• S. Afr. Med. J. · Aug 2022

    Letter

    Challenges of implementing an integrated electronic health record system in the Breast and Endocrine Clinic at Tygerberg Hospital, Cape Town, South Africa.

    • N B Mponda, V Beeka, D De Villiers, M Ismail, and N Mongalo.
    • 5th-year medical students, Division of Surgery, Tygerberg Hospital and Faculty of Medicine and Healthcare Sciences, Stellenbosch University, Cape Town, South Africa. 21787069@sun.ac.za.
    • S. Afr. Med. J. 2022 Aug 1; 112 (8): 505.

    AbstractTo the Editor: In low- to middle-income countries, the majority of patients with breast cancer are diagnosed with locally advanced disease. This remains a problem at the Tygerberg Hospital breast clinic in Cape Town, South Africa, with ~60% of all patients presenting with stage 3 or 4 disease at the time of diagnosis. The reasons cited are multiple and include fear, unawareness of disease severity, concerns surrounding losing a breast, unreliable transportation, referral difficulties and financial constraints.[1].

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