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Delay in diagnosis and treatment, called total delay, could probably result in lower survival rates in breast cancer patients. This study aimed to investigate the factors associated with the comprehensive delay behaviors and to evaluate its effect on outcomes in patients with breast cancer in Dalian, a northeast city of China. A retrospective chart review was conducted using a cancer registry dataset including 298 patients. The Kaplan-Meier survival analysis was used to identify the threshold of total delay, dividing the patients into a