![]() ![]() The appraisal and help-seeking intervals contributed the greatest delays in time-to-diagnosis for ovarian cancer. The median time from first symptom to initiation of treatment was 2.8 months (range, 19 days to 4.7 years). The median age at ovarian cancer diagnosis was 61.5 years (range, 29–78 years), and the majority of participants (11/14) were diagnosed with advanced-stage disease. Inductive coding identified common themes within each stage of the MPT across patient and provider interviews. Deductive coding used a priori time intervals from the validated Model of Pathways to Treatment (MPT), including self-appraisal and management of symptoms, medical help-seeking, diagnosis, and pre-treatment. Thematic analysis was conducted by two independent reviewers using a two-phase deductive and inductive coding approach. Interviews focused on the time leading up to an ovarian cancer diagnosis. ![]() We conducted semi-structured interviews of ovarian cancer patients and survivors ( n = 14) and healthcare providers ( n = 11) between 10/2019 and 10/2021. Qualitative narratives of patients’ pathways to ovarian cancer diagnoses may identify opportunities for earlier cancer detection and, consequently, earlier stage at diagnosis. Ovarian cancer is often diagnosed at a late stage, when survival is poor. ![]()
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