Complementary and alternative medicine (CAM) use and delays in presentation and diagnosis of breast cancer patients in public hospitals in Malaysia
Publication Date
April 27, 2017
Authors
Noor Mastura Mohd Mujar, Maznah Dahlui, Nor Aina Emran, Imisairi Abdul Hadi, et al
Volume
12
Issue
4
Pages
e0176394
DOI
https://dx.plos.org/10.1371/journal.pone.0176394
Publisher URL
http://journals.plos.org/plosone/article?id=10.1371%2Fjournal.pone.0176394
Scopus
85018254963
Mendeley
http://www.mendeley.com/research/complementary-alternative-medicine-cam-delays-presentation-diagnosis-breast-cancer-patients-public-h-1
Events
Loading … Spinner

Mendeley | Further Information

{"title"=>"Complementary and alternative medicine (CAM) use and delays in presentation and diagnosis of breast cancer patients in public hospitals in Malaysia", "type"=>"journal", "authors"=>[{"first_name"=>"Noor Mastura Mohd", "last_name"=>"Mujar", "scopus_author_id"=>"56662173900"}, {"first_name"=>"Maznah", "last_name"=>"Dahlui", "scopus_author_id"=>"34972621400"}, {"first_name"=>"Nor Aina", "last_name"=>"Emran", "scopus_author_id"=>"7801566761"}, {"first_name"=>"Imisairi Abdul", "last_name"=>"Hadi", "scopus_author_id"=>"57189056615"}, {"first_name"=>"Yan Yang", "last_name"=>"Wai", "scopus_author_id"=>"57194010012"}, {"first_name"=>"Sarojah", "last_name"=>"Arulanantham", "scopus_author_id"=>"57189068866"}, {"first_name"=>"Chea Chan", "last_name"=>"Hooi", "scopus_author_id"=>"57194020472"}, {"first_name"=>"Nur Aishah Mohd", "last_name"=>"Taib", "scopus_author_id"=>"57200000143"}], "year"=>2017, "source"=>"PLoS ONE", "identifiers"=>{"issn"=>"19326203", "scopus"=>"2-s2.0-85018254963", "sgr"=>"85018254963", "pui"=>"615714703", "isbn"=>"1111111111", "pmid"=>"28448541", "doi"=>"10.1371/journal.pone.0176394"}, "id"=>"6d5cf518-0d51-35cf-9a45-02c07c3ca994", "abstract"=>"Complementary and alternative medicine (CAM) is widely used among the breast cancer patients in Malaysia. Delays in presentation, diagnosis and treatment have been shown to impact the disease prognosis. There is considerable use of CAM amongst breast cancer patients. CAM use has been cited as a cause of delay in diagnosis and treatments in qualitative studies, however there had not been any confirmatory study that confirms its impact on delays. The purpose of this study was to evaluate whether the use of CAM among newly diagnosed breast cancer patients was associated with delays in presentation, diagnosis or treatment of breast cancer. This multi-centre cross-sectional study evaluating the time points of the individual breast cancer patients' journey from first visit, resolution of diagnosis and treatments was conducted in six public hospitals in Malaysia. All newly diagnosed breast cancer patients from 1st January to 31st December 2012 were recruited. Data were collected through medical records review and patient interview by using a structured questionnaire. Complementary and alternative medicine (CAM) was defined as the use of any methods and products not included in conventional allopathic medicine before commencement of treatments. Presentation delay was defined as time taken from symptom discovery to first presentation of more than 3 months. The time points were categorised to diagnosis delay was defined as time taken from first presentation to diagnosis of more than 1 month and treatment delay was defined as time taken from diagnosis to initial treatment of more than 1 month. Multiple logistic regression was used for analysis. A total number of 340 patients participated in this study. The prevalence of CAM use was 46.5% (n = 158). Malay ethnicity (OR 3.32; 95% CI: 1.85, 5.97) and not interpreting symptom as cancerous (OR 1.79; 95% CI: 1.10, 2.92) were significantly associated with CAM use. The use of CAM was associated with delays in presentation (OR 1.65; 95% CI: 1.05, 2.59), diagnosis (OR 2.42; 95% CI: 1.56, 3.77) and treatment of breast cancer (OR 1.74; 95% CI: 1.11, 2.72) on univariate analyses. However, after adjusting with other covariates, CAM use was associated with delays in presentation (OR 1.71; 95% CI: 1.05, 2.78) and diagnosis (OR 2.58; 95% CI: 1.59, 4.17) but not for treatment of breast cancer (OR 1.58; 95% CI: 0.98, 2.55). The prevalence of CAM use among the breast cancer patients was high. Women of Malay ethnicity and not interpreting symptom as cancerous were significantly associated with CAM use. The use of CAM is significantly associated with delay in presentation and resolution of diagnosis. This study suggests further evaluation of access to breast cancer care is needed as poor access may cause the use of CAM. However, since public hospitals in Malaysia are heavily subsidized and readily available to the population, CAM use may impact delays in presentation and diagnosis.", "link"=>"http://www.mendeley.com/research/complementary-alternative-medicine-cam-delays-presentation-diagnosis-breast-cancer-patients-public-h-1", "reader_count"=>7, "reader_count_by_academic_status"=>{"Unspecified"=>3, "Student > Master"=>3, "Lecturer"=>1}, "reader_count_by_user_role"=>{"Unspecified"=>3, "Student > Master"=>3, "Lecturer"=>1}, "reader_count_by_subject_area"=>{"Unspecified"=>3, "Medicine and Dentistry"=>1, "Business, Management and Accounting"=>1, "Immunology and Microbiology"=>1, "Nursing and Health Professions"=>1}, "reader_count_by_subdiscipline"=>{"Medicine and Dentistry"=>{"Medicine and Dentistry"=>1}, "Immunology and Microbiology"=>{"Immunology and Microbiology"=>1}, "Business, Management and Accounting"=>{"Business, Management and Accounting"=>1}, "Nursing and Health Professions"=>{"Nursing and Health Professions"=>1}, "Unspecified"=>{"Unspecified"=>3}}, "group_count"=>0}

Scopus | Further Information

{"@_fa"=>"true", "link"=>[{"@_fa"=>"true", "@ref"=>"self", "@href"=>"https://api.elsevier.com/content/abstract/scopus_id/85018254963"}, {"@_fa"=>"true", "@ref"=>"author-affiliation", "@href"=>"https://api.elsevier.com/content/abstract/scopus_id/85018254963?field=author,affiliation"}, {"@_fa"=>"true", "@ref"=>"scopus", "@href"=>"https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85018254963&origin=inward"}, {"@_fa"=>"true", "@ref"=>"scopus-citedby", "@href"=>"https://www.scopus.com/inward/citedby.uri?partnerID=HzOxMe3b&scp=85018254963&origin=inward"}], "prism:url"=>"https://api.elsevier.com/content/abstract/scopus_id/85018254963", "dc:identifier"=>"SCOPUS_ID:85018254963", "eid"=>"2-s2.0-85018254963", "dc:title"=>"Complementary and alternative medicine (CAM) use and delays in presentation and diagnosis of breast cancer patients in public hospitals in Malaysia", "dc:creator"=>"Mujar N.", "prism:publicationName"=>"PLoS ONE", "prism:eIssn"=>"19326203", "prism:volume"=>"12", "prism:issueIdentifier"=>"4", "prism:pageRange"=>nil, "prism:coverDate"=>"2017-04-01", "prism:coverDisplayDate"=>"April 2017", "prism:doi"=>"10.1371/journal.pone.0176394", "citedby-count"=>"11", "affiliation"=>[{"@_fa"=>"true", "affilname"=>"Universiti Sains Malaysia, Advanced Medical and Dental Institute", "affiliation-city"=>"Kepala Batas", "affiliation-country"=>"Malaysia"}], "pubmed-id"=>"28448541", "prism:aggregationType"=>"Journal", "subtype"=>"ar", "subtypeDescription"=>"Article", "article-number"=>"e0176394", "source-id"=>"10600153309", "openaccess"=>"1", "openaccessFlag"=>true}

Counter

  • {"month"=>"4", "year"=>"2017", "pdf_views"=>"20", "xml_views"=>"3", "html_views"=>"60"}
  • {"month"=>"5", "year"=>"2017", "pdf_views"=>"70", "xml_views"=>"3", "html_views"=>"129"}
  • {"month"=>"6", "year"=>"2017", "pdf_views"=>"12", "xml_views"=>"0", "html_views"=>"80"}
  • {"month"=>"7", "year"=>"2017", "pdf_views"=>"23", "xml_views"=>"0", "html_views"=>"69"}
  • {"month"=>"8", "year"=>"2017", "pdf_views"=>"20", "xml_views"=>"2", "html_views"=>"88"}
  • {"month"=>"9", "year"=>"2017", "pdf_views"=>"14", "xml_views"=>"1", "html_views"=>"91"}
  • {"month"=>"10", "year"=>"2017", "pdf_views"=>"26", "xml_views"=>"1", "html_views"=>"139"}
  • {"month"=>"11", "year"=>"2017", "pdf_views"=>"15", "xml_views"=>"1", "html_views"=>"218"}
  • {"month"=>"12", "year"=>"2017", "pdf_views"=>"27", "xml_views"=>"0", "html_views"=>"200"}
  • {"month"=>"1", "year"=>"2018", "pdf_views"=>"34", "xml_views"=>"1", "html_views"=>"85"}
  • {"month"=>"2", "year"=>"2018", "pdf_views"=>"39", "xml_views"=>"0", "html_views"=>"47"}
  • {"month"=>"3", "year"=>"2018", "pdf_views"=>"45", "xml_views"=>"0", "html_views"=>"61"}
  • {"month"=>"4", "year"=>"2018", "pdf_views"=>"46", "xml_views"=>"3", "html_views"=>"48"}
  • {"month"=>"5", "year"=>"2018", "pdf_views"=>"48", "xml_views"=>"0", "html_views"=>"23"}
  • {"month"=>"6", "year"=>"2018", "pdf_views"=>"18", "xml_views"=>"2", "html_views"=>"34"}
  • {"month"=>"7", "year"=>"2018", "pdf_views"=>"14", "xml_views"=>"4", "html_views"=>"59"}
  • {"month"=>"8", "year"=>"2018", "pdf_views"=>"11", "xml_views"=>"1", "html_views"=>"67"}
  • {"month"=>"9", "year"=>"2018", "pdf_views"=>"23", "xml_views"=>"3", "html_views"=>"67"}
  • {"month"=>"10", "year"=>"2018", "pdf_views"=>"35", "xml_views"=>"2", "html_views"=>"59"}
  • {"month"=>"11", "year"=>"2018", "pdf_views"=>"38", "xml_views"=>"1", "html_views"=>"48"}
  • {"month"=>"12", "year"=>"2018", "pdf_views"=>"33", "xml_views"=>"4", "html_views"=>"26"}
  • {"month"=>"1", "year"=>"2019", "pdf_views"=>"27", "xml_views"=>"3", "html_views"=>"25"}
  • {"month"=>"2", "year"=>"2019", "pdf_views"=>"26", "xml_views"=>"1", "html_views"=>"29"}
  • {"month"=>"3", "year"=>"2019", "pdf_views"=>"28", "xml_views"=>"4", "html_views"=>"49"}
  • {"month"=>"4", "year"=>"2019", "pdf_views"=>"33", "xml_views"=>"2", "html_views"=>"62"}
  • {"month"=>"5", "year"=>"2019", "pdf_views"=>"51", "xml_views"=>"1", "html_views"=>"35"}
  • {"month"=>"6", "year"=>"2019", "pdf_views"=>"26", "xml_views"=>"1", "html_views"=>"37"}
  • {"month"=>"7", "year"=>"2019", "pdf_views"=>"28", "xml_views"=>"2", "html_views"=>"52"}
  • {"month"=>"8", "year"=>"2019", "pdf_views"=>"16", "xml_views"=>"0", "html_views"=>"27"}
  • {"month"=>"9", "year"=>"2019", "pdf_views"=>"16", "xml_views"=>"1", "html_views"=>"53"}
  • {"month"=>"10", "year"=>"2019", "pdf_views"=>"14", "xml_views"=>"0", "html_views"=>"27"}

PMC Usage Stats

  • {"unique-ip"=>"18", "full-text"=>"21", "pdf"=>"8", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2017", "month"=>"5"}
  • {"unique-ip"=>"18", "full-text"=>"21", "pdf"=>"5", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2017", "month"=>"6"}
  • {"unique-ip"=>"13", "full-text"=>"11", "pdf"=>"9", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2017", "month"=>"7"}
  • {"unique-ip"=>"13", "full-text"=>"13", "pdf"=>"3", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2017", "month"=>"8"}
  • {"unique-ip"=>"18", "full-text"=>"21", "pdf"=>"4", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2017", "month"=>"9"}
  • {"unique-ip"=>"31", "full-text"=>"27", "pdf"=>"11", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2017", "month"=>"10"}
  • {"unique-ip"=>"24", "full-text"=>"26", "pdf"=>"9", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2017", "month"=>"11"}
  • {"unique-ip"=>"26", "full-text"=>"33", "pdf"=>"5", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2017", "month"=>"12"}
  • {"unique-ip"=>"28", "full-text"=>"31", "pdf"=>"7", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2018", "month"=>"1"}
  • {"unique-ip"=>"1", "full-text"=>"1", "pdf"=>"0", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2018", "month"=>"2"}
  • {"unique-ip"=>"30", "full-text"=>"32", "pdf"=>"9", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"1", "cited-by"=>"0", "year"=>"2018", "month"=>"3"}
  • {"unique-ip"=>"25", "full-text"=>"24", "pdf"=>"5", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2019", "month"=>"1"}
  • {"unique-ip"=>"20", "full-text"=>"19", "pdf"=>"5", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"1", "cited-by"=>"0", "year"=>"2018", "month"=>"11"}
  • {"unique-ip"=>"20", "full-text"=>"22", "pdf"=>"4", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"1", "cited-by"=>"0", "year"=>"2018", "month"=>"12"}
  • {"unique-ip"=>"25", "full-text"=>"28", "pdf"=>"3", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2018", "month"=>"9"}
  • {"unique-ip"=>"35", "full-text"=>"37", "pdf"=>"6", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"2", "cited-by"=>"0", "year"=>"2018", "month"=>"4"}
  • {"unique-ip"=>"32", "full-text"=>"37", "pdf"=>"9", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"1", "cited-by"=>"0", "year"=>"2018", "month"=>"5"}
  • {"unique-ip"=>"34", "full-text"=>"36", "pdf"=>"8", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"1", "cited-by"=>"0", "year"=>"2018", "month"=>"6"}
  • {"unique-ip"=>"25", "full-text"=>"27", "pdf"=>"5", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"1", "year"=>"2018", "month"=>"7"}
  • {"unique-ip"=>"36", "full-text"=>"43", "pdf"=>"8", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2018", "month"=>"10"}
  • {"unique-ip"=>"37", "full-text"=>"38", "pdf"=>"5", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2018", "month"=>"8"}
  • {"unique-ip"=>"25", "full-text"=>"28", "pdf"=>"6", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2019", "month"=>"2"}
  • {"unique-ip"=>"21", "full-text"=>"21", "pdf"=>"6", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2019", "month"=>"3"}
  • {"unique-ip"=>"21", "full-text"=>"21", "pdf"=>"7", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"1", "year"=>"2019", "month"=>"4"}
  • {"unique-ip"=>"32", "full-text"=>"36", "pdf"=>"5", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"1", "cited-by"=>"0", "year"=>"2019", "month"=>"5"}
  • {"unique-ip"=>"12", "full-text"=>"11", "pdf"=>"1", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2019", "month"=>"8"}
Loading … Spinner
There are currently no alerts