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) |