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Table 3 Extent of patient delay, health care provider delay, referral delay, diagnosis waiting time and total diagnostic delay in cervical cancer diagnosis by selected patient characteristics and other attributes

From: Estimates of delays in diagnosis of cervical cancer in Nepal

Attributes Patient delay Health care provider delay Referral delay Diagnostic waiting time Total diagnostic delay
  Median (min- max) Short delay n (%) Longer delay n (%) Median (min-max) Short delay n (%) Longer delay n (%) Median (min-max) Short delay n (%) Longer delay n (%) Median (min- max) Short delay n (%) Longer delay n (%) Median (min-max) Short delay n (%) Longer delay, n (%)
Age in years                
 Less than 50 66 (8-306) 20 (48.8) 21 (51.2) 41 (0-372) 1 (2.4) 40 (97.6) 5 (0-49) 27 (65.9) 14 (34.1) 8 (3-40) 18 (43.9) 23 (56.1) 148 (36-622) 12 (29.3) 29 (70.7)
 Fifty or more 71 (8-404) 27 (39.1) 42 (60.1) 39 (0-582) 10 (14.5) 59 (85.5) 5 (0-88) 48 (69.6) 21 (34.4) 9 (2-57) 19 (27.5) 50 (72.5) 160 (22-718) 13 (18.8) 56 (81.2)
Education                
 Illiterate 72 (8-353) 27 (37.0) 46 (63.0) 41 (0-582) 6 (8.2) 67 (91.8) 5 (0-88) 46 (63.0) 27 (37.0) 9 (2-57) 23 (31.5) 50 (68.5) 158.7 (25-718) 13 (17.8) 60 (82.2)
 Literate 48 (9-404) 20 (54.1) 17 (49.9) 21 (0-282) 5 (13.5) 32 (86.5) 3 (0-32) 29 (78.4) 8 (21.6) 8 (3-40) 14 (37.8) 23 (62.2) 143 (22-431) 12 (32.4) 25 (67.6)
Remoteness (travel time)                
 Less than 4 hours 48 (8-274) 19 (54.3) 16 (45.7) 16 (0-282) 5 (14.3) 30 (85.7) 2 (0-18) 30 (85.7) 5 (14.3) 8 (2-57) 15 (42.9) 20 (57.1) 123 (25-376) 12 (34.3) 23 (65.7)
 Four hours and more 72 (8-404) 28 (37.3) 47 (62.7) 49 (0-582) 6 (8.0) 69 (92.0) 6 (0-88) 45 (60.0) 30 (40.0) 9 (3-38) 22 (29.3) 53 (70.7) 177 (22-718) 13 (17.3) 62 (82.7)
Types of earlier symptoms               
 Vaginal discharge 71.5 (8-404) 23 (38.3) 37 (61.7)           199 (25-622) 7 (11.7) 53 (88.3)
 Pelvic pain 62 (9-239) 12 (48.0) 13 (52.0)           146 (36-718) 9 (36.0) 16 (64.0)
 Abnormal vaginal bleeding 65 (10-304) 12 (48.0) 13 (52.0)           106 (22-403) 9 (36.0) 16 (64.0)
Chief complaints                
 Vaginal discharge     69 (9-582) 0 (0.0) 19 (100.0)        215 (69-718) 2 (10.5) 17 (89.5)
 Pelvic pain     38.5 (6-316) 1 (4.5) 21 (95.5)        144 (36-631) 5 (22.7) 17 (77.3)
 Abnormal vaginal bleeding     25 (0-372) 10 (14.5) 59 (85.5)        153 (22-622) 18 (26.1) 51 (73.9)
Type of first contact health facilities               
 SHP/HP/PHC     72.5 (10-582) 0 (0.0) 20 (100.0)        214 (56-718) 4 (20.0) 16 (80.0)
 Private medical shops     64 (7-316) 3 (8.1) 34 (91.9)        158 (48-631) 8 (21.6) 29 (78.4)
 Government hospitals     38 (0-348) 3 (15.8) 16 (84.2)        142 (36-430) 5 (26.3) 14 (73.7)
 Private hospitals     19 (0-217) 5 (14.7) 29 (85.3)        137 (22-374) 8 (23.5) 26 (76.5)
Pre-referral consultations with HCP               
 Upto three     11 (0-133) 8 (42.1) 11 (57.9)        112 (22-428) 6 (31.6) 13 (68.4)
 More than three     49 (6-582) 3 (3.3) 88 (96.7)        160 (25-718) 19 (20.9) 72 (79.1)
Per-Speculum examination in initial consultation              
 Yes     9.5 (0-151) 8 (33.3) 16 (66.7)        108 (22-428) 9 (37.5) 15 (62.5)
 No     53.5 (6-582) 3 (3.5) 83 (96.5)        168 (36-718) 16 (18.6) 70 (81.4)
 Total 68.5 (8-404) 47 (42.73) 63 (57.27) 40 (0-582) 11 (10.0) 99 (90.0) 5 (0-88) 75 (68.2) 35 (31.8) 9 (2-57) 37 (33.6) 73 (66.4) 157 (22-718) 25 (22.7) 85 (77.3)