Repository of Research and Investigative Information

Repository of Research and Investigative Information

Kurdistan University of Medical Sciences

Delayed cervical cancer diagnosis: a systematic review

(2022) Delayed cervical cancer diagnosis: a systematic review. European Review for Medical and Pharmacological Sciences.

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OBJECTIVE: Cervical cancer (CC) is a preventable women's cancer. Vaccination and routine Pap smear screening have reduced cervical cancer-related mortality by 70-80 in the world. The eradication of CC depends on identifying the disease early and removing barriers to its timely detection. This review study was designed to determine diagnostic delay and factors related to delayed CC diagnosis in the world. MATERIALS AND METHODS: A comprehensive search was carried out in databases including Medline, Web of Science, Core Collection (Indexes = SCI-EXPANDED, SSCI, A & HCI Time-span), and Scopus for articles published up to December 2021. Publications were included if they reported data on the delayed CC, and factors related to diagnosis of CC in women. There was no time restriction in this review. RESULTS: In total, 45 articles were entered into the study. In studies, advanced stages of CC (IIB to IV) varied from 10.2 to 87.9 due to delayed diagnosis. A delayed CC diagnosis was reported in 4.3-89.1 of patients. The median and mean days of delayed diagnosis were 59-210 days and 2.92-10.5 months, respectively. Factors related to delayed CC diagnosis were categorized into three components including patient, medical history, and health system delay. Patient delay included socio-demographic, husband/partner, and knowledge. Medical history included medical issues, obstetrics, and family history. Health system delays included health facilities and levels of accessibility. CONCLUSIONS: There is an urgent need to shorten the diagnostic journey of CC patients by addressing all the components of diagnostic delay and developing strategies to modify the factors associated with these delays. © 2022 Verduci Editore s.r.l. All rights reserved.

Item Type: Article
Keywords: Barrier Cervical cancer Colposcopy Cytology Diagnosis Pap smear cancer staging data base delayed diagnosis demography health care access health care facility health care system human medical history Review social status systematic review uterine cervix cancer factual database female obstetrics pregnancy uterine cervix tumor vaccination Databases, Factual Humans Uterine Cervical Neoplasms
Page Range: pp. 8467-8480
Journal or Publication Title: European Review for Medical and Pharmacological Sciences
Volume: 26
Number: 22
Depositing User: مهندس مهدی شریفی

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