Opportunity In Diagnosis Of Breast Cancer In Colombian Women

Lizbeth ACUÑA, High Cost Diseases Fund, Colombia
SÁNCHEZ P. 1 , SOLER L. 1 , ALVIS L. 1

1 Epidemiology, High Cost Diseases Fund, Bogotá, Colombia

Objective: To describe the time between different stages for diagnosis of breast cancer in women attending in health care services. Methods: Descriptive, longitudinal and retrospective study. The information was reported to High Cost Diseases Fund in 2015. Women with diagnosis of malignant breast tumor considering the International Classification of Diseases -ICD-10 (C500, C501, C502, C503, C504, C505, C506, C508, C509), aged between 18 and 80 years and women were in treatment (radiation therapy, systemic therapy, surgery or a combination of these) in time data recollection were included. 3 opportunities were measured by determining the time between 1) the first symptoms and admission to the health care institution for making the diagnosis, 2) time from the histopathology and the result of the histopathological study and 3) result of the histopathological report and consultation with the attending physician of the disease. Opportunities with some demographic and clinical variables (age at diagnosis, stage) through statistical analysis were related. Results: 13.691 women diagnosed with breast cancer were included. The average time for first opportunity was 95.9 days (3.2 months), for the second time opportunity was 27.5 days and for the third 76 days (2.6 months). In women aged 18 to 34 years at diagnosis, the time between the first symptoms and admission to health care institution for diagnosis was lower than women over 65 years. Conclusions: In Colombia, women with breast cancer have a diagnostic process with multiple stages due to operation of the health care system, the implementation of actions for the reduction in the time between each of these, are stages is essential to ensure the timely access, quality of care and a better prognosis. Funding: No funding.