Identifying Factors Contributing to Delayed Diagnosis of Ovarian Cancer: A Comprehensive Analysis.

IF 2.5 4区医学 Q2 OBSTETRICS & GYNECOLOGY

International Journal of Women's Health Pub Date : 2024-09-05 eCollection Date: 2024-01-01 DOI:10.2147/IJWH.S473381

Kai Hong, Yan Liu, Hao Yin, Ke Huang, Xiao-Li Pu, Zhuan-Xu Zhu

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引用次数: 0

Abstract

Background: Ovarian cancer (OC) remains the deadliest gynecologic malignancy worldwide due to delayed diagnosis, recurrence, and drug resistance. This study aimed to identify key factors affecting delayed diagnosis in OC patients.

Methods: A retrospective analysis was conducted on OC patients treated at Taihe Hospital, Hubei University of Medicine from June 2023 to September 2023. Patients were categorized based on a three-months cut-off point for delayed diagnosis. Collected data included demographics, tumor incidence, and disease cognition. The analysis of variance and the chi-squared test was used for comparison between groups.

Results: The significant differences were found in age, residence, education level, family income, family history of tumor, histology, FIGO stage, and tumor location between groups (P<0.05). Multifactorial logistic regression analysis identified education level [odds ratio (OR) = 0.606; 95% confidence interval (CI): 0.440, 0.833; P = 0.002], family history of tumor (OR = 0.462; 95% CI: 0.214, 0.997; P = 0.049), emotional barriers (OR = 1.332; 95% CI: 1.081, 1.642; P = 0.007), and practical barriers (OR = 2.964; 95% CI: 2.195, 4.004; P < 0.001) as risk factors for delayed diagnosis of OC.

Conclusion: Patient cognition is crucial in OC diagnosis delay. Enhancing public awareness and understanding of OC is essential to eliminate fear and improve early diagnosis.

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确定导致卵巢癌延迟诊断的因素：综合分析。

背景：由于延迟诊断、复发和耐药性，卵巢癌（OC）仍然是全球最致命的妇科恶性肿瘤。本研究旨在确定影响卵巢癌患者延迟诊断的关键因素：方法：对2023年6月至2023年9月在湖北医药学院附属太和医院接受治疗的OC患者进行回顾性分析。根据延迟诊断的三个月分界点对患者进行分类。收集的数据包括人口统计学、肿瘤发病率和疾病认知。组间比较采用方差分析和卡方检验：结果发现，组间在年龄、居住地、教育程度、家庭收入、肿瘤家族史、组织学、FIGO 分期和肿瘤位置（PP = 0.002]、肿瘤家族史（OR = 0.462; 95% CI: 0.214, 0.997; P = 0.049）、情感障碍（OR = 1.332; 95% CI: 1.081, 1.642; P = 0.007）和实际障碍（OR = 2.964; 95% CI: 2.195, 4.004; P < 0.001）是OC诊断延迟的危险因素：结论：患者的认知是导致OC诊断延迟的关键因素。结论：患者的认知是导致 OC 诊断延迟的关键因素。提高公众对 OC 的认识和理解对于消除恐惧和改善早期诊断至关重要。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Journal of Women's Health OBSTETRICS & GYNECOLOGY-

CiteScore

3.70

自引率

0.00%

发文量

194

审稿时长

16 weeks

期刊介绍： International Journal of Women''s Health is an international, peer-reviewed, open access, online journal. Publishing original research, reports, editorials, reviews and commentaries on all aspects of women''s healthcare including gynecology, obstetrics, and breast cancer. Subject areas include: Chronic conditions including cancers of various organs specific and not specific to women Migraine, headaches, arthritis, osteoporosis Endocrine and autoimmune syndromes - asthma, multiple sclerosis, lupus, diabetes Sexual and reproductive health including fertility patterns and emerging technologies to address infertility Infectious disease with chronic sequelae including HIV/AIDS, HPV, PID, and other STDs Psychological and psychosocial conditions - depression across the life span, substance abuse, domestic violence Health maintenance among aging females - factors affecting the quality of life including physical, social and mental issues Avenues for health promotion and disease prevention across the life span Male vs female incidence comparisons for conditions that affect both genders.