In Pakistan, patients with breast cancer consult with general practitioners and pir for diagnosis.
Consultants referred the highest number of patients to diagnostic centers.
Patients visited several pir and general practitioners, but the average number of visits to pir and hakim was higher than other health practitioners.
Patients had a lengthier treatment period with pir and hakim, and hakim had the highest consultation fees.
The absence of a formal referral system in Pakistan causes delays in breast cancer diagnosis, resulting in patients spending significant time, money, and resources visiting different health practitioners.