Yujing Dong, Haiyan Yin, Shizheng Du, Aihong Wang
The effects of flipped classroom characterized by situational and collaborative learning in a community nursing course: A quasi-experimental design
Nurse education today
many patients head neck cancer hnc often present advanced disease may result delay deciding seek care delay reaching healthcare facility delay accessing care healthcare facility therefore set determine time definitive diagnosis factors associated delayed diagnosis among patients hnc uganda cancer institute uci crosssectional study conducted uci patients hnc recruited interviewer administered questionnaire used collect data sociodemographic factors clinical characteristics including timelines months symptom onset deciding seek care reaching health care facility definitive diagnosis multivariate poisson regression analysis used calculate odds ratios ors factors association delayed diagnosis recruited 160 hnc patients 134 patients analyzed median age 495 years iqr 265 70 94 134 male 48 69 134 secondary school education 49 65 134 household income 54 usd 56 76 134 sole bread winners 67 89 134 good access road condition nearest health unit 70 91 134 presented tumor stage 4 median time onset symptoms definitive diagnosis 81 months iqr 151 65 87 134 patients delayed diagnosis good access roads aor 026 p 0006 secondary school education aor 017 p 0038 household income 136 usd aor 027 p 0043 associated lower odds delayed diagnosis sole bread winner aor 215 p 0050 increased odds delayed diagnosis hnc patients 65 uci delayed diagnosis national care pathway individuals suspected hnc established consider rotation ear nose throat surgeons underserved regions mitigate diagnostic delay