Barriers to early diagnostics of cervical cancer in Uzbekistan

Date 24 November 2018
Event ESMO Asia 2018 Congress
Session Mini Oral - Gynaecological cancers
Topics Cancer Care Delivery in Low Resource Environments
Cervical Cancer
Presenter Viloyat Saydakhmedova
Citation Annals of Oncology (2018) 29 (suppl_9): ix79-ix86. 10.1093/annonc/mdy436
Authors V. Saydakhmedova1, N. Zakhirova1, E. Osmanova1, O. Akhmedov1, B. Yusupov2, S. Djanklich1, D. Egamberdiev2
  • 1Gynecology, National Cancer Research Center of Uzbekistan, 100174 - Tashkent/UZ
  • 2Research, National Cancer Research Center of Uzbekistan, 100174 - Tashkent/UZ

Abstract

Background

Studying barriers to early diagnosis of cervical cancer (CC) in Uzbekistan.

Methods

The questionnaire was analyzed in 3 directions: "patient delay", "doctor delay", "delay of treatment". 100 advanced stage cervical cancer patients surveyed, including: IIA-B stage - 17%; IIIA-B stage 80%; IVA stage - 3%.

Results

In the questionnaire analysis, the following results were obtained: 33% of patients have heard and 67% have not heard about the early symptoms of CC on mass media. Women’s lack of information about signs of CC: blood spotting - 12%, no - 88%; pain - 16%, no - 84%. Symptoms duration: months - 64%, weeks - 20%, days - 16%. Awareness of women about symptoms that may be signs of cervical cancer: yes - 6%, no - 94%. The fear of treatment: afraid to be treated - 18%, doubted to be treated - 12%, decided to be treated - 70%. Lack of faith in recovery, mistrust to doctor: did doctor’s recommendations in a month - 73%, did later than a month - 13%; did nothing - 10%; went to another doctor - 2%; went to medico - 2%. Told about CC: to husband - 47%, not - 53%, to children - 75%, not - 25%, to brothers or sisters - 72%, no - 28, to friends - 43%, no - 67%. To be anxious and panicking: yes - 91%, no - 9%. To be afraid about a bad disease: yes - 65%, no - 35%; There were other important cases (children, work) – yes - 35%, no - 65%. Doctor warned about the severity of the disease: yes - 63%, no - 37%. Women’s education: secondary education - 76%, higher - 24%. Religious issues: looking for a woman doctor: yes, very important - 39%, no difference - 48%, yes, somehow important - 13%.

Conclusions

The key barriers in the direction of "Patient delay": low level of public awareness of the media, weak oncological awareness of women, ignorance of primary signs and symptoms CC, panic and fear when mentioning "cancer", lack of faith in recovery, mistrust to doctor, psychological barriers to relatives (restraint, fear, misunderstanding, alienation), misunderstanding of the seriousness of the disease, the possible consequences of inactivity, the prevalence of family problems and finally the religious affiliation. Solving problems with the elimination of the above barriers will reduce the advanced CC and improve the results of treatment.

Editorial acknowledgement

Clinical trial identification

Legal entity responsible for the study

RSSPMCOR.

Funding

Has not received any funding.

Disclosure

All authors have declared no conflicts of interest.