Delay in diagnosis and associated factors among children with cancer admitted at pediatric oncology ward, University of Gondar comprehensive specialized hospital, Ethiopia: a retrospective cross-sectional study
Abstract Background Delay in the diagnosis of childhood cancer is one of the major health problem that contribute to decreased survival rates of children particularly in developing nations. Despite advances in the field of pediatric oncology, cancer remains a leading cause of death in children. Diag...
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| Format: | Article |
| Language: | English |
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BMC
2023-05-01
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| Series: | BMC Cancer |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12885-023-10873-8 |
| _version_ | 1797817950701355008 |
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| author | Yimenu Gardie Mulugeta Wassie Seid Wodajo Mastewal Giza Mulugeta Ayalew Yihenew Sewale Zelalem Feleke Melkamu Tilahun Dessie |
| author_facet | Yimenu Gardie Mulugeta Wassie Seid Wodajo Mastewal Giza Mulugeta Ayalew Yihenew Sewale Zelalem Feleke Melkamu Tilahun Dessie |
| author_sort | Yimenu Gardie |
| collection | DOAJ |
| description | Abstract Background Delay in the diagnosis of childhood cancer is one of the major health problem that contribute to decreased survival rates of children particularly in developing nations. Despite advances in the field of pediatric oncology, cancer remains a leading cause of death in children. Diagnosis of childhood cancer as early as possible is crucial to reduce mortality. Therefore, the aim of this study was to assess delay in diagnosis and associated factors among children with cancer admitted to pediatric oncology ward, University of Gondar comprehensive specialized hospital, Ethiopia 2022. Method Institutional-based retrospective cross-sectional study design was conducted from January1, 2019 to December 31, 2021 at University of Gondar comprehensive specialized hospital. All 200 children were included in the study and Data were extracted through structured check-list. The data were entered using EPI DATA version 4.6 and exported to STATA version 14.0 for data analysis. Results From the total of two hundred pediatric patients 44% had delayed diagnosis and the median delay diagnosis was 68 days. Rural residence (AOR = 1.96; 95%CI = 1.08–3.58), absence of health insurance (AOR = 2.21; 95%CI = 1.21–4.04), Hodgkin lymphoma (AOR = 9.36; 95%CI = 2.1-41.72), Retinoblastoma (AOR = 4.09; 95%CI = 1.29–13.02), no referral (AOR = 6.3; 95%CI = 2.15–18.55) and absence of comorbid disease (AOR = 2.14; 95%CI = 1.17–3.94) were significant factors associated with delay in diagnosis. Conclusion and recommendation Delayed in diagnosis of childhood cancer was relatively lower than previous studies and most influenced by the child’s residency, health insurance, type of cancer and comorbid disease. Thus; every effort should be made to promote public and parental understanding of childhood cancer, promote health insurance and referral. |
| first_indexed | 2024-03-13T09:00:55Z |
| format | Article |
| id | doaj.art-ebf632d939ca4028805f561f2c960bdb |
| institution | Directory Open Access Journal |
| issn | 1471-2407 |
| language | English |
| last_indexed | 2024-03-13T09:00:55Z |
| publishDate | 2023-05-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Cancer |
| spelling | doaj.art-ebf632d939ca4028805f561f2c960bdb2023-05-28T11:19:33ZengBMCBMC Cancer1471-24072023-05-012311710.1186/s12885-023-10873-8Delay in diagnosis and associated factors among children with cancer admitted at pediatric oncology ward, University of Gondar comprehensive specialized hospital, Ethiopia: a retrospective cross-sectional studyYimenu Gardie0Mulugeta Wassie1Seid Wodajo2Mastewal Giza3Mulugeta Ayalew4Yihenew Sewale5Zelalem Feleke6Melkamu Tilahun Dessie7Department of Nursing, College of health sciences, Assosa UniversityDepartment of medical nursing, School of Nursing, College of Health Sciences, University of GondarDepartment of Midwifery, College of health sciences, Assosa UniversityDepartment of public health, College of health sciences, Woldia UniversityDepartment of Pediatrics, School of Medicine, University of GondarDepartment of nursing, College of health sciences, Debre Berhan UniversityDepartment of Midwifery, College of health sciences, Assosa UniversityDepartment of pediatrics and child health nursing, School of Nursing, College of Health Sciences, University of GondarAbstract Background Delay in the diagnosis of childhood cancer is one of the major health problem that contribute to decreased survival rates of children particularly in developing nations. Despite advances in the field of pediatric oncology, cancer remains a leading cause of death in children. Diagnosis of childhood cancer as early as possible is crucial to reduce mortality. Therefore, the aim of this study was to assess delay in diagnosis and associated factors among children with cancer admitted to pediatric oncology ward, University of Gondar comprehensive specialized hospital, Ethiopia 2022. Method Institutional-based retrospective cross-sectional study design was conducted from January1, 2019 to December 31, 2021 at University of Gondar comprehensive specialized hospital. All 200 children were included in the study and Data were extracted through structured check-list. The data were entered using EPI DATA version 4.6 and exported to STATA version 14.0 for data analysis. Results From the total of two hundred pediatric patients 44% had delayed diagnosis and the median delay diagnosis was 68 days. Rural residence (AOR = 1.96; 95%CI = 1.08–3.58), absence of health insurance (AOR = 2.21; 95%CI = 1.21–4.04), Hodgkin lymphoma (AOR = 9.36; 95%CI = 2.1-41.72), Retinoblastoma (AOR = 4.09; 95%CI = 1.29–13.02), no referral (AOR = 6.3; 95%CI = 2.15–18.55) and absence of comorbid disease (AOR = 2.14; 95%CI = 1.17–3.94) were significant factors associated with delay in diagnosis. Conclusion and recommendation Delayed in diagnosis of childhood cancer was relatively lower than previous studies and most influenced by the child’s residency, health insurance, type of cancer and comorbid disease. Thus; every effort should be made to promote public and parental understanding of childhood cancer, promote health insurance and referral.https://doi.org/10.1186/s12885-023-10873-8Delay in diagnosiscancerChildrenGondarEthiopia |
| spellingShingle | Yimenu Gardie Mulugeta Wassie Seid Wodajo Mastewal Giza Mulugeta Ayalew Yihenew Sewale Zelalem Feleke Melkamu Tilahun Dessie Delay in diagnosis and associated factors among children with cancer admitted at pediatric oncology ward, University of Gondar comprehensive specialized hospital, Ethiopia: a retrospective cross-sectional study BMC Cancer Delay in diagnosis cancer Children Gondar Ethiopia |
| title | Delay in diagnosis and associated factors among children with cancer admitted at pediatric oncology ward, University of Gondar comprehensive specialized hospital, Ethiopia: a retrospective cross-sectional study |
| title_full | Delay in diagnosis and associated factors among children with cancer admitted at pediatric oncology ward, University of Gondar comprehensive specialized hospital, Ethiopia: a retrospective cross-sectional study |
| title_fullStr | Delay in diagnosis and associated factors among children with cancer admitted at pediatric oncology ward, University of Gondar comprehensive specialized hospital, Ethiopia: a retrospective cross-sectional study |
| title_full_unstemmed | Delay in diagnosis and associated factors among children with cancer admitted at pediatric oncology ward, University of Gondar comprehensive specialized hospital, Ethiopia: a retrospective cross-sectional study |
| title_short | Delay in diagnosis and associated factors among children with cancer admitted at pediatric oncology ward, University of Gondar comprehensive specialized hospital, Ethiopia: a retrospective cross-sectional study |
| title_sort | delay in diagnosis and associated factors among children with cancer admitted at pediatric oncology ward university of gondar comprehensive specialized hospital ethiopia a retrospective cross sectional study |
| topic | Delay in diagnosis cancer Children Gondar Ethiopia |
| url | https://doi.org/10.1186/s12885-023-10873-8 |
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