541P - Understanding barriers of Indonesian breast cancer patients seeking for treatment: Focus on depression and anxiety

Date 18 December 2016
Event ESMO Asia 2016 Congress
Session Poster lunch
Topics Psychosocial Aspects of Cancer
Presenter Akhil Vatvani
Citation Annals of Oncology (2016) 27 (suppl_9): ix170-ix176. 10.1093/annonc/mdw599
Authors A.D. Vatvani1, C. Gunawan1, K. Waren1, A. Kurniawan2
  • 1Faculty Of Medicine, Siloam Hospital/Medical faculty of Pelita Harapan University, 15811 - Tangerang/ID
  • 2Internal Medicine, Siloam Hospital/Medical faculty of Pelita Harapan University, 15811 - Tangerang/ID

Abstract

Background

Delay in seeking treatment can have a major effect on the prognosis and survival of patients with breast cancer. Mostly, Indonesian cancer patients came in late stage so they are left with limited treatment options. Anxiety and depression attitude can contribute to delay in seeking treatment. The aim of this study is to see the effects of depression and anxiety on treatment delay (TD) in Indonesian breast cancer patients.

Methods

This study is an observational study with cross sectional method. Inclusion criterias are adults which have been diagnosed with breast cancer. We use Hospital Anxiety and Depression Scale (HADS) questionare to measure the level of anxiety and depression. Patients were classified as delay when the time from diagnosis to the start of treatment is more than 30 days. Mann-Whitney test is used for univariate analysis.

Results

From the inpatient and outpatient department, we collected 48 breast cancer patients. The median age of the patients 47.5 (29-75) year old. All the patients were female. The median time from diagnosis to treatment is 45 days. There were 11(17.7%) patients categorized as borderline abnormal and 13(21%) patients as abnormal for anxiety. There were 6(9.7%) of patients categorized as borderline abnormal and 8(12.9%) of patients as abnormal for depression. Depression (p 0.963) and anxiety (p 0.983) do not have any affect in the delay of seeking treatment.

Conclusions

Depression and anxiety do not contribute to the delay of seeking treatment in Indonesian breast cancer patients.

Clinical trial indentification

Legal entity responsible for the study

Mochtar Riady Institute for Nanotechnology Ethics Committee

Funding

Pelita Harapan University

Disclosure

All authors have declared no conflicts of interest.