Community Awareness Level Regarding Brain Tumours and Reasons of Delay in Total Diagnostic Interval

Authors

  • BABAR BUTT Punjab Institute of Neurosciences (PINS), Lahore General Hospital, Lahore
  • ADNAN AKBAR Punjab Institute of Neurosciences (PINS), Lahore General Hospital, Lahore
  • AMAN UR REHMAN Punjab Institute of Neurosciences (PINS), Lahore General Hospital, Lahore
  • RIZWAN MASOOD BUTT Punjab Institute of Neurosciences (PINS), Lahore General Hospital, Lahore

Keywords:

Brain tumors, community awareness, Total Diagnostic Interval

Abstract

Objectives: This study was conducted to determine the awareness in the Pakistani community regarding Brain tumors and exploring the reasons for the delay in Total Diagnostic Interval (TDI).
Material and Methods: The methodology used to determine community level of awareness by anonyms, questionnaire based descriptive study. The duration of the study was 4 months and data was taken from the patients operated in Neurosurgery Unit I of Punjab Institute of Neuroscience (PINS).
Results: A total of 102 patients were recorded, of which sixty five (63.7%) were male patients and thirty seven (36.2%) female patients. Immense delay was noted in getting the first basic radiological investigation, i.e., more than one year in 33 cases (32.35%) after the appearance of their first symptom. The study revealed that 46 cases (45.00%) got treatment from Quack, 38 cases (37.00%) from spiritual healer/Hakeems and 8 cases (07.00%) had homeopathic treatment. It was noted that 35 (34.30%) of the patients were unaware of their disease, and 67patients (65.00%) were aware of their disease. The awareness group revealed that 28 cases (27.45%) know about their disease, but reluctant to get surgery, while 30 cases (29.00%) were considered quacks treatment. Seventy five cases (73.52%) presented after 12 weeks of their initial symptom in our series.
Conclusion: Awareness regarding brain tumors is insufficient that is resulting in delay of Total Diagnostic Interval, moreover the scenario was further complicated by adopting alternative methods of treatment like Hakeems/quacks/homeopathic and spiritual healers.

References

1. Department of Neurosurgery LGH. Available http://www.lgh.org.pk/dept_Neurosurgery.php
2. Comelli I, Lippi G, Campana V, Servadei F, et al. Clinical presentation and epidemiology of brain tumors firstly diagnosed in adults in the Emergency Department: a 10-year, single center retrospective study. ATM. 2017; 139 (5): 1-5.
3. Shahbaz U. Brain Tumour: Types, symptoms and research in Pakistan August 11, 2018 Brain Tumour, 2019; 01-09. Available at:
https://www.technologytimes.pk/brain-tumour-types-symptoms-research-pakistan/
4. Davies E, Clarke C. Early symptoms of brain tumours. Bmj. JNNP.2004; 75 (8).
5. William H, David K; Clinical features of primary brain tumours: a case–control study using electronic primary care records.Br J Gen Pract. 2007; 57 (542): 695–699.
6. Schmidt-Hansen M, Berendse S, Hamilton W. Symptomatic diagnosis of cancer of the brain and central nervous system in primary care: a systematic review. Fam Pract. 2015 Dec; 32 (6): 618-23.
7. Chen CH, Sheu J, Lin YC, Lin HC et al. Association of migraines with brain tumors: a nationwide population-based study. J Headache Pain, 2018; 15; 19 (1): 111.
8. Rogers EK, Cannon A, Zaborowski K, Paul SP. Early recognition and management of brain tumours in children. Nurs Stand. 2016; 31; 31 (1): 42-9.
9. Walker D, S Wilne S, Grundy R, et al. Community awareness in Brain Tumours, Head Smart: Be Brain Tumour Aware Children's Brain Tumour Research Centre, Queen's Medical Centre, University of Nottingham, Nottingham, UK (D.W.) Neuro Oncol. 2016; 18 (3): 445–54.
10. Aggarwal A, Herz N, Campbell P, Arkush L, Short S, Rees J. Diagnostic delay and survival in high-grade gliomas - evidence of the 'waiting tim; paradox'? Br J Neurosurg. 2015; 29 (4): 520-3.
11. Bondy ML, Scheurer ME, Malmer B, et al. Brain Tumor Epidemiology: Consensus from the Brain Tumor Epidemiology Consortium (BTEC)” Supplement: 60th Anniversary Edition of Cancer, 2008; 113 (7): 1953-68.
12. Patel V, Neil L, Sarah R: Diagnostic delay and morbidity of central nervous system tumors in children and young adults: a pediatric hospital experience. J Neuro-Oncology, 2019: 1–8.
13. Deye, N., Vincent, F., Michel, P., et al. A questionnaire study on the knowledge, attitude, and the practice of pharmacovigilance among the healthcare professionals in a teaching hospital in South India. Perspect Clin Res. 2015; 6 (1): 45–52.
14. W. MD, R.M. M. The benefit of community engagement in public health and palliative care services for children with cancer in low resource settings. Pediatric Blood and Cancer, 2014; 61: S397.
15. Walter FM, Penfold C, Joannides A, et al;Missed opportunities for diagnosing brain tumours in primary care: a qualitative study of patient experiences. Br J Gen Pract. 2019; 69 (681).
16. Strauser D, Wagner S; A view of career development and community integration from the parent and young adult brain tumor survivor's perspective. Journal of Cancer Survivorship. 2018; 13 (1): 28.

Downloads

Published

2019-06-04

Issue

Section

Original Articles