Ângela Gabrielly Quirino Freitas|Mathias Weller
Patient delays and system delays in breast cancer treatment in developed and developing countries
Universidade Estadual da Paraíba|Universidade Estadual da Paraíba
delays treating breast cancer associated advanced stage disease decrease patient survival rates scope integrative review analyze main causal factors types patient system delays underlying causal factors delays compared among studies conducted developing developed countries 53 studies selected 24 carried developing countries 29 developed countries respectively nonattribution symptoms cancer fear disease treatment low educational level frequent causes patient delay less comprehensive health insurance coverage olderyounger age false negative diagnosis tests three common causal factors system delay effects factors age decisive per se depended mainly social cultural context factors caused patient delay system delay studies conducted developing countries identified causal factors patient delay stronger focus patient delay combination studies conducted developed countries stronger focus aspects system delay treatment guidance breast cancer patients health care system