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. 2021 Oct 19;10(21):7683–7691. doi: 10.1002/cam4.4244

TABLE 2.

Symptoms, diagnosis modality, barriers/reasons for the delay in seeking a medical care and delay in diagnosis and treatment

n (%)
N = 462
The first noticed symptoms in breast
Lump or mass 445 (96.3)
Pain or tenderness 144 (31.7)
Nipple discharge 30 (6.5)
Skin ulceration or rash 11 (2.4)
Infection 18 (3.9)
Skin dimpling 18 (3.9)
Change size 111 (24.0)
The number of symptoms noticed
Only one 250 (54.1)
Two 146 (31.6)
Above two 66 (14.3)
Circumstance of breast cancer detection
Mammographic screening 5 (1.1)
Routine health examination 25 (5.4)
Self‐noticed systems/lump 431 (93.4)
Visited a doctor right after the first noticed problems with breast
Yes 340 (73.5)
No 122 (26.4)
N = 122
Barriers and reasons for the delay in seeking a medical care
Financial and physical barriers
Too busy (need time away from family/work) 63 (51.6)
Cost/too expensive 19 (15.6)
Hospital(s) is too far away (distance/transportation) 17 (13.9)
Too sick to travel 2 (1.6)
Any of above 79 (64.8)
None of above 43 (35.2)
Psychological barriers
Sought of herbal or other alternative medicine treatment 13 (10.7)
Confidential concerns 9 (7.4)
Fear of doctor/hospital 8 (6.6)
Fear of losing job 1 (0.8)
Any of above 23 (18.9)
None of above 99 (81.1)
Lack of proper knowledge
Unconcerned about symptoms 42 (34.4)
N = 462
Total delay time (Median [IQR]; months) 2.4 [1.1–7.1]
Seeking medical care after the first symptom recognition 2.0 [0.9–5.4]
Postponed seeking medical care after the first symptom recognition 5.5 [2.5–9.3]
Delay in diagnosis and treatment
No delay (< 3 months) 238 (51.5)
Moderate delay (3–8 months) 143 (31.0)
Serious delay (≥9 months) 81 (17.5)

Abbreviation: IQR, interquartile range.