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Predictors for the ...
Predictors for the symptomatic prostate cancer patient's delays in seeking care.
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- Sunny, Lizzy (author)
- Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper, Avdelningen för onkologi,Institute of Clinical Sciences, Department of Oncology
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- Hopfgarten, Thomas (author)
- Karolinska Institutet
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- 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.
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In: European Journal of Cancer. - : Elsevier BV. - 0959-8049. ; 44:5, s. 733-739
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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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