- Volume 15 Issue 24
DOI QR Code
Educational Levels and Delays in Start of Treatment for Head and Neck Cancers in North-East India
- Krishnatreya, Manigreeva (Cancer Registry, Epidemiology and Biostatistics, Dr.B Borooah Cancer Institute) ;
- Kataki, Amal Chandra (Pathology, Dr.B Borooah Cancer Institute) ;
- Sharma, Jagannath Dev (Head and Neck Oncology, Dr.B Borooah Cancer Institute) ;
- Nandy, Pintu (Cancer Registry, Epidemiology and Biostatistics, Dr.B Borooah Cancer Institute) ;
- Rahman, Tashnin (Head and Neck Oncology, Dr.B Borooah Cancer Institute) ;
- Kumar, Mahesh (Head and Neck Oncology, Dr.B Borooah Cancer Institute) ;
- Gogoi, Gayatri (Cancer Registry, Epidemiology and Biostatistics, Dr.B Borooah Cancer Institute) ;
- Hoque, Nazmul (Cancer Registry, Epidemiology and Biostatistics, Dr.B Borooah Cancer Institute)
- 발행 : 2015.01.22
Background: There are various patient and professional factors responsible for the delay in start of treatment (SOT) for head and neck cancers (HNC). Materials and Methods: This retrospective study was conducted on data for HNC patients registered at the hospital cancer registry in North-East India. All cases diagnosed during the period of January 2010 to December 2012 were considered for the present analysis. Educational levels of all patients were clustered into 3 groups; illiterates (unable to read or write), qualified (school or high school level education), and highly qualified (college and above). Results: In the present analysis 1066 (34.6%) patients were illiterates, 1,869 (60.6%) patients were literates and 145 (4.7%) of all patients with HNC were highly qualified. The stage at diagnosis were stage I, seen in 62 (34.6%), stage II in 393 (12.8%), stage III in 1,371 (44.5%) and stage IV in 1,254 (40.7%). The median time (MT) to the SOT from date of attending cancer hospital (DOACH) was, in illiterate group MT was 18 days, whereas in the qualified group of patients it was 15 days and in the highly qualified group was 10 days. Analysis of variance showed there was a significant difference on the mean time for the delay in SOT from DOACH for different educational levels (F=9.923, p=0.000). Conclusions: Educational level is a patient related factor in the delays for the SOT in HNCs in our population.
- Amar A, Chedid HM, Franzi SA, Rapoport A (2010). Diagnostic and therapeutic delay in patients with larynx cancer at a reference public hospital. Braz J Otolaryngol, 76, 700-3.
- Carroll WR, Kohler CL, Carter VL et al (2009). Barriers to early detection and treatment of head and neck squamous cell carcinoma in African American men. Head Neck, 31, 1557-62. https://doi.org/10.1002/hed.21125
- Census of India 2011. Registrar General of India.
- Dwivedi AK, Dwivedi SA, Deo S et al (2012). An epidemiological study on delay in treatment initiation of cancer patients. Health, 4, 66-79. https://doi.org/10.4236/health.2012.42012
- Edge S, Byrd DR, Compton CC, et al (2010). AJCC Cancer Staging Manual. 7 th ed. Bangalore: Springer-Verlag.
- Huang J, Barbera L, Brouwers M, Browman G, Mackillop WJ (2003). Does delay in starting treatment affect the outcomes of radiotherapy? a systematic review. J Clin Oncol, 21, 555-63. https://doi.org/10.1200/JCO.2003.04.171
- Joshi P, Nair S, Chaturvedi P, et al (2014). Delay in seeking specialized care for oral cancers: experience from a tertiary cancer center. Indian J Cancer, 51, 95-7
- Krishnatreya M, Rahman T, Kataki AC, et al (2014). Pre treatment performance status and stage at diagnosis in patients with head and neck cancers. Asian Pac J Cancer Prev, 15, 8479-82. https://doi.org/10.7314/APJCP.2014.15.19.8479
- Lasrado S, Moras K, Pinto GW, et al (2014). Role of concomitant chemoradiation in locally advanced head and neck cancers. Asian Pac J Cancer Prev, 15, 4147-52. https://doi.org/10.7314/APJCP.2014.15.10.4147
- Lyhne NM, Christensen A, Alanin MC, et al (2013). Waiting times for diagnosis and treatment of head and neck cancer in Denmark in 2010 compared to 1992 and 2002. Eur J Cancer, 49, 1627-33. https://doi.org/10.1016/j.ejca.2012.11.034
- Mishra A, Meherotra R (2014). Head and neck cancer: global burden and regional trends in India. Asian Pac J Cancer Prev, 15, 537-50. https://doi.org/10.7314/APJCP.2014.15.2.537
- Onyango JF, Macharia IM (2006). Delays in diagnosis, referral and management of head and neck cancer presenting at Kenyatta national hospital, Nairobi. East Afr Med J, 83, 85-91
- Panzarella V, Pizzo G, Calvino F, et al (2014). Diagnostic delay in oral squamous cell carcinoma: the role of cognitive and psychological variables. Int J Oral Sci, 6, 39-45. https://doi.org/10.1038/ijos.2013.88
- Patel UA, Brennan TE (2012). Disparities in head and neck cancer: assessing delay in treatment initiation. Laryngoscope, 122, 1756-60. https://doi.org/10.1002/lary.23357