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Diagnostic and Therapeutic Options of Breast Cancer Patients in Yaounde, Cameroon
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作者 Jean Dupont Kemfang ngowa Hortense Jeanne Fouedjio +7 位作者 Annaïk Morelle Tchami julienne louise ngo likeng Christelle Domngang Noche Brigitte Wandji Djouonang Florent Fouelifack Ymele Pascal Foumane Emile Telesphore Mboudou Pierre Marie Tebeu 《Advances in Breast Cancer Research》 2022年第1期50-62,共13页
<strong>Introduction:</strong><span><span><span style="font-family:""><span style="font-family:Verdana;"> Breast cancer remains a public health problem due ... <strong>Introduction:</strong><span><span><span style="font-family:""><span style="font-family:Verdana;"> Breast cancer remains a public health problem due to its sever</span><span style="font-family:Verdana;">ity and because it is the leading cause of death from cancer</span></span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;">s</span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;"> in women </span></span></span><span><span><span style="font-family:""><span style="font-family:Verdana;">worldwide as well as in Cameroon. Our objective was to study the diagnostic and </span><span style="font-family:Verdana;">therapeutic options that patients followed for breast cancer choose in</span><span style="font-family:Verdana;"> Yaound</span></span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;">e</span></span></span><span><span><span style="font-family:""><span style="font-family:Verdana;">. </span><b><span style="font-family:Verdana;">Method:</span></b><span style="font-family:Verdana;"> This was an analytical cross-sectional study with prospective data collection among patients followed for breast cancer at two referral hospitals in Yaound</span></span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;">e</span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;"> from February 1, 2019 to August 31, 2019. Data collected were recorded and analyzed using R application version 3.5.0.</span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;">,</span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;"> p values < 0.05 w</span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;">ere</span></span></span><span><span><span style="font-family:""><span style="font-family:Verdana;"> considered to be statistically significant. </span><b><span style="font-family:Verdana;">Results:</span></b><span style="font-family:Verdana;"> A total of 105 patients were </span><span style="font-family:Verdana;">recruited, including 104 women and 1 man. The median age was 46 years</span><span style="font-family:Verdana;"> with extremes of 25 and 77 years. Most patients (71%) had a monthly income </span></span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;">of </span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;">less than 175 USD. Patients in this study had opted for: contemporary</span></span></span><span><span><span style="font-family:""><span style="font-family:Verdana;"> medi</span><span style="font-family:Verdana;">cine (49.5%), therapeutic abstention (38.1%), naturopathy (1.9%), </span><span style="font-family:Verdana;">self-me</span><span style="font-family:Verdana;">dication (9.5%) and traditional medicine (1%). The factors significantly associ</span><span style="font-family:Verdana;">ated with the choice of contemporary medicine as a first diagnostic option</span><span style="font-family:Verdana;"> were monthly income above 175 USD (OR = 0.37, 95% CI: 0.15 - 0.89, p = 0.028), good level of education (OR = 0.37, 95% CI: 0.16 - 0.82, p = 0.034) and </span><span style="font-family:Verdana;">good knowledge about breast cancer (OR = 0.28, 95% CI: 0.08 - 0.89, p = </span><span style="font-family:Verdana;">0.005). The majority of patients (65.7%) sought contemporary medicine as</span> </span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;">the </span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;">first therapeutic option after a diagnosis of breast cancer was confirmed,</span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;"> while about a third </span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;">of them </span></span></span><span><span><span style="font-family:""><span style="font-family:Verdana;">had chosen alternative treatment options including na</span><span style="font-family:Verdana;">turopathy (15.2%), traditional medicine (9.5%), religious practices (4.8%), </span><span style="font-family:Verdana;">thera</span><span><span style="font-family:Verdana;">peutic abstention (2.9%) and self-medication (1.9%). </span><b><span style="font-family:Verdana;">Conclusion:</span></b><span style="font-family:Verdana;"> The firs</span></span><span style="font-family:Verdana;">t diagnostic and therapeutic choices of breast cancer patients in </span><span style="font-family:Verdana;">our setting are </span><span style="font-family:Verdana;">numerous and intricate, including contemporary medicine, therapeutic ab</span><span style="font-family:Verdana;">stention, self-medication, traditional medicine, naturopathy and religious </span><span style="font-family:Verdana;">practices. There is a need to promote breast cancer awareness in our population.</span></span></span></span> 展开更多
关键词 Breast Cancer Traditional Medicine Therapeutic Abstention NATUROPATHY Contemporary Medicine
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