Factors associated with attrition in patients with breast cancer: a retrospective study.
Artigo
em Inglês
| IMSEAR
| ID: sea-118324
ABSTRACT
BACKGROUND:
Attrition in follow up is a key limitation of longitudinal studies, especially in cancer patients in developing countries. We did a retrospective analysis of possible factors that resulted in attrition of patients with breast cancer during follow up.METHODS:
This study is a comparison between patients who came for a follow up regularly to our clinic with those who did not but could be contacted on phone or by post. A computerized grouped database was constructed with the following parameters age, religious community, other co-morbid conditions if present, distance from place of residence to our city, residence in city/ village, initial stage of the disease, type of treatment and disease relapse or death.RESULTS:
Using binary logistic regression, disease relapse was found to be the most important cause of non-compliance. The odds ratio for irregularity or loss to follow up of patients with disease relapse was 2.53 (95% CI 1.17-5.46; p = 0.02) for patients who were alive with disease relapse and 6.1 8 (95% CI 3.47-11.02; p < 0.001) for patients who had died due to the disease compared with those who were alive and free of disease. The age and place of residence in a village were other significant factors. The odds of attrition due to age were 1.03 (95% CI 1.01-1.05; p = 0.04) for each year of increase in age and that of residence in a village was 1.85 (95% CI 1.02-3.36; p = 0.04).CONCLUSION:
Age, disease relapse and residing in a village are important causes of attrition during follow up of patients with breast cancer in India.
Texto completo:
DisponíveL
Índice:
IMSEAR (Sudeste Asiático)
Assunto principal:
Idoso de 80 Anos ou mais
/
Neoplasias da Mama
/
Idoso
/
Feminino
/
Humanos
/
Masculino
/
Estudos Retrospectivos
/
Fatores de Risco
/
Cooperação do Paciente
/
Falha de Tratamento
Tipo de estudo:
Estudo de etiologia
/
Estudo observacional
/
Fatores de risco
Limite:
Aged80
País/Região como assunto:
Ásia
Idioma:
Inglês
Ano de publicação:
2007
Tipo de documento:
Artigo
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