ABSTRACT
INTRODUCTION:Breast cancer is one of the most common cancers in the world. According to the WHO report, over 14.1million new cases were registered every year. 6% of all cancers of Mongolian women were indicated asa breast cancer. This is the 2.5% of cancer cases of whole Mongolian population.GOAL:Identify observed 5 year survival rate and mean of survived time of patients with breast cancers inMongolian population, and some risk factors of survival.MATERIALS AND METHODS:The study design was retrospective and a total of 195 patients were selected which are registered bybreast cancer in National Cancer Registry of Mongolia, 2007-2008 years. Average of survival timecalculated by median and mean, observed 1, 3, 5 year survival rate calculated by percent. Data analyseswere performed using SPSS 19.0 software.RESULT:Totally 195 people involved in research, 5 year after diagnosed 59 (30.3%) people died from cancer, 136(69.7%) people was alive.Breast cancer patients observed 1, 3, 5 year survival rate was correlated to age group, level of education,stage of diagnosis and get involved cancer treatment.Breast (Wald (3) =26.30, P<0.0001) cancer patients survival was correlated to stage of diagnosis and getinvolved cancer treatment.CONCLUSION:1. Mean of survived time of patients with breast cancer was 50.4 months and observed 5 year survivalrate 69.7%.2. Breast cancer patient’s survival was correlated to age group and level of education.3. Breast cancer patient’s survival was correlated to stage of diagnosis and get involved cancertreatment.
ABSTRACT
BackgroundThe prognosis of breast and cervical cancer is relatively good if they are diagnosed at early stages.In Mongolia, however the survival rate of these cancers has been lower than in developed countries. Prevalence of late diagnoses of breast and cervical cancer is one of the most significant factors of the low survival rate of cancer patients in Mongolia. In this study, we sought to determine (1) the delay in diagnosing related with patient and (2) delay in treatment related with medical care including possible risk factors.GoalTo study the diagnosis delay of breast and cervical cancers related to medical care system.MethodsBreast and cervical cancer patients treated in the inpatient wards of National Cancer Center completed a study questionnaire on the first symptoms, timeline of medical care, and socio-demographic information. Diagnostic delay related with patient is indicated by extension of time interval of 30 days between the first symptoms and the first medical consultation. Diagnostic delay related with medical care system is indicated by extension of time interval of 30 days between the first medical the consultation and the first diagnosis. The delays of time were analyzed using the Mantel-Haenszel test.ResultsThe mean value of cervical cancer patient delay was 1.7 months. 40% of the patients were diagnosed later than 1 month failing to seek medical assistance as soon as the first symptom has been found (p=0.03). But the mean value of breast cancer patient delay was 2.1 months and 57% of patients were diagnosed later than 1 month. Diagnostic delay was associated with lack of diagnostic capacity of general practitioners and of province and district hospitals (p=0.001).ConclusionsDelays occur in all stages of the diagnostic process. Our results may represent an important tool in guiding the actions for an early diagnosis of cervical and breast cancers. There is a need for improving breast and cervical cancer awareness and training of general practitioners to reduce breast and cervical cancers mortality by promoting early detection.