Is survival rate lower after breast cancer ...
Type de document :
Article dans une revue scientifique: Article original
PMID :
URL permanente :
Titre :
Is survival rate lower after breast cancer in deprived women according to disease stage?
Auteur(s) :
Delacote, Claire [Auteur]
Institut de Recherche Translationnelle sur l'Inflammation (INFINITE) - U1286
Delacour-Billon, Solenne [Auteur]
Réseau des registres français du cancer [FRANCIM]
Ayrault-Piault, Stéphanie [Auteur]
Réseau des registres français du cancer [FRANCIM]
Tagri, Anne-Delphine [Auteur]
Site de Recherche Intégrée sur le Cancer - Imaging and Longitudinal Investigations to Ameliorate Decision-making [SIRIC-ILIAD]
Rousseau, Gwenaëlle [Auteur]
Site de Recherche Intégrée sur le Cancer - Imaging and Longitudinal Investigations to Ameliorate Decision-making [SIRIC-ILIAD]
Vincent, Mélissa [Auteur]
Site de Recherche Intégrée sur le Cancer - Imaging and Longitudinal Investigations to Ameliorate Decision-making [SIRIC-ILIAD]
Amossé, Sophie [Auteur]
Site de Recherche Intégrée sur le Cancer - Imaging and Longitudinal Investigations to Ameliorate Decision-making [SIRIC-ILIAD]
Delpierre, Cyrille [Auteur]
Centre d'Epidémiologie et de Recherche en santé des POPulations [CERPOP]
Cowppli-Bony, Anne [Auteur]
Centre d'Epidémiologie et de Recherche en santé des POPulations [CERPOP]
Réseau des registres français du cancer [FRANCIM]
Molinié, Florence [Auteur]
Site de Recherche Intégrée sur le Cancer - Imaging and Longitudinal Investigations to Ameliorate Decision-making [SIRIC-ILIAD]
Institut de Recherche Translationnelle sur l'Inflammation (INFINITE) - U1286
Delacour-Billon, Solenne [Auteur]
Réseau des registres français du cancer [FRANCIM]
Ayrault-Piault, Stéphanie [Auteur]
Réseau des registres français du cancer [FRANCIM]
Tagri, Anne-Delphine [Auteur]
Site de Recherche Intégrée sur le Cancer - Imaging and Longitudinal Investigations to Ameliorate Decision-making [SIRIC-ILIAD]
Rousseau, Gwenaëlle [Auteur]
Site de Recherche Intégrée sur le Cancer - Imaging and Longitudinal Investigations to Ameliorate Decision-making [SIRIC-ILIAD]
Vincent, Mélissa [Auteur]
Site de Recherche Intégrée sur le Cancer - Imaging and Longitudinal Investigations to Ameliorate Decision-making [SIRIC-ILIAD]
Amossé, Sophie [Auteur]
Site de Recherche Intégrée sur le Cancer - Imaging and Longitudinal Investigations to Ameliorate Decision-making [SIRIC-ILIAD]
Delpierre, Cyrille [Auteur]
Centre d'Epidémiologie et de Recherche en santé des POPulations [CERPOP]
Cowppli-Bony, Anne [Auteur]
Centre d'Epidémiologie et de Recherche en santé des POPulations [CERPOP]
Réseau des registres français du cancer [FRANCIM]
Molinié, Florence [Auteur]
Site de Recherche Intégrée sur le Cancer - Imaging and Longitudinal Investigations to Ameliorate Decision-making [SIRIC-ILIAD]
Titre de la revue :
British Journal of Cancer
Nom court de la revue :
Br J Cancer
Numéro :
128
Pagination :
63–70
Date de publication :
2022-11-05
ISSN :
1532-1827
Mot(s)-clé(s) en anglais :
Breast cancer
Epidemiology
Epidemiology
Discipline(s) HAL :
Sciences du Vivant [q-bio]
Résumé en anglais : [en]
Background
Socioeconomic deprivation has been associated with lower breast cancer (BC) survival, but the influence of stage at diagnosis on this association merits further study. Our aim was to investigate this association ...
Lire la suite >Background Socioeconomic deprivation has been associated with lower breast cancer (BC) survival, but the influence of stage at diagnosis on this association merits further study. Our aim was to investigate this association using the Loire-Atlantique/Vendee Cancer Registry (France). Methods Twelve-thousand seven-hundred thirty-eight women living in the area covered by the registry and diagnosed with invasive breast carcinoma between 2008 and 2015 were included in the study. They were censored at maximal 6 years. Deprivation was measured by the French European Deprivation Index. Excess hazard and net survival were estimated for deprivation level, stage and age at diagnosis using a flexible excess mortality hazard model. Results After adjustment by stage, women living in the most deprived areas had a borderline non-significant higher excess mortality hazard (+25% (95% CI: −3%; +62%)) compared to those living in the least deprived areas. Stage-adjusted 5-year net survival differed significantly between these two subgroups (respectively, 88.2% (95% CI:85.2%-90.5%) and 92.5% (95% CI:90.6%-93.9%)). Conclusion BC survival remained lower in deprived areas in France, despite universal access to cancer care. Intensification of prevention measures could help to reduce advanced BC, responsible for the majority of deaths from BC. A better understanding of remaining social disparities is crucial to implement specific interventions.Lire moins >
Lire la suite >Background Socioeconomic deprivation has been associated with lower breast cancer (BC) survival, but the influence of stage at diagnosis on this association merits further study. Our aim was to investigate this association using the Loire-Atlantique/Vendee Cancer Registry (France). Methods Twelve-thousand seven-hundred thirty-eight women living in the area covered by the registry and diagnosed with invasive breast carcinoma between 2008 and 2015 were included in the study. They were censored at maximal 6 years. Deprivation was measured by the French European Deprivation Index. Excess hazard and net survival were estimated for deprivation level, stage and age at diagnosis using a flexible excess mortality hazard model. Results After adjustment by stage, women living in the most deprived areas had a borderline non-significant higher excess mortality hazard (+25% (95% CI: −3%; +62%)) compared to those living in the least deprived areas. Stage-adjusted 5-year net survival differed significantly between these two subgroups (respectively, 88.2% (95% CI:85.2%-90.5%) and 92.5% (95% CI:90.6%-93.9%)). Conclusion BC survival remained lower in deprived areas in France, despite universal access to cancer care. Intensification of prevention measures could help to reduce advanced BC, responsible for the majority of deaths from BC. A better understanding of remaining social disparities is crucial to implement specific interventions.Lire moins >
Langue :
Anglais
Audience :
Internationale
Vulgarisation :
Non
Établissement(s) :
Université de Lille
Inserm
CHU Lille
Inserm
CHU Lille
Date de dépôt :
2024-01-12T00:09:44Z
2024-02-27T12:29:55Z
2024-02-27T12:29:55Z