{"id":"https://openalex.org/W28486523","doi":null,"title":"[Reasons of diagnostic delay of breast cancer in Tunisian women (160 patients in the central region of Tunisia)].","display_name":"[Reasons of diagnostic delay of breast cancer in Tunisian women (160 patients in the central region of Tunisia)].","publication_year":2010,"publication_date":"2010-12-01","ids":{"openalex":"https://openalex.org/W28486523","mag":"28486523","pmid":"https://pubmed.ncbi.nlm.nih.gov/21136356"},"language":"fr","primary_location":{"id":"pmid:21136356","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/21136356","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"La Tunisie medicale","raw_type":"Journal Article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5112866263","display_name":"Amel Landolsi","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210087936","display_name":"H\u00f4pital Farhat Hached","ror":"https://ror.org/0059hys23","country_code":"TN","type":"healthcare","lineage":["https://openalex.org/I4210087936"]}],"countries":["TN"],"is_corresponding":false,"raw_author_name":"Amel Landolsi","raw_affiliation_strings":["Service M\u00e9decine Carcinologique, CHU Farhat, Hached Sousse, Tunisia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Service M\u00e9decine Carcinologique, CHU Farhat, Hached Sousse, Tunisia","institution_ids":["https://openalex.org/I4210087936"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5013159706","display_name":"Selma Gahbiche","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Selma Gahbiche","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5041424399","display_name":"Rym Chaafii","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Rym Chaafii","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5071950895","display_name":"Imen Chabchoub","orcid":"https://orcid.org/0000-0002-6581-1643","observed_orcids":["https://orcid.org/0000-0002-6581-1643"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Imen Chabchoub","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5077052451","display_name":"Le\u00efla Ben Fatma","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Leila Ben Fatma","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5113845892","display_name":"Mafram Hochlef","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Mafram Hochlef","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5009351780","display_name":"Olfa Gharbi","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Olfa Gharbi","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"last","author":{"id":"https://openalex.org/A5013702971","display_name":"Slim Ben Ahmed","orcid":"https://orcid.org/0000-0001-8925-7416","observed_orcids":["https://orcid.org/0000-0001-8925-7416"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Slim Ben Ahmed","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":1.5863,"has_fulltext":false,"cited_by_count":21,"citation_normalized_percentile":{"value":0.8293142,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":88,"max":97},"biblio":{"volume":"88","issue":"12","first_page":"894","last_page":"7"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T13544","display_name":"Women's cancer prevention and management","score":0.7416999936103821,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T13544","display_name":"Women's cancer prevention and management","score":0.7416999936103821,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10556","display_name":"Global Cancer Incidence and Screening","score":0.2134000062942505,"subfield":{"id":"https://openalex.org/subfields/2730","display_name":"Oncology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11134","display_name":"Breast Lesions and Carcinomas","score":0.039900001138448715,"subfield":{"id":"https://openalex.org/subfields/2734","display_name":"Pathology and Forensic Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/breast-cancer","display_name":"breast cancer","score":0.996999979019165},{"id":"https://openalex.org/keywords/delayed-diagnosis","display_name":"delayed diagnosis","score":0.9610000252723694},{"id":"https://openalex.org/keywords/patient-behavior","display_name":"patient behavior","score":0.3330000042915344},{"id":"https://openalex.org/keywords/breast-self-examination","display_name":"breast self-examination","score":0.9129999876022339},{"id":"https://openalex.org/keywords/symptom-misattribution","display_name":"symptom misattribution","score":0.7649999856948853},{"id":"https://openalex.org/keywords/health-care-access","display_name":"health care access","score":0.7319999933242798},{"id":"https://openalex.org/keywords/socioeconomic-factors","display_name":"socioeconomic factors","score":0.6940000057220459},{"id":"https://openalex.org/keywords/family-history-medicine","display_name":"family history (medicine)","score":0.7409999966621399},{"id":"https://openalex.org/keywords/public-health-education","display_name":"public health education","score":0.8560000061988831},{"id":"https://openalex.org/keywords/tunisia","display_name":"Tunisia","score":0.6460000276565552}],"concepts":[{"id":"https://openalex.org/C530470458","wikidata":"https://www.wikidata.org/wiki/Q128581","display_name":"Breast cancer","level":3,"score":0.8289470672607422},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8078703880310059},{"id":"https://openalex.org/C146357865","wikidata":"https://www.wikidata.org/wiki/Q1123245","display_name":"Stage (stratigraphy)","level":2,"score":0.6285851001739502},{"id":"https://openalex.org/C121608353","wikidata":"https://www.wikidata.org/wiki/Q12078","display_name":"Cancer","level":2,"score":0.6141935586929321},{"id":"https://openalex.org/C2779013556","wikidata":"https://www.wikidata.org/wiki/Q181876","display_name":"Metastasis","level":3,"score":0.5425489544868469},{"id":"https://openalex.org/C2781179581","wikidata":"https://www.wikidata.org/wiki/Q2857712","display_name":"Family history","level":2,"score":0.4933291971683502},{"id":"https://openalex.org/C206179267","wikidata":"https://www.wikidata.org/wiki/Q188952","display_name":"Medical history","level":2,"score":0.4318925738334656},{"id":"https://openalex.org/C187212893","wikidata":"https://www.wikidata.org/wiki/Q123028","display_name":"Pediatrics","level":1,"score":0.38713377714157104},{"id":"https://openalex.org/C29456083","wikidata":"https://www.wikidata.org/wiki/Q1221899","display_name":"Gynecology","level":1,"score":0.3727595806121826},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.34891051054000854},{"id":"https://openalex.org/C131872663","wikidata":"https://www.wikidata.org/wiki/Q5284418","display_name":"Obstetrics","level":1,"score":0.3318653702735901},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.3277275562286377},{"id":"https://openalex.org/C151730666","wikidata":"https://www.wikidata.org/wiki/Q7205","display_name":"Paleontology","level":1,"score":0.0},{"id":"https://openalex.org/C86803240","wikidata":"https://www.wikidata.org/wiki/Q420","display_name":"Biology","level":0,"score":0.0}],"mesh":[{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000369","descriptor_name":"Aged, 80 and over","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D001943","descriptor_name":"Breast Neoplasms","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":true},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006297","descriptor_name":"Health Services Accessibility","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011446","descriptor_name":"Prospective Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D014416","descriptor_name":"Tunisia","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D016504","descriptor_name":"Breast Self-Examination","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D057210","descriptor_name":"Delayed Diagnosis","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true}],"locations_count":1,"locations":[{"id":"pmid:21136356","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/21136356","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"La Tunisie medicale","raw_type":"Journal Article"}],"best_oa_location":null,"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":0.9940000176429749}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W6902016771","https://openalex.org/W2991431116","https://openalex.org/W4322617536","https://openalex.org/W2327129013","https://openalex.org/W2283757623","https://openalex.org/W4395111749","https://openalex.org/W2902993027","https://openalex.org/W2112534757","https://openalex.org/W2411862530","https://openalex.org/W2018996722"],"abstract_inverted_index":{"BACKGROUND:":[0],"The":[1,70,88],"diagnosis":[2,23,64,93,225],"of":[3,24,57,65,82,90,97,106,120,129,131,137,143,159,164,182,227],"breast":[4,25,44,67,228],"cancer":[5,26,45,124,229],"is,":[6],"in":[7,73,92,95,104,115,156,168,203,205,230],"Tunisia,":[8],"still":[9],"done":[10],"at":[11,30,54],"a":[12,118,150,197],"late":[13,63],"stage.":[14],"AIM:":[15],"To":[16],"identify":[17],"the":[18,55,62,79,83,101,121,127,132,141,147,157,162,176,188,193],"principal":[19],"obstacles":[20],"against":[21],"early":[22],"for":[27,61],"patients":[28,42,116,138,169,183],"consulting":[29],"advanced":[31],"locally":[32],"stage":[33],"or":[34,49,52],"with":[35,43],"metastasis.":[36],"METHODS:":[37],"We":[38],"have":[39,185],"asked":[40],"160":[41],"showing":[46],"local":[47],"T3":[48],"T4":[50],"evolution":[51],"metastasis":[53],"time":[56],"diagnosis,":[58],"about":[59],"reasons":[60],"their":[66],"cancer.":[68],"RESULTS:":[69],"average":[71,80],"delay":[72,144,226],"consultation":[74],"was":[75,85],"11.6":[76],"months":[77],"and":[78,103,126,192,232],"size":[81],"tumor":[84],"6.3":[86],"cm.":[87],"cause":[89,142],"delays":[91],"was,":[94],"92.5%":[96],"cases":[98],"linked":[99],"to":[100,108,140,172,190,223],"patient,":[102],"24%":[105],"case":[107,158],"medical":[109,151,160,198],"personnel.":[110],"Two":[111],"many":[112],"causes":[113],"found":[114],"were:":[117],"none-attribution":[119],"symptoms":[122,189],"as":[123],"(35%),":[125],"absence":[128],"self-examination":[130],"breasts":[133],"(23.5%).":[134],"A":[135],"comparison":[136],"according":[139],"demonstrated":[145],"that":[146],"distance":[148,195],"from":[149,196],"centre":[152,199],"is":[153,166,200],"more":[154,177,201],"frequent":[155,178],"delays,":[161],"level":[163],"education":[165],"lower":[167],"who":[170,184],"fail":[171],"carry":[173],"out":[174],"self-examination,":[175],"relevant":[179],"family":[180],"history":[181],"not":[186],"attributed":[187],"cancer,":[191],"relative":[194],"pronounced":[202],"women":[204],"difficult":[206],"financial":[207],"circumstances.":[208],"CONCLUSION:":[209],"Changing":[210],"patient":[211],"behaviour":[212],"by":[213],"public":[214],"health":[215],"education,":[216],"besides":[217],"professional":[218],"educational":[219],"programs":[220],"could":[221],"help":[222],"ovoid":[224],"Tunisia":[231],"improve":[233],"its":[234],"outcome.":[235]},"counts_by_year":[{"year":2026,"cited_by_count":1},{"year":2025,"cited_by_count":3},{"year":2024,"cited_by_count":1},{"year":2023,"cited_by_count":2},{"year":2021,"cited_by_count":2},{"year":2020,"cited_by_count":1},{"year":2018,"cited_by_count":1},{"year":2017,"cited_by_count":1},{"year":2016,"cited_by_count":2},{"year":2013,"cited_by_count":3},{"year":2012,"cited_by_count":2}],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2016-06-24T00:00:00"}