Research Article

Impact of Primary Care Delay on Progression of Breast Cancer in a Black African Population: A Multicentered Survey

Table 2

Distribution of interval lengths and risk of tumor size migration: The mean and median of the primary care interval were longer than the patient interval. Risk of stage migration increased as the patient stayed longer in the primary care interval.

Patient intervalPrimary care intervalDetection to specialist Interval
Mean (days)68±172266 ±315335 ±413
Median (days)21106195
Range (days)1-21901-21761-2190
IQR (days)7-9018-35660-365

Time elapsed (days) vs. the proportion of patients in the interval
Duration (days)Patient intervalPrimary care intervalDetection to specialist
1-30145(62.767(30.7)35(15.5)
31-9042(18.2)39(17.9)41(18.1
91- 18027(11.7)26(11.9)37(16.4)
>18017(7.4)86(39.5)113(50)
Tumor size (cm)
mean2.8±1.23.4±1.26.0±4.3
Median (IQR)3(2-4)4(2-4)5(4-8)
range1-51-51-24

Tumor stageAt Detection (%)At FHP contract (%)At specialist clinic (%)
T1116 (49.3)68 (29.5)32 (15.3)
T2119 (50.7)169 (70.5)100 (42.4)
T3104 (42.3)

Time elapsed in primary care intervalNumber of migration cases (number of patients present at the beginning of period)Risk of migration during the period (%)95% CI for risk of migration
30 days5 (178)2.81.0-6.4
31-9013 (156)8.34.5-13.8
>90 days69 (122)56.647.3-65.5