A Grounded Explanation of Why Women Present with Advanced Breast Cancer
Background Advanced breast cancer presentation remains a large obstacle in lowering mortality rates in low- and middle-resource countries. This study aims to explore the reasons why women present with breast cancer at an advanced stage. Methods Purposive sampling of 19 breast cancer patients present...
Ausführliche Beschreibung
Autor*in: |
Taib, Nur Aishah [verfasserIn] |
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E-Artikel |
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Englisch |
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2013 |
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Anmerkung: |
© Société Internationale de Chirurgie 2013 |
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Übergeordnetes Werk: |
Enthalten in: World Journal of Surgery - Springer-Verlag, 1996, 38(2013), 7 vom: 27. Nov., Seite 1676-1684 |
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Übergeordnetes Werk: |
volume:38 ; year:2013 ; number:7 ; day:27 ; month:11 ; pages:1676-1684 |
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DOI / URN: |
10.1007/s00268-013-2339-4 |
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SPR003447944 |
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520 | |a Background Advanced breast cancer presentation remains a large obstacle in lowering mortality rates in low- and middle-resource countries. This study aims to explore the reasons why women present with breast cancer at an advanced stage. Methods Purposive sampling of 19 breast cancer patients presenting with advanced cancer that were diagnosed within 2 years at the University Malaya Medical Centre, Kuala Lumpur, Malaysia. In-depth interviews were conducted, and audio-recordings were transcribed. Sample size was determined by theoretic sufficiency, and the constructivist grounded theory method was used. Results The reasons for delayed presentation can be displayed in two models. The total breast cancer delay (TBCD) model was derived from the journey of the patients. Four concepts emerged: (1) pluralistic health systems; (2) points of delay; (3) presence of patient or system delays, and (4) patient decision-making at each stage. Eight points of delay were found. At each point, evidence of a patient decision-making model emerged: the breast cancer delay explanatory (BCDE) model, which was the process of assessing severity and knowing and choosing options. The four main operational constructs were (1) knowledge on disease and disease outcomes, (2) knowledge of treatment and treatment outcomes, (3) psychological and physical resources and support; and (4) roles in decision-making. Conclusions The phenomenon is explained by the TBCD and BCDE models. Deconstructing why women present with advanced breast cancer and resist treatment provides clarity of the issues and opportunities for intervention. | ||
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10.1007/s00268-013-2339-4 doi (DE-627)SPR003447944 (SPR)s00268-013-2339-4-e DE-627 ger DE-627 rakwb eng Taib, Nur Aishah verfasserin aut A Grounded Explanation of Why Women Present with Advanced Breast Cancer 2013 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Société Internationale de Chirurgie 2013 Background Advanced breast cancer presentation remains a large obstacle in lowering mortality rates in low- and middle-resource countries. This study aims to explore the reasons why women present with breast cancer at an advanced stage. Methods Purposive sampling of 19 breast cancer patients presenting with advanced cancer that were diagnosed within 2 years at the University Malaya Medical Centre, Kuala Lumpur, Malaysia. In-depth interviews were conducted, and audio-recordings were transcribed. Sample size was determined by theoretic sufficiency, and the constructivist grounded theory method was used. Results The reasons for delayed presentation can be displayed in two models. The total breast cancer delay (TBCD) model was derived from the journey of the patients. Four concepts emerged: (1) pluralistic health systems; (2) points of delay; (3) presence of patient or system delays, and (4) patient decision-making at each stage. Eight points of delay were found. At each point, evidence of a patient decision-making model emerged: the breast cancer delay explanatory (BCDE) model, which was the process of assessing severity and knowing and choosing options. The four main operational constructs were (1) knowledge on disease and disease outcomes, (2) knowledge of treatment and treatment outcomes, (3) psychological and physical resources and support; and (4) roles in decision-making. Conclusions The phenomenon is explained by the TBCD and BCDE models. Deconstructing why women present with advanced breast cancer and resist treatment provides clarity of the issues and opportunities for intervention. Breast Cancer (dpeaa)DE-He213 Advanced Breast Cancer (dpeaa)DE-He213 Schedule Delay (dpeaa)DE-He213 Health System Factor (dpeaa)DE-He213 Delay Point (dpeaa)DE-He213 Yip, Cheng Har aut Low, Wah Yun aut Enthalten in World Journal of Surgery Springer-Verlag, 1996 38(2013), 7 vom: 27. Nov., Seite 1676-1684 (DE-627)SPR003391159 nnns volume:38 year:2013 number:7 day:27 month:11 pages:1676-1684 https://dx.doi.org/10.1007/s00268-013-2339-4 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA AR 38 2013 7 27 11 1676-1684 |
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10.1007/s00268-013-2339-4 doi (DE-627)SPR003447944 (SPR)s00268-013-2339-4-e DE-627 ger DE-627 rakwb eng Taib, Nur Aishah verfasserin aut A Grounded Explanation of Why Women Present with Advanced Breast Cancer 2013 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Société Internationale de Chirurgie 2013 Background Advanced breast cancer presentation remains a large obstacle in lowering mortality rates in low- and middle-resource countries. This study aims to explore the reasons why women present with breast cancer at an advanced stage. Methods Purposive sampling of 19 breast cancer patients presenting with advanced cancer that were diagnosed within 2 years at the University Malaya Medical Centre, Kuala Lumpur, Malaysia. In-depth interviews were conducted, and audio-recordings were transcribed. Sample size was determined by theoretic sufficiency, and the constructivist grounded theory method was used. Results The reasons for delayed presentation can be displayed in two models. The total breast cancer delay (TBCD) model was derived from the journey of the patients. Four concepts emerged: (1) pluralistic health systems; (2) points of delay; (3) presence of patient or system delays, and (4) patient decision-making at each stage. Eight points of delay were found. At each point, evidence of a patient decision-making model emerged: the breast cancer delay explanatory (BCDE) model, which was the process of assessing severity and knowing and choosing options. The four main operational constructs were (1) knowledge on disease and disease outcomes, (2) knowledge of treatment and treatment outcomes, (3) psychological and physical resources and support; and (4) roles in decision-making. Conclusions The phenomenon is explained by the TBCD and BCDE models. Deconstructing why women present with advanced breast cancer and resist treatment provides clarity of the issues and opportunities for intervention. Breast Cancer (dpeaa)DE-He213 Advanced Breast Cancer (dpeaa)DE-He213 Schedule Delay (dpeaa)DE-He213 Health System Factor (dpeaa)DE-He213 Delay Point (dpeaa)DE-He213 Yip, Cheng Har aut Low, Wah Yun aut Enthalten in World Journal of Surgery Springer-Verlag, 1996 38(2013), 7 vom: 27. Nov., Seite 1676-1684 (DE-627)SPR003391159 nnns volume:38 year:2013 number:7 day:27 month:11 pages:1676-1684 https://dx.doi.org/10.1007/s00268-013-2339-4 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA AR 38 2013 7 27 11 1676-1684 |
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10.1007/s00268-013-2339-4 doi (DE-627)SPR003447944 (SPR)s00268-013-2339-4-e DE-627 ger DE-627 rakwb eng Taib, Nur Aishah verfasserin aut A Grounded Explanation of Why Women Present with Advanced Breast Cancer 2013 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Société Internationale de Chirurgie 2013 Background Advanced breast cancer presentation remains a large obstacle in lowering mortality rates in low- and middle-resource countries. This study aims to explore the reasons why women present with breast cancer at an advanced stage. Methods Purposive sampling of 19 breast cancer patients presenting with advanced cancer that were diagnosed within 2 years at the University Malaya Medical Centre, Kuala Lumpur, Malaysia. In-depth interviews were conducted, and audio-recordings were transcribed. Sample size was determined by theoretic sufficiency, and the constructivist grounded theory method was used. Results The reasons for delayed presentation can be displayed in two models. The total breast cancer delay (TBCD) model was derived from the journey of the patients. Four concepts emerged: (1) pluralistic health systems; (2) points of delay; (3) presence of patient or system delays, and (4) patient decision-making at each stage. Eight points of delay were found. At each point, evidence of a patient decision-making model emerged: the breast cancer delay explanatory (BCDE) model, which was the process of assessing severity and knowing and choosing options. The four main operational constructs were (1) knowledge on disease and disease outcomes, (2) knowledge of treatment and treatment outcomes, (3) psychological and physical resources and support; and (4) roles in decision-making. Conclusions The phenomenon is explained by the TBCD and BCDE models. Deconstructing why women present with advanced breast cancer and resist treatment provides clarity of the issues and opportunities for intervention. Breast Cancer (dpeaa)DE-He213 Advanced Breast Cancer (dpeaa)DE-He213 Schedule Delay (dpeaa)DE-He213 Health System Factor (dpeaa)DE-He213 Delay Point (dpeaa)DE-He213 Yip, Cheng Har aut Low, Wah Yun aut Enthalten in World Journal of Surgery Springer-Verlag, 1996 38(2013), 7 vom: 27. Nov., Seite 1676-1684 (DE-627)SPR003391159 nnns volume:38 year:2013 number:7 day:27 month:11 pages:1676-1684 https://dx.doi.org/10.1007/s00268-013-2339-4 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA AR 38 2013 7 27 11 1676-1684 |
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10.1007/s00268-013-2339-4 doi (DE-627)SPR003447944 (SPR)s00268-013-2339-4-e DE-627 ger DE-627 rakwb eng Taib, Nur Aishah verfasserin aut A Grounded Explanation of Why Women Present with Advanced Breast Cancer 2013 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Société Internationale de Chirurgie 2013 Background Advanced breast cancer presentation remains a large obstacle in lowering mortality rates in low- and middle-resource countries. This study aims to explore the reasons why women present with breast cancer at an advanced stage. Methods Purposive sampling of 19 breast cancer patients presenting with advanced cancer that were diagnosed within 2 years at the University Malaya Medical Centre, Kuala Lumpur, Malaysia. In-depth interviews were conducted, and audio-recordings were transcribed. Sample size was determined by theoretic sufficiency, and the constructivist grounded theory method was used. Results The reasons for delayed presentation can be displayed in two models. The total breast cancer delay (TBCD) model was derived from the journey of the patients. Four concepts emerged: (1) pluralistic health systems; (2) points of delay; (3) presence of patient or system delays, and (4) patient decision-making at each stage. Eight points of delay were found. At each point, evidence of a patient decision-making model emerged: the breast cancer delay explanatory (BCDE) model, which was the process of assessing severity and knowing and choosing options. The four main operational constructs were (1) knowledge on disease and disease outcomes, (2) knowledge of treatment and treatment outcomes, (3) psychological and physical resources and support; and (4) roles in decision-making. Conclusions The phenomenon is explained by the TBCD and BCDE models. Deconstructing why women present with advanced breast cancer and resist treatment provides clarity of the issues and opportunities for intervention. Breast Cancer (dpeaa)DE-He213 Advanced Breast Cancer (dpeaa)DE-He213 Schedule Delay (dpeaa)DE-He213 Health System Factor (dpeaa)DE-He213 Delay Point (dpeaa)DE-He213 Yip, Cheng Har aut Low, Wah Yun aut Enthalten in World Journal of Surgery Springer-Verlag, 1996 38(2013), 7 vom: 27. Nov., Seite 1676-1684 (DE-627)SPR003391159 nnns volume:38 year:2013 number:7 day:27 month:11 pages:1676-1684 https://dx.doi.org/10.1007/s00268-013-2339-4 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA AR 38 2013 7 27 11 1676-1684 |
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10.1007/s00268-013-2339-4 doi (DE-627)SPR003447944 (SPR)s00268-013-2339-4-e DE-627 ger DE-627 rakwb eng Taib, Nur Aishah verfasserin aut A Grounded Explanation of Why Women Present with Advanced Breast Cancer 2013 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Société Internationale de Chirurgie 2013 Background Advanced breast cancer presentation remains a large obstacle in lowering mortality rates in low- and middle-resource countries. This study aims to explore the reasons why women present with breast cancer at an advanced stage. Methods Purposive sampling of 19 breast cancer patients presenting with advanced cancer that were diagnosed within 2 years at the University Malaya Medical Centre, Kuala Lumpur, Malaysia. In-depth interviews were conducted, and audio-recordings were transcribed. Sample size was determined by theoretic sufficiency, and the constructivist grounded theory method was used. Results The reasons for delayed presentation can be displayed in two models. The total breast cancer delay (TBCD) model was derived from the journey of the patients. Four concepts emerged: (1) pluralistic health systems; (2) points of delay; (3) presence of patient or system delays, and (4) patient decision-making at each stage. Eight points of delay were found. At each point, evidence of a patient decision-making model emerged: the breast cancer delay explanatory (BCDE) model, which was the process of assessing severity and knowing and choosing options. The four main operational constructs were (1) knowledge on disease and disease outcomes, (2) knowledge of treatment and treatment outcomes, (3) psychological and physical resources and support; and (4) roles in decision-making. Conclusions The phenomenon is explained by the TBCD and BCDE models. Deconstructing why women present with advanced breast cancer and resist treatment provides clarity of the issues and opportunities for intervention. Breast Cancer (dpeaa)DE-He213 Advanced Breast Cancer (dpeaa)DE-He213 Schedule Delay (dpeaa)DE-He213 Health System Factor (dpeaa)DE-He213 Delay Point (dpeaa)DE-He213 Yip, Cheng Har aut Low, Wah Yun aut Enthalten in World Journal of Surgery Springer-Verlag, 1996 38(2013), 7 vom: 27. Nov., Seite 1676-1684 (DE-627)SPR003391159 nnns volume:38 year:2013 number:7 day:27 month:11 pages:1676-1684 https://dx.doi.org/10.1007/s00268-013-2339-4 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA AR 38 2013 7 27 11 1676-1684 |
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Background Advanced breast cancer presentation remains a large obstacle in lowering mortality rates in low- and middle-resource countries. This study aims to explore the reasons why women present with breast cancer at an advanced stage. Methods Purposive sampling of 19 breast cancer patients presenting with advanced cancer that were diagnosed within 2 years at the University Malaya Medical Centre, Kuala Lumpur, Malaysia. In-depth interviews were conducted, and audio-recordings were transcribed. Sample size was determined by theoretic sufficiency, and the constructivist grounded theory method was used. Results The reasons for delayed presentation can be displayed in two models. The total breast cancer delay (TBCD) model was derived from the journey of the patients. Four concepts emerged: (1) pluralistic health systems; (2) points of delay; (3) presence of patient or system delays, and (4) patient decision-making at each stage. Eight points of delay were found. At each point, evidence of a patient decision-making model emerged: the breast cancer delay explanatory (BCDE) model, which was the process of assessing severity and knowing and choosing options. The four main operational constructs were (1) knowledge on disease and disease outcomes, (2) knowledge of treatment and treatment outcomes, (3) psychological and physical resources and support; and (4) roles in decision-making. Conclusions The phenomenon is explained by the TBCD and BCDE models. Deconstructing why women present with advanced breast cancer and resist treatment provides clarity of the issues and opportunities for intervention. © Société Internationale de Chirurgie 2013 |
abstractGer |
Background Advanced breast cancer presentation remains a large obstacle in lowering mortality rates in low- and middle-resource countries. This study aims to explore the reasons why women present with breast cancer at an advanced stage. Methods Purposive sampling of 19 breast cancer patients presenting with advanced cancer that were diagnosed within 2 years at the University Malaya Medical Centre, Kuala Lumpur, Malaysia. In-depth interviews were conducted, and audio-recordings were transcribed. Sample size was determined by theoretic sufficiency, and the constructivist grounded theory method was used. Results The reasons for delayed presentation can be displayed in two models. The total breast cancer delay (TBCD) model was derived from the journey of the patients. Four concepts emerged: (1) pluralistic health systems; (2) points of delay; (3) presence of patient or system delays, and (4) patient decision-making at each stage. Eight points of delay were found. At each point, evidence of a patient decision-making model emerged: the breast cancer delay explanatory (BCDE) model, which was the process of assessing severity and knowing and choosing options. The four main operational constructs were (1) knowledge on disease and disease outcomes, (2) knowledge of treatment and treatment outcomes, (3) psychological and physical resources and support; and (4) roles in decision-making. Conclusions The phenomenon is explained by the TBCD and BCDE models. Deconstructing why women present with advanced breast cancer and resist treatment provides clarity of the issues and opportunities for intervention. © Société Internationale de Chirurgie 2013 |
abstract_unstemmed |
Background Advanced breast cancer presentation remains a large obstacle in lowering mortality rates in low- and middle-resource countries. This study aims to explore the reasons why women present with breast cancer at an advanced stage. Methods Purposive sampling of 19 breast cancer patients presenting with advanced cancer that were diagnosed within 2 years at the University Malaya Medical Centre, Kuala Lumpur, Malaysia. In-depth interviews were conducted, and audio-recordings were transcribed. Sample size was determined by theoretic sufficiency, and the constructivist grounded theory method was used. Results The reasons for delayed presentation can be displayed in two models. The total breast cancer delay (TBCD) model was derived from the journey of the patients. Four concepts emerged: (1) pluralistic health systems; (2) points of delay; (3) presence of patient or system delays, and (4) patient decision-making at each stage. Eight points of delay were found. At each point, evidence of a patient decision-making model emerged: the breast cancer delay explanatory (BCDE) model, which was the process of assessing severity and knowing and choosing options. The four main operational constructs were (1) knowledge on disease and disease outcomes, (2) knowledge of treatment and treatment outcomes, (3) psychological and physical resources and support; and (4) roles in decision-making. Conclusions The phenomenon is explained by the TBCD and BCDE models. Deconstructing why women present with advanced breast cancer and resist treatment provides clarity of the issues and opportunities for intervention. © Société Internationale de Chirurgie 2013 |
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A Grounded Explanation of Why Women Present with Advanced Breast Cancer |
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Yip, Cheng Har Low, Wah Yun |
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