Predictive Factors of the Survival of Women With Invasive Breast Cancer in French Guiana: The Burden of Health Inequalities
The aim of this study was to compare the relative survival of patients with invasive breast cancer between women from French Guiana (a French territory in South America) and women from metropolitan France. To our knowledge, no study has compared the survival of breast cancer on the basis of immigran...
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| Veröffentlicht in: | Clinical breast cancer Jg. 16; H. 4; S. e113 - e118 |
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| Abstract | The aim of this study was to compare the relative survival of patients with invasive breast cancer between women from French Guiana (a French territory in South America) and women from metropolitan France. To our knowledge, no study has compared the survival of breast cancer on the basis of immigrant status in France. Our study underlined that access to care for migrants is challenging, which generates health inequalities.
The prognosis of patients with breast cancer in French Guiana is worse than in France, with 23 deaths per 100 incident cases versus 17 per 100 in metropolitan France. This study aimed to compare the relative survival of patients with invasive breast cancer (IBC) between women from French Guiana and metropolitan France and to determine risk factors influencing breast cancer survival in French Guiana.
Data were collected from the Cancer Registry of French Guiana. We compared the relative survival of women with IBC between French Guiana and metropolitan France. We used the Cox proportional hazard regression to evaluate the effect of prognostic factors on cancer-specific mortality in French Guiana.
We included all 269 cases of IBC in women diagnosed in French Guiana between 2003 and 2009. The overall 5-year relative survival rate of patients with IBC was 79% in French Guiana and 86% in metropolitan France. The place of birth (foreign country vs. French territory), the tumor stage at the time of diagnosis, the mode of diagnosis (symptoms vs. screening), the presence of hormone receptors in the tumor, and the histologic type were the variables associated with survival differences. None of the other study variables were significantly associated with prognosis.
Access to care for migrants is challenging, which leads to health inequalities. Early detection through prevention programs is crucial to increase IBC survival, notably for foreign-born patients. |
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| AbstractList | BACKGROUNDThe prognosis of patients with breast cancer in French Guiana is worse than in France, with 23 deaths per 100 incident cases versus 17 per 100 in metropolitan France. This study aimed to compare the relative survival of patients with invasive breast cancer (IBC) between women from French Guiana and metropolitan France and to determine risk factors influencing breast cancer survival in French Guiana.MATERIALS AND METHODSData were collected from the Cancer Registry of French Guiana. We compared the relative survival of women with IBC between French Guiana and metropolitan France. We used the Cox proportional hazard regression to evaluate the effect of prognostic factors on cancer-specific mortality in French Guiana.RESULTSWe included all 269 cases of IBC in women diagnosed in French Guiana between 2003 and 2009. The overall 5-year relative survival rate of patients with IBC was 79% in French Guiana and 86% in metropolitan France. The place of birth (foreign country vs. French territory), the tumor stage at the time of diagnosis, the mode of diagnosis (symptoms vs. screening), the presence of hormone receptors in the tumor, and the histologic type were the variables associated with survival differences. None of the other study variables were significantly associated with prognosis.CONCLUSIONAccess to care for migrants is challenging, which leads to health inequalities. Early detection through prevention programs is crucial to increase IBC survival, notably for foreign-born patients. Micro-Abstract The aim of this study was to compare the relative survival of patients with invasive breast cancer between women from French Guiana (a French territory in South America) and women from metropolitan France. To our knowledge, no study has compared the survival of breast cancer on the basis of immigrant status in France. Our study underlined that access to care for migrants is challenging, which generates health inequalities. The prognosis of patients with breast cancer in French Guiana is worse than in France, with 23 deaths per 100 incident cases versus 17 per 100 in metropolitan France. This study aimed to compare the relative survival of patients with invasive breast cancer (IBC) between women from French Guiana and metropolitan France and to determine risk factors influencing breast cancer survival in French Guiana. Data were collected from the Cancer Registry of French Guiana. We compared the relative survival of women with IBC between French Guiana and metropolitan France. We used the Cox proportional hazard regression to evaluate the effect of prognostic factors on cancer-specific mortality in French Guiana. We included all 269 cases of IBC in women diagnosed in French Guiana between 2003 and 2009. The overall 5-year relative survival rate of patients with IBC was 79% in French Guiana and 86% in metropolitan France. The place of birth (foreign country vs. French territory), the tumor stage at the time of diagnosis, the mode of diagnosis (symptoms vs. screening), the presence of hormone receptors in the tumor, and the histologic type were the variables associated with survival differences. None of the other study variables were significantly associated with prognosis. Access to care for migrants is challenging, which leads to health inequalities. Early detection through prevention programs is crucial to increase IBC survival, notably for foreign-born patients. This study aimed to compare the relative survival of patients with invasive breast cancer between women from French Guiana (a French territory in South America) and metropolitan France. No study hadever compared survival of breast cancer on the basis of immigrant status in France. Our study underlined that access to care for migrants is challenging whichwgenerates health inequalities. Background The prognosis of breast cancer in French Guiana is worse than in France with 23 deaths per 100 incident cases against 17 per 100 in metropolitan France. This study aimed to compare relative survival of patients with invasive breast cancer (IBC) between women from French Guiana and metropolitan France and to determine risk factors influencing breast cancer survival in French Guiana.Materials and methods Data were collected from the Cancer registry of French Guiana. We comparedthe relative survival of women with IBC between French Guiana and metropolitan France. We used Cox's proportional hazard regression to evaluate the effect of prognostic factors on cancer-specific mortality in French Guiana. Results We included all 269 cases of IBC in women diagnosed in French Guiana between 2003 and 2009. The overall 5-year relative survival rate of patients with IBC was 79% in French Guiana and 86% in metropolitan France. The place of birth (foreign country versus French territory), the tumor stage at the time of diagnosis, the mode of diagnosis (symptoms versus screening), the presence of hormone receptors in the tumor and the histologic type were the variables associated with survival differences. None of the other study variables were significantly associated with prognosis. Conclusion Access to care for migrants is challenging,which leads to health inequalities. Early detection through prevention programs is crucial to increaseIBC survival notably for foreign-born patients. The aim of this study was to compare the relative survival of patients with invasive breast cancer between women from French Guiana (a French territory in South America) and women from metropolitan France. To our knowledge, no study has compared the survival of breast cancer on the basis of immigrant status in France. Our study underlined that access to care for migrants is challenging, which generates health inequalities. The prognosis of patients with breast cancer in French Guiana is worse than in France, with 23 deaths per 100 incident cases versus 17 per 100 in metropolitan France. This study aimed to compare the relative survival of patients with invasive breast cancer (IBC) between women from French Guiana and metropolitan France and to determine risk factors influencing breast cancer survival in French Guiana. Data were collected from the Cancer Registry of French Guiana. We compared the relative survival of women with IBC between French Guiana and metropolitan France. We used the Cox proportional hazard regression to evaluate the effect of prognostic factors on cancer-specific mortality in French Guiana. We included all 269 cases of IBC in women diagnosed in French Guiana between 2003 and 2009. The overall 5-year relative survival rate of patients with IBC was 79% in French Guiana and 86% in metropolitan France. The place of birth (foreign country vs. French territory), the tumor stage at the time of diagnosis, the mode of diagnosis (symptoms vs. screening), the presence of hormone receptors in the tumor, and the histologic type were the variables associated with survival differences. None of the other study variables were significantly associated with prognosis. Access to care for migrants is challenging, which leads to health inequalities. Early detection through prevention programs is crucial to increase IBC survival, notably for foreign-born patients. |
| Author | Roué, Tristan Labbé, Sylvain Plenet, Juliette Nacher, Mathieu Belliardo, Sophie Douine, Maylis |
| Author_xml | – sequence: 1 givenname: Tristan surname: Roué fullname: Roué, Tristan email: tristan.roue@gmail.com organization: The Cancer Registry of French Guiana, Cayenne, French Guiana – sequence: 2 givenname: Sylvain surname: Labbé fullname: Labbé, Sylvain organization: The Cancer Registry of French Guiana, Cayenne, French Guiana – sequence: 3 givenname: Sophie surname: Belliardo fullname: Belliardo, Sophie organization: The Cancer Registry of French Guiana, Cayenne, French Guiana – sequence: 4 givenname: Juliette surname: Plenet fullname: Plenet, Juliette organization: The Cancer Registry of French Guiana, Cayenne, French Guiana – sequence: 5 givenname: Maylis surname: Douine fullname: Douine, Maylis organization: Centre d'Investigation Clinique, Epidemiologie Clinique Antilles Guyane, Cayenne, French Guiana – sequence: 6 givenname: Mathieu surname: Nacher fullname: Nacher, Mathieu organization: Centre d'Investigation Clinique, Epidemiologie Clinique Antilles Guyane, Cayenne, French Guiana |
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| CitedBy_id | crossref_primary_10_1038_s41598_021_97665_x crossref_primary_10_1016_j_asjsur_2018_11_005 crossref_primary_10_3390_cancers16112128 crossref_primary_10_4239_wjd_v12_i2_98 crossref_primary_10_1016_j_canep_2016_07_013 crossref_primary_10_1177_1178223419879112 crossref_primary_10_1186_s12913_019_3895_6 crossref_primary_10_4000_eps_9727 crossref_primary_10_1016_j_respe_2019_09_012 crossref_primary_10_3390_cancers14020437 crossref_primary_10_3389_fpubh_2023_1247310 crossref_primary_10_3390_cancers16010178 crossref_primary_10_1200_JGO_18_00044 crossref_primary_10_1186_s12885_020_07128_1 |
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| Snippet | The aim of this study was to compare the relative survival of patients with invasive breast cancer between women from French Guiana (a French territory in... Micro-Abstract The aim of this study was to compare the relative survival of patients with invasive breast cancer between women from French Guiana (a French... The prognosis of patients with breast cancer in French Guiana is worse than in France, with 23 deaths per 100 incident cases versus 17 per 100 in metropolitan... BACKGROUNDThe prognosis of patients with breast cancer in French Guiana is worse than in France, with 23 deaths per 100 incident cases versus 17 per 100 in... This study aimed to compare the relative survival of patients with invasive breast cancer between women from French Guiana (a French territory in South... |
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| SubjectTerms | Adult Age Factors Aged Aged, 80 and over Breast Neoplasms - mortality Breast Neoplasms - pathology Cancer registry Carcinoma, Ductal, Breast - mortality Carcinoma, Ductal, Breast - pathology Death riskt Early Detection of Cancer - statistics & numerical data Emigrants and Immigrants Female Foreign-born patient French Guiana - epidemiology Health Services Accessibility Healthcare Disparities - statistics & numerical data Hematology, Oncology and Palliative Medicine Humans Immigrant Life Sciences Middle Aged Neoplasm Staging Obstetrics and Gynecology Prognosis Risk Factors Santé publique et épidémiologie Socioeconomic Factors South America Survival Analysis Survival Rate |
| Title | Predictive Factors of the Survival of Women With Invasive Breast Cancer in French Guiana: The Burden of Health Inequalities |
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