Factors associated with late-stage presentation of cervical cancer in Ghana
To explore factors associated with late clinical presentation among Ghanaian women with cervical cancer. This is a cross-sectional survey using a paper questionnaire. Komfo Anokye Teaching Hospital (KATH) in Kumasi, Ghana. Participants were women presenting for cervical cancer care at KATH. Inclusio...
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| Veröffentlicht in: | Ghana medical journal 2022-06, Vol.56 (2), p.86-94 |
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| creator | Appiah-Kubi, Adu Konney, Thomas O Amo-Antwi, Kwabena Tawiah, Augustine Nti, Maxwell K Ankobea-Kokroe, Frank Bell, Sarah G Appiah-Kubi, Priscilla K Johnston, Carolyn Lawrence, Emma R |
| description | To explore factors associated with late clinical presentation among Ghanaian women with cervical cancer.
This is a cross-sectional survey using a paper questionnaire.
Komfo Anokye Teaching Hospital (KATH) in Kumasi, Ghana.
Participants were women presenting for cervical cancer care at KATH. Inclusion criteria were histologically diagnosed cervical cancer and age ≥18 years. The exclusion criteria was age |
| doi_str_mv | 10.4314/gmj.v56i2.5 |
| format | Article |
| fullrecord | <record><control><sourceid>pubmed_cross</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_10336471</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>37449260</sourcerecordid><originalsourceid>FETCH-LOGICAL-c260t-d0ed54ce1595fbc6026e3172f4dd6a7ce21007529628014a15056749345ea5683</originalsourceid><addsrcrecordid>eNpVkM1LAzEQxYMotlZP3iV32Tr53O5JpLRVLHhR8Bam2Wybst0tyVrxvzdaLXqaB_PmveFHyCWDoRRM3iw36-FOac-H6oj0uWY6Y1q8HpM-QNKF0tAjZzGuAZQYaXlKeiKXsuAa-uRxirZrQ6QYY2s9dq6k775b0TrJLHa4dHQbXHRNh51vG9pW1Lqw8xZrarFJmvqGzlbY4Dk5qbCO7uJnDsjLdPI8vs_mT7OH8d08s6myy0pwpZLWMVWoamE1cO0Ey3kly1Jjbh1nALniheYjYBKZAqVzWQipHCo9EgNyu8_dvi02rrTpt4C12Qa_wfBhWvTm_6bxK7Nsd4aBEFrmLCVc7xNsaGMMrjocMzBfUE2Car6hGpXcV3_7Dt5fiuITcTx0MQ</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype></control><display><type>article</type><title>Factors associated with late-stage presentation of cervical cancer in Ghana</title><source>African Journals Online (Open Access)</source><source>MEDLINE</source><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><source>PubMed Central</source><creator>Appiah-Kubi, Adu ; Konney, Thomas O ; Amo-Antwi, Kwabena ; Tawiah, Augustine ; Nti, Maxwell K ; Ankobea-Kokroe, Frank ; Bell, Sarah G ; Appiah-Kubi, Priscilla K ; Johnston, Carolyn ; Lawrence, Emma R</creator><creatorcontrib>Appiah-Kubi, Adu ; Konney, Thomas O ; Amo-Antwi, Kwabena ; Tawiah, Augustine ; Nti, Maxwell K ; Ankobea-Kokroe, Frank ; Bell, Sarah G ; Appiah-Kubi, Priscilla K ; Johnston, Carolyn ; Lawrence, Emma R</creatorcontrib><description>To explore factors associated with late clinical presentation among Ghanaian women with cervical cancer.
This is a cross-sectional survey using a paper questionnaire.
Komfo Anokye Teaching Hospital (KATH) in Kumasi, Ghana.
Participants were women presenting for cervical cancer care at KATH. Inclusion criteria were histologically diagnosed cervical cancer and age ≥18 years. The exclusion criteria was age <18. All women presenting from August 2018-August 2019 were recruited.
The primary outcome was the proportion of participants presenting with late-stage cervical cancer, defined as stage II or higher.
Of 351 total participants, 33.6% were unemployed, 35.3% had no formal education, and 96.6% had an average monthly income of less than five hundred Ghana cedis ($86 USD). Time from symptoms to seeing a doctor ranged from fewer than two weeks (16.0%) to more than twelve months (8.6%). Participants' most common barrier in seeking healthcare was financial constraints (50.0%). Most participants presented at late-stage cervical cancer (95.2%, n=334), with only 4.8% (n=17) presenting at stage I. Of participants presenting with late-stage cervical cancer, the vast majority had never had a Papanicolaou (Pap) smear (99.1%) nor a recent gynecologic exam (99.3%). After adjusting for age, parity, and distance to a healthcare facility, a late-stage presentation was associated with lower income and living in a rural area.
In Ghana, 95% of women with cervical cancer seek care at a late clinical stage, defined as stage II or greater, when the cancer is inoperable.
None declared.</description><identifier>ISSN: 0016-9560</identifier><identifier>EISSN: 2616-163X</identifier><identifier>DOI: 10.4314/gmj.v56i2.5</identifier><identifier>PMID: 37449260</identifier><language>eng</language><publisher>Ghana: Ghana Medical Association</publisher><subject>Adolescent ; Cervix Uteri - pathology ; Cross-Sectional Studies ; Female ; Ghana - epidemiology ; Humans ; Original ; Papanicolaou Test ; Uterine Cervical Neoplasms - diagnosis ; Uterine Cervical Neoplasms - epidemiology</subject><ispartof>Ghana medical journal, 2022-06, Vol.56 (2), p.86-94</ispartof><rights>Copyright © The Author(s).</rights><rights>Copyright © The Author(s). 2022</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c260t-d0ed54ce1595fbc6026e3172f4dd6a7ce21007529628014a15056749345ea5683</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10336471/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10336471/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37449260$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Appiah-Kubi, Adu</creatorcontrib><creatorcontrib>Konney, Thomas O</creatorcontrib><creatorcontrib>Amo-Antwi, Kwabena</creatorcontrib><creatorcontrib>Tawiah, Augustine</creatorcontrib><creatorcontrib>Nti, Maxwell K</creatorcontrib><creatorcontrib>Ankobea-Kokroe, Frank</creatorcontrib><creatorcontrib>Bell, Sarah G</creatorcontrib><creatorcontrib>Appiah-Kubi, Priscilla K</creatorcontrib><creatorcontrib>Johnston, Carolyn</creatorcontrib><creatorcontrib>Lawrence, Emma R</creatorcontrib><title>Factors associated with late-stage presentation of cervical cancer in Ghana</title><title>Ghana medical journal</title><addtitle>Ghana Med J</addtitle><description>To explore factors associated with late clinical presentation among Ghanaian women with cervical cancer.
This is a cross-sectional survey using a paper questionnaire.
Komfo Anokye Teaching Hospital (KATH) in Kumasi, Ghana.
Participants were women presenting for cervical cancer care at KATH. Inclusion criteria were histologically diagnosed cervical cancer and age ≥18 years. The exclusion criteria was age <18. All women presenting from August 2018-August 2019 were recruited.
The primary outcome was the proportion of participants presenting with late-stage cervical cancer, defined as stage II or higher.
Of 351 total participants, 33.6% were unemployed, 35.3% had no formal education, and 96.6% had an average monthly income of less than five hundred Ghana cedis ($86 USD). Time from symptoms to seeing a doctor ranged from fewer than two weeks (16.0%) to more than twelve months (8.6%). Participants' most common barrier in seeking healthcare was financial constraints (50.0%). Most participants presented at late-stage cervical cancer (95.2%, n=334), with only 4.8% (n=17) presenting at stage I. Of participants presenting with late-stage cervical cancer, the vast majority had never had a Papanicolaou (Pap) smear (99.1%) nor a recent gynecologic exam (99.3%). After adjusting for age, parity, and distance to a healthcare facility, a late-stage presentation was associated with lower income and living in a rural area.
In Ghana, 95% of women with cervical cancer seek care at a late clinical stage, defined as stage II or greater, when the cancer is inoperable.
None declared.</description><subject>Adolescent</subject><subject>Cervix Uteri - pathology</subject><subject>Cross-Sectional Studies</subject><subject>Female</subject><subject>Ghana - epidemiology</subject><subject>Humans</subject><subject>Original</subject><subject>Papanicolaou Test</subject><subject>Uterine Cervical Neoplasms - diagnosis</subject><subject>Uterine Cervical Neoplasms - epidemiology</subject><issn>0016-9560</issn><issn>2616-163X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpVkM1LAzEQxYMotlZP3iV32Tr53O5JpLRVLHhR8Bam2Wybst0tyVrxvzdaLXqaB_PmveFHyCWDoRRM3iw36-FOac-H6oj0uWY6Y1q8HpM-QNKF0tAjZzGuAZQYaXlKeiKXsuAa-uRxirZrQ6QYY2s9dq6k775b0TrJLHa4dHQbXHRNh51vG9pW1Lqw8xZrarFJmvqGzlbY4Dk5qbCO7uJnDsjLdPI8vs_mT7OH8d08s6myy0pwpZLWMVWoamE1cO0Ey3kly1Jjbh1nALniheYjYBKZAqVzWQipHCo9EgNyu8_dvi02rrTpt4C12Qa_wfBhWvTm_6bxK7Nsd4aBEFrmLCVc7xNsaGMMrjocMzBfUE2Car6hGpXcV3_7Dt5fiuITcTx0MQ</recordid><startdate>20220601</startdate><enddate>20220601</enddate><creator>Appiah-Kubi, Adu</creator><creator>Konney, Thomas O</creator><creator>Amo-Antwi, Kwabena</creator><creator>Tawiah, Augustine</creator><creator>Nti, Maxwell K</creator><creator>Ankobea-Kokroe, Frank</creator><creator>Bell, Sarah G</creator><creator>Appiah-Kubi, Priscilla K</creator><creator>Johnston, Carolyn</creator><creator>Lawrence, Emma R</creator><general>Ghana Medical Association</general><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>5PM</scope></search><sort><creationdate>20220601</creationdate><title>Factors associated with late-stage presentation of cervical cancer in Ghana</title><author>Appiah-Kubi, Adu ; Konney, Thomas O ; Amo-Antwi, Kwabena ; Tawiah, Augustine ; Nti, Maxwell K ; Ankobea-Kokroe, Frank ; Bell, Sarah G ; Appiah-Kubi, Priscilla K ; Johnston, Carolyn ; Lawrence, Emma R</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c260t-d0ed54ce1595fbc6026e3172f4dd6a7ce21007529628014a15056749345ea5683</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Adolescent</topic><topic>Cervix Uteri - pathology</topic><topic>Cross-Sectional Studies</topic><topic>Female</topic><topic>Ghana - epidemiology</topic><topic>Humans</topic><topic>Original</topic><topic>Papanicolaou Test</topic><topic>Uterine Cervical Neoplasms - diagnosis</topic><topic>Uterine Cervical Neoplasms - epidemiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Appiah-Kubi, Adu</creatorcontrib><creatorcontrib>Konney, Thomas O</creatorcontrib><creatorcontrib>Amo-Antwi, Kwabena</creatorcontrib><creatorcontrib>Tawiah, Augustine</creatorcontrib><creatorcontrib>Nti, Maxwell K</creatorcontrib><creatorcontrib>Ankobea-Kokroe, Frank</creatorcontrib><creatorcontrib>Bell, Sarah G</creatorcontrib><creatorcontrib>Appiah-Kubi, Priscilla K</creatorcontrib><creatorcontrib>Johnston, Carolyn</creatorcontrib><creatorcontrib>Lawrence, Emma R</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Ghana medical journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Appiah-Kubi, Adu</au><au>Konney, Thomas O</au><au>Amo-Antwi, Kwabena</au><au>Tawiah, Augustine</au><au>Nti, Maxwell K</au><au>Ankobea-Kokroe, Frank</au><au>Bell, Sarah G</au><au>Appiah-Kubi, Priscilla K</au><au>Johnston, Carolyn</au><au>Lawrence, Emma R</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Factors associated with late-stage presentation of cervical cancer in Ghana</atitle><jtitle>Ghana medical journal</jtitle><addtitle>Ghana Med J</addtitle><date>2022-06-01</date><risdate>2022</risdate><volume>56</volume><issue>2</issue><spage>86</spage><epage>94</epage><pages>86-94</pages><issn>0016-9560</issn><eissn>2616-163X</eissn><abstract>To explore factors associated with late clinical presentation among Ghanaian women with cervical cancer.
This is a cross-sectional survey using a paper questionnaire.
Komfo Anokye Teaching Hospital (KATH) in Kumasi, Ghana.
Participants were women presenting for cervical cancer care at KATH. Inclusion criteria were histologically diagnosed cervical cancer and age ≥18 years. The exclusion criteria was age <18. All women presenting from August 2018-August 2019 were recruited.
The primary outcome was the proportion of participants presenting with late-stage cervical cancer, defined as stage II or higher.
Of 351 total participants, 33.6% were unemployed, 35.3% had no formal education, and 96.6% had an average monthly income of less than five hundred Ghana cedis ($86 USD). Time from symptoms to seeing a doctor ranged from fewer than two weeks (16.0%) to more than twelve months (8.6%). Participants' most common barrier in seeking healthcare was financial constraints (50.0%). Most participants presented at late-stage cervical cancer (95.2%, n=334), with only 4.8% (n=17) presenting at stage I. Of participants presenting with late-stage cervical cancer, the vast majority had never had a Papanicolaou (Pap) smear (99.1%) nor a recent gynecologic exam (99.3%). After adjusting for age, parity, and distance to a healthcare facility, a late-stage presentation was associated with lower income and living in a rural area.
In Ghana, 95% of women with cervical cancer seek care at a late clinical stage, defined as stage II or greater, when the cancer is inoperable.
None declared.</abstract><cop>Ghana</cop><pub>Ghana Medical Association</pub><pmid>37449260</pmid><doi>10.4314/gmj.v56i2.5</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Ghana medical journal, 2022-06, Vol.56 (2), p.86-94 |
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| source | African Journals Online (Open Access); MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central |
| subjects | Adolescent Cervix Uteri - pathology Cross-Sectional Studies Female Ghana - epidemiology Humans Original Papanicolaou Test Uterine Cervical Neoplasms - diagnosis Uterine Cervical Neoplasms - epidemiology |
| title | Factors associated with late-stage presentation of cervical cancer in Ghana |
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