2.50
Hdl Handle:
http://hdl.handle.net/10755/153750
Type:
Presentation
Title:
Diagnostic Delays in Ovarian Cancer: A Reduction Approach
Abstract:
Diagnostic Delays in Ovarian Cancer: A Reduction Approach
Conference Sponsor:Sigma Theta Tau International
Conference Year:2004
Conference Date:July 22-24, 2004
Author:Koldjeski, Dixie, RN, PhD, FAAN
P.I. Institution Name:Health Education Seminars & Consultation, Inc
Title:Distinguished Professor Emeritus
Co-Authors:Mary K. Kirkpatrick, EdD, RN
Design: Longitudinal descriptive design examined impact of ovarian cancer in a family member on demographic and illness-related data and selected aspects of family functioning: family strengths, family coping strategies, family needs, and socioemotional responses to illness. Lived experiences were followed over first post-diagnostic year. Sample: Nineteen families (50 members) completed demographic and contextual data: Eighteen participated entire year. Families recruited from regional cancer clinics in a southern state. Methods: Five visitations were made for completion of questionnaires on family functioning variables and participation in open-ended interviews describing the lived experiences related to diagnosis-seeking. Quantitative data analyzed by descriptive statistics; qualitative data used narrative analysis. Findings: Diagnosis-seeking characterized by three phases each dominated by different care participants: self, primary and specialist providers. Diagnostic delays occurred in self-care and primary provider phases. Conclusions: Identification of phases pointed to times and places where diagnostic delays occurred. Late stage diagnosis is a proxy variable for delays in diagnosis for this malignancy. Early targeted secondary prevention strategies can now be developed and tested. Implications: Mapping of delay points in early diagnostic process shows need for women to be taught self-monitoring of their ovarian health, and primary care providers need to seek up-to-date continuing education. One delay reduction strategy is reconceptualization of individual risk factors, family cancer history, and a monthly symptom checklist to be a holistic indicator based on stable vulnerabilities and new information that signals change in basic processes are underway. This evidence-based research needs rapid dissemination to reduce diagnostic delays to obtain early treatment and impact longer survivability.
Repository Posting Date:
26-Oct-2011
Date of Publication:
22-Jul-2004
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleDiagnostic Delays in Ovarian Cancer: A Reduction Approachen_GB
dc.identifier.urihttp://hdl.handle.net/10755/153750-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Diagnostic Delays in Ovarian Cancer: A Reduction Approach</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2004</td></tr><tr class="item-conference-date"><td class="label">Conference Date:</td><td class="value">July 22-24, 2004</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Koldjeski, Dixie, RN, PhD, FAAN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Health Education Seminars &amp; Consultation, Inc</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Distinguished Professor Emeritus</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">polishkay@aol.com</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Mary K. Kirkpatrick, EdD, RN</td></tr><tr><td colspan="2" class="item-abstract">Design: Longitudinal descriptive design examined impact of ovarian cancer in a family member on demographic and illness-related data and selected aspects of family functioning: family strengths, family coping strategies, family needs, and socioemotional responses to illness. Lived experiences were followed over first post-diagnostic year. Sample: Nineteen families (50 members) completed demographic and contextual data: Eighteen participated entire year. Families recruited from regional cancer clinics in a southern state. Methods: Five visitations were made for completion of questionnaires on family functioning variables and participation in open-ended interviews describing the lived experiences related to diagnosis-seeking. Quantitative data analyzed by descriptive statistics; qualitative data used narrative analysis. Findings: Diagnosis-seeking characterized by three phases each dominated by different care participants: self, primary and specialist providers. Diagnostic delays occurred in self-care and primary provider phases. Conclusions: Identification of phases pointed to times and places where diagnostic delays occurred. Late stage diagnosis is a proxy variable for delays in diagnosis for this malignancy. Early targeted secondary prevention strategies can now be developed and tested. Implications: Mapping of delay points in early diagnostic process shows need for women to be taught self-monitoring of their ovarian health, and primary care providers need to seek up-to-date continuing education. One delay reduction strategy is reconceptualization of individual risk factors, family cancer history, and a monthly symptom checklist to be a holistic indicator based on stable vulnerabilities and new information that signals change in basic processes are underway. This evidence-based research needs rapid dissemination to reduce diagnostic delays to obtain early treatment and impact longer survivability.</td></tr></table>en_GB
dc.date.available2011-10-26T12:29:21Z-
dc.date.issued2004-07-22en_GB
dc.date.accessioned2011-10-26T12:29:21Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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