Cassio de Mattos Dziabas Júnior, Bárbara Silveira Dionízio, Ana Maiara Viana, Gyllyandeson de Araujo Delmondes, Daniel Machado de Amorim, Jose Oliveira de Amorim Júnior, Loyze Petronio Leite, Matheus Figueiredo Nogueira, Luis Fernando Reis Macedo, Modesto Leite Rolim Neto
Children and adolescents continue to be exposed to early work in Brazil
Journal of pediatric nursing
early diagnosis important aspect quality cancer careanalysis diagnostic delays reasons delay helps plan strategies improve cancer care determine primary secondary total diagnostic delay patients diagnosed head neck cancer explore reasons delay patient perspective explanatory mixed method design used two hundred persons confirmed diagnosis head neck cancer attending ent ear nose throat cancer clinic teaching hospital initiation treatment included study median delay association delay various factors analyzed sixteen onetoone interviews patients done identify reasons delays patient perspective median primary secondary total diagnostic delays 30 days 30 days 73 days respectively statistically primary delay found significantly longer among ever users smokeless tobacco significantly longer secondary delay found among age less 60 years reasons delay grouped categories symptom appraisal delay due low perceived seriousness ii healthseeking behavior delay diagnostic delay considerable measures enhance symptom appraisal improving health literacy opportunistic screening strengthening referral system would decrease diagnostic delay