatment earlier than men who were 50 to 69 years old (RR, 2.3; 95% CI, 1.4–3.6). Conclusions The patients’ level of information about prostatecancer obtained from the internet and other sources such as the health-care system, doctors or family members/acquaintances coupled with their employment status were influential in leading to early first contact and first visit to the health-care system. Older patients started treatment earlier than younger patients.

Subject headings

MEDICIN OCH HÄLSOVETENSKAP  -- Hälsovetenskap -- Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Health Sciences -- Public Health, Global Health, Social Medicine and Epidemiology (hsv//eng)

Keyword

Prostate neoplasm
Symptomatic
Delay
Predictors
Health-care system

Publication and Content Type

ref (subject category)
art (subject category)

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