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The profile of breast cancer among patients attending a Breast Clinic in Cape Town, South Africa

Includes abstract.

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Bibliographic Details
Main Author: Daries, Valdiela
Other Authors: Moodley, Jennifer
Format: Thesis
Language:English
Published: Department of Public Health and Family Medicine 2014
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access_status_str Open Access
author Daries, Valdiela
author2 Moodley, Jennifer
author_browse Daries, Valdiela
Moodley, Jennifer
author_facet Moodley, Jennifer
Daries, Valdiela
author_sort Daries, Valdiela
collection Thesis
description Includes abstract.
format Thesis
id oai:open.uct.ac.za:11427/6033
institution University of Cape Town (South Africa)
language eng
last_indexed 2026-06-10T12:52:06.119Z
license_str Not specified — see source repository
provenance_str_mv Harvested via OAI-PMH from UCTD — University of Cape Town Open Access Repository
publishDate 2014
publishDateRange 2014
publishDateSort 2014
publisher Department of Public Health and Family Medicine
publisherStr Department of Public Health and Family Medicine
record_format dspace
source_str UCTD — University of Cape Town Open Access Repository
spelling oai:open.uct.ac.za:11427/6033 The profile of breast cancer among patients attending a Breast Clinic in Cape Town, South Africa Daries, Valdiela Moodley, Jennifer Public Health Includes abstract. Includes bibliographical references. Breast cancer is the leading cancer among women in South Africa (SA). Studies conducted in developing countries have shown that the majority of women present with advanced stage breast cancer at diagnosis. There is a gap in terms of recent data on the profile of breast cancer patients in SA. The purpose of the study was to obtain recent data with regards to the sociodemographic, clinical and risk factor profile of breast cancer in patients who presented at a Breast Clinic linked to a tertiary public hospital in the Western Cape in order to underpin the development of strategies for earlier detection and diagnosis of breast cancer. A cross-sectional descriptive medical record review was conducted. The studypopulation included all newly diagnosed patients with histological or cytological confirmedbreast cancer who presented at the Breast Clinic during the period 01 January 2009 to 31December 2010. All patients with a previous diagnosis of breast cancer were excluded. Data onthe socio-demographic, clinical and risk factor profile of breast cancer patients were collectedusing a standardised data capture sheet. Data was entered using Epidata version 3.1 and analysedusing Stata Statistical package version 12.After calculation of initial descriptive analysis for the whole sample, male subjects wereexcluded and further analysis was restricted to 585 female subjects. Stage at presentation wascategorised as “early stage” (stage 0, I, IIA, IIB) and “late stage” (stage IIIA, IIIB, IIIC, IV). Crude associations of potential predictors with stage at presentation were tested using Wilcoxon rank-sum tests for medians and Chi-square tests and Fischer Exact tests for proportions. Logistic regression was used to create a model with stage at presentation as dependent variable. Age and racial group were introduced in the model as possible confounders. Based on literature findings other variables present in the dataset were considered as potential predictors of stage at presentation (namely place of residence, employment status, medical aid status, family history of breast cancer, menopausal status, parity, having ever smoked or used alcohol, clinical signs of breast cancer as well as duration of symptoms) and introduced in the model if their bivariate association with the outcome (adjusted for age and race) was statistically significant. A significance level of p <; 0.15 was used. The only variable showing a significant association according to this criterion was the ordinal variable duration of symptoms. The final logistic regression model, therefore, included stage at presentation as the dependent variable and age, racial group and symptom duration as predictors. 2014-08-05T13:06:25Z 2014-08-05T13:06:25Z 2013 Master Thesis Masters MPH http://hdl.handle.net/11427/6033 eng application/pdf Department of Public Health and Family Medicine Faculty of Health Sciences University of Cape Town
spellingShingle Public Health
Daries, Valdiela
The profile of breast cancer among patients attending a Breast Clinic in Cape Town, South Africa
thesis_degree_str Master's
title The profile of breast cancer among patients attending a Breast Clinic in Cape Town, South Africa
title_full The profile of breast cancer among patients attending a Breast Clinic in Cape Town, South Africa
title_fullStr The profile of breast cancer among patients attending a Breast Clinic in Cape Town, South Africa
title_full_unstemmed The profile of breast cancer among patients attending a Breast Clinic in Cape Town, South Africa
title_short The profile of breast cancer among patients attending a Breast Clinic in Cape Town, South Africa
title_sort profile of breast cancer among patients attending a breast clinic in cape town south africa
topic Public Health
url http://hdl.handle.net/11427/6033
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