Factors related to completion of referral among women with suspected cervical cancer and dysplasia in Tanzania
Objective To investigate completion of referral among women with suspected cervical cancer in Tanzania. Methods Retrospective cohort study of 196 women referred from two healthcare clinics to Ocean Road Cancer Institute, Dar es Salaam, between March 2016 and June 2018. Women with precancerous lesion...
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| Veröffentlicht in: | International journal of gynecology and obstetrics 2021-01, Vol.152 (1), p.88-95 |
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| container_title | International journal of gynecology and obstetrics |
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| creator | Yim, Elizabeth T. Rogers, Taylor B. Msami, Khadija Calixte, Rose Kahesa, Crispin Mwaiselage, Julius D. Dorn, Joan Soliman, Amr S. |
| description | Objective
To investigate completion of referral among women with suspected cervical cancer in Tanzania.
Methods
Retrospective cohort study of 196 women referred from two healthcare clinics to Ocean Road Cancer Institute, Dar es Salaam, between March 2016 and June 2018. Women with precancerous lesions or suspected cancer were interviewed about their knowledge and perception of cervical cancer and referred for follow‐up.
Results
Most participants were unable to name symptoms (55.1%), prevention methods (88.3%), or treatments (59.0%), although 79.1% rated the disease as severe. Women who came for routine early detection were less likely to complete referral than those who did not (odds ratio [OR], 0.18; 95% confidence interval [CI], 0.05–0.70). Women who knew someone who died from cervical cancer were 5.40 times more likely to complete referral than those who did not. Knowing someone with cervical cancer was a predictor of referral completion in three multivariate models: OR, 5.62 (95% CI, 2.20–14.38); 4.34 (1.64–11.47); and 4.61 (1.72–12.36). Having severe symptoms was a predictor of non‐completion in two models: 0.30 (0.12–0.75) and 0.35 (0.14–0.87).
Conclusion
Patient‐directed interventions should include education involving survivors of cancer and dysplasia, whereas system‐directed interventions should utilize reminders to increase referral completion.
Factors related to failure to complete referral for early detection of cervical cancer among women in Tanzania include lack of knowledge and inconsistent referral instructions. |
| doi_str_mv | 10.1002/ijgo.13412 |
| format | Article |
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To investigate completion of referral among women with suspected cervical cancer in Tanzania.
Methods
Retrospective cohort study of 196 women referred from two healthcare clinics to Ocean Road Cancer Institute, Dar es Salaam, between March 2016 and June 2018. Women with precancerous lesions or suspected cancer were interviewed about their knowledge and perception of cervical cancer and referred for follow‐up.
Results
Most participants were unable to name symptoms (55.1%), prevention methods (88.3%), or treatments (59.0%), although 79.1% rated the disease as severe. Women who came for routine early detection were less likely to complete referral than those who did not (odds ratio [OR], 0.18; 95% confidence interval [CI], 0.05–0.70). Women who knew someone who died from cervical cancer were 5.40 times more likely to complete referral than those who did not. Knowing someone with cervical cancer was a predictor of referral completion in three multivariate models: OR, 5.62 (95% CI, 2.20–14.38); 4.34 (1.64–11.47); and 4.61 (1.72–12.36). Having severe symptoms was a predictor of non‐completion in two models: 0.30 (0.12–0.75) and 0.35 (0.14–0.87).
Conclusion
Patient‐directed interventions should include education involving survivors of cancer and dysplasia, whereas system‐directed interventions should utilize reminders to increase referral completion.
Factors related to failure to complete referral for early detection of cervical cancer among women in Tanzania include lack of knowledge and inconsistent referral instructions.</description><identifier>ISSN: 0020-7292</identifier><identifier>EISSN: 1879-3479</identifier><identifier>DOI: 10.1002/ijgo.13412</identifier><identifier>PMID: 33025590</identifier><language>eng</language><publisher>HOBOKEN: Wiley</publisher><subject>Adolescent ; Adult ; Biostatistics ; Cancer prevention ; Cervical cancer ; Cervical Intraepithelial Neoplasia - diagnosis ; Early detection ; Epidemiology ; Female ; Follow‐up ; Humans ; Life Sciences & Biomedicine ; Medicine ; Middle Aged ; Obstetrics & Gynecology ; Papillomavirus Infections - diagnosis ; Referral ; Referral and Consultation ; Retrospective Studies ; Science & Technology ; Tanzania ; Uterine Cervical Neoplasms - diagnosis ; Young Adult</subject><ispartof>International journal of gynecology and obstetrics, 2021-01, Vol.152 (1), p.88-95</ispartof><rights>2020 International Federation of Gynecology and Obstetrics</rights><rights>2020 International Federation of Gynecology and Obstetrics.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>true</woscitedreferencessubscribed><woscitedreferencescount>4</woscitedreferencescount><woscitedreferencesoriginalsourcerecordid>wos000589828100001</woscitedreferencesoriginalsourcerecordid><citedby>FETCH-LOGICAL-c3292-45de12ff44a634514b358c42ed30f6f1bd5eee64df35db6791d393d709239b2e3</citedby><cites>FETCH-LOGICAL-c3292-45de12ff44a634514b358c42ed30f6f1bd5eee64df35db6791d393d709239b2e3</cites><orcidid>0000-0002-2020-5906</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fijgo.13412$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fijgo.13412$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>315,782,786,1419,27931,27932,39265,45581,45582</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33025590$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Yim, Elizabeth T.</creatorcontrib><creatorcontrib>Rogers, Taylor B.</creatorcontrib><creatorcontrib>Msami, Khadija</creatorcontrib><creatorcontrib>Calixte, Rose</creatorcontrib><creatorcontrib>Kahesa, Crispin</creatorcontrib><creatorcontrib>Mwaiselage, Julius D.</creatorcontrib><creatorcontrib>Dorn, Joan</creatorcontrib><creatorcontrib>Soliman, Amr S.</creatorcontrib><title>Factors related to completion of referral among women with suspected cervical cancer and dysplasia in Tanzania</title><title>International journal of gynecology and obstetrics</title><addtitle>INT J GYNECOL OBSTET</addtitle><addtitle>Int J Gynaecol Obstet</addtitle><description>Objective
To investigate completion of referral among women with suspected cervical cancer in Tanzania.
Methods
Retrospective cohort study of 196 women referred from two healthcare clinics to Ocean Road Cancer Institute, Dar es Salaam, between March 2016 and June 2018. Women with precancerous lesions or suspected cancer were interviewed about their knowledge and perception of cervical cancer and referred for follow‐up.
Results
Most participants were unable to name symptoms (55.1%), prevention methods (88.3%), or treatments (59.0%), although 79.1% rated the disease as severe. Women who came for routine early detection were less likely to complete referral than those who did not (odds ratio [OR], 0.18; 95% confidence interval [CI], 0.05–0.70). Women who knew someone who died from cervical cancer were 5.40 times more likely to complete referral than those who did not. Knowing someone with cervical cancer was a predictor of referral completion in three multivariate models: OR, 5.62 (95% CI, 2.20–14.38); 4.34 (1.64–11.47); and 4.61 (1.72–12.36). Having severe symptoms was a predictor of non‐completion in two models: 0.30 (0.12–0.75) and 0.35 (0.14–0.87).
Conclusion
Patient‐directed interventions should include education involving survivors of cancer and dysplasia, whereas system‐directed interventions should utilize reminders to increase referral completion.
Factors related to failure to complete referral for early detection of cervical cancer among women in Tanzania include lack of knowledge and inconsistent referral instructions.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Biostatistics</subject><subject>Cancer prevention</subject><subject>Cervical cancer</subject><subject>Cervical Intraepithelial Neoplasia - diagnosis</subject><subject>Early detection</subject><subject>Epidemiology</subject><subject>Female</subject><subject>Follow‐up</subject><subject>Humans</subject><subject>Life Sciences & Biomedicine</subject><subject>Medicine</subject><subject>Middle Aged</subject><subject>Obstetrics & Gynecology</subject><subject>Papillomavirus Infections - diagnosis</subject><subject>Referral</subject><subject>Referral and Consultation</subject><subject>Retrospective Studies</subject><subject>Science & Technology</subject><subject>Tanzania</subject><subject>Uterine Cervical Neoplasms - diagnosis</subject><subject>Young Adult</subject><issn>0020-7292</issn><issn>1879-3479</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>HGBXW</sourceid><sourceid>EIF</sourceid><recordid>eNqNkc1O3DAUhS0EKlPopg9QeYlaBfw7iZdoBJQKiQ2sI8e-BqPEDnbCaHj6ejpTllVXtnS_c3TvOQh9peScEsIu_MtTPKdcUHaAFrSpVcVFrQ7RogxJVTPFjtHnnF8IIbSm9BM65pwwKRVZoHCtzRRTxgl6PYHFU8QmDmMPk48BR1cGDlLSPdZDDE94HQcIeO2nZ5znPILZigykN28KY3Qof6yDxXaTx15nr7EP-EGHdx28PkVHTvcZvuzfE_R4ffWw-lnd3d_cri7vKsPLupWQFihzTgi95EJS0XHZGMHAcuKWjnZWAsBSWMel7Za1opYrbmuiGFcdA36Czna-Y4qvM-SpHXw20Pc6QJxzy4RQtCFKkoJ-36EmxZzLte2Y_KDTpqWk3ebbbvNt_-Rb4G9737kbwH6gfwMtwI8dsIYuumw8lEA-sNKAbFTDmuJbyih08__0yk96W8oqzmEqUrqX-h42_9i5vf11c7_b_jfv1qdg</recordid><startdate>202101</startdate><enddate>202101</enddate><creator>Yim, Elizabeth T.</creator><creator>Rogers, Taylor B.</creator><creator>Msami, Khadija</creator><creator>Calixte, Rose</creator><creator>Kahesa, Crispin</creator><creator>Mwaiselage, Julius D.</creator><creator>Dorn, Joan</creator><creator>Soliman, Amr S.</creator><general>Wiley</general><scope>BLEPL</scope><scope>DTL</scope><scope>HGBXW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-2020-5906</orcidid></search><sort><creationdate>202101</creationdate><title>Factors related to completion of referral among women with suspected cervical cancer and dysplasia in Tanzania</title><author>Yim, Elizabeth T. ; Rogers, Taylor B. ; Msami, Khadija ; Calixte, Rose ; Kahesa, Crispin ; Mwaiselage, Julius D. ; Dorn, Joan ; Soliman, Amr S.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3292-45de12ff44a634514b358c42ed30f6f1bd5eee64df35db6791d393d709239b2e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Biostatistics</topic><topic>Cancer prevention</topic><topic>Cervical cancer</topic><topic>Cervical Intraepithelial Neoplasia - diagnosis</topic><topic>Early detection</topic><topic>Epidemiology</topic><topic>Female</topic><topic>Follow‐up</topic><topic>Humans</topic><topic>Life Sciences & Biomedicine</topic><topic>Medicine</topic><topic>Middle Aged</topic><topic>Obstetrics & Gynecology</topic><topic>Papillomavirus Infections - diagnosis</topic><topic>Referral</topic><topic>Referral and Consultation</topic><topic>Retrospective Studies</topic><topic>Science & Technology</topic><topic>Tanzania</topic><topic>Uterine Cervical Neoplasms - diagnosis</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Yim, Elizabeth T.</creatorcontrib><creatorcontrib>Rogers, Taylor B.</creatorcontrib><creatorcontrib>Msami, Khadija</creatorcontrib><creatorcontrib>Calixte, Rose</creatorcontrib><creatorcontrib>Kahesa, Crispin</creatorcontrib><creatorcontrib>Mwaiselage, Julius D.</creatorcontrib><creatorcontrib>Dorn, Joan</creatorcontrib><creatorcontrib>Soliman, Amr S.</creatorcontrib><collection>Web of Science Core Collection</collection><collection>Science Citation Index Expanded</collection><collection>Web of Science - Science Citation Index Expanded - 2021</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>International journal of gynecology and obstetrics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Yim, Elizabeth T.</au><au>Rogers, Taylor B.</au><au>Msami, Khadija</au><au>Calixte, Rose</au><au>Kahesa, Crispin</au><au>Mwaiselage, Julius D.</au><au>Dorn, Joan</au><au>Soliman, Amr S.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Factors related to completion of referral among women with suspected cervical cancer and dysplasia in Tanzania</atitle><jtitle>International journal of gynecology and obstetrics</jtitle><stitle>INT J GYNECOL OBSTET</stitle><addtitle>Int J Gynaecol Obstet</addtitle><date>2021-01</date><risdate>2021</risdate><volume>152</volume><issue>1</issue><spage>88</spage><epage>95</epage><pages>88-95</pages><issn>0020-7292</issn><eissn>1879-3479</eissn><abstract>Objective
To investigate completion of referral among women with suspected cervical cancer in Tanzania.
Methods
Retrospective cohort study of 196 women referred from two healthcare clinics to Ocean Road Cancer Institute, Dar es Salaam, between March 2016 and June 2018. Women with precancerous lesions or suspected cancer were interviewed about their knowledge and perception of cervical cancer and referred for follow‐up.
Results
Most participants were unable to name symptoms (55.1%), prevention methods (88.3%), or treatments (59.0%), although 79.1% rated the disease as severe. Women who came for routine early detection were less likely to complete referral than those who did not (odds ratio [OR], 0.18; 95% confidence interval [CI], 0.05–0.70). Women who knew someone who died from cervical cancer were 5.40 times more likely to complete referral than those who did not. Knowing someone with cervical cancer was a predictor of referral completion in three multivariate models: OR, 5.62 (95% CI, 2.20–14.38); 4.34 (1.64–11.47); and 4.61 (1.72–12.36). Having severe symptoms was a predictor of non‐completion in two models: 0.30 (0.12–0.75) and 0.35 (0.14–0.87).
Conclusion
Patient‐directed interventions should include education involving survivors of cancer and dysplasia, whereas system‐directed interventions should utilize reminders to increase referral completion.
Factors related to failure to complete referral for early detection of cervical cancer among women in Tanzania include lack of knowledge and inconsistent referral instructions.</abstract><cop>HOBOKEN</cop><pub>Wiley</pub><pmid>33025590</pmid><doi>10.1002/ijgo.13412</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0002-2020-5906</orcidid></addata></record> |
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| subjects | Adolescent Adult Biostatistics Cancer prevention Cervical cancer Cervical Intraepithelial Neoplasia - diagnosis Early detection Epidemiology Female Follow‐up Humans Life Sciences & Biomedicine Medicine Middle Aged Obstetrics & Gynecology Papillomavirus Infections - diagnosis Referral Referral and Consultation Retrospective Studies Science & Technology Tanzania Uterine Cervical Neoplasms - diagnosis Young Adult |
| title | Factors related to completion of referral among women with suspected cervical cancer and dysplasia in Tanzania |
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