We therefore conducted this study with the objective of analyzing the association between their therapeutic route
and their consultation time at the CHU-YO. This was a retrospective study based on medical records of patients followed in the cancer department of the CHU-YO during the period from January 2017 to December 2021. Their first consultations in different health centers were informed as well as the chronology of these consultations. The consultation time was compared according to different parameters by the tests of Student, Wilcoxon and Kruskal-Wallis. A total of 220 patient files were retained. The average age of these patients was 48.3 (13.6) years. Salaried patients accounted for 27.3%. One hundred and eighteen patients (53.6%) resided in Ouagadougou, 18 patients (8.2%) resided in a locality located within 100 km of the city of Ouagadougou and 84 patients (38.2%) resided in a locality located more than 100 km from Ouagadougou. The first contact with the modern health system was CSPS or CMA in 70% of cases, CHR in 5.5% of cases, private health centers in 3.6% of cases and CHU in 20.9% of cases. Thus, 46 patients consulted directly at the CHU, 4 patients consulted in a CSPS before being referred to the CHU, 120
patients consulted in a CMA before being referred to the CHU. The average time did not differ significantly according to the usual place of residence, the place of the first consultation and the therapeutic route. However, it differed significantly according to the stage of diagnosis. Measures allowing geographical and financial accessibility, training of paramedics and awareness of populations would promote the early diagnosis of breast cancer in Burkina Faso.

Cancer Breast Therapeutic Itinerary Delay in Consultation Burkina Faso