Document Detail

Inequalities in breast cancer stage at diagnosis in the Trent region, and implications for the NHS Breast Screening Programme.
MedLine Citation:
PMID:  19423544     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: This study investigates risk factors for diagnosis with late-stage breast cancer in order to identify inequalities and inform the understanding of barriers affecting access to mammography screening. METHODS: Data from the Trent Cancer Registry were used to identify all women with invasive breast cancer, diagnosed in 1998-2006. Risk of diagnosis with late-stage breast cancer was calculated to quantify strength of association between exposure and outcome. RESULTS: Women outside the age group for routine screening were approximately 30% [<50 years, relative risk (RR) = 1.34 (95% confidence interval, CI: 1.26-1.43) and >70 years, RR = 1.27 (95% CI: 1.19-1.36)] more likely to be diagnosed with late-stage breast cancer; the most deprived women were 37% [RR = 1.37 (95% CI: 1.01-2.56)] more likely to be diagnosed with Stage IV breast cancer; ethnic minority women were 15% [RR = 1.15 (95% CI: 1.09-1.22)] more likely to be diagnosed with late-stage breast cancer and women resident in 5 of 11 Trent Primary Care Trusts (PCT) had a greater than 30% increased risk of diagnosis with late-stage breast cancer than those in Nottingham City PCT. CONCLUSION: These findings highlight the need for appropriate targeted interventions to address compositional and contextual inequalities that are evident in breast cancer stage at diagnosis.
Sarah A Cuthbertson; Elizabeth C Goyder; Jason Poole
Related Documents :
22315424 - Breast cancer signatures for invasiveness and prognosis defined by deep sequencing of m...
25351134 - Expression of hepatocyte growth factor in breast cancer and its effect on prognosis and...
10454064 - Diet in adolescence and the risk of breast cancer: results of the netherlands cohort st...
19190634 - Reproductive factors and specific histological types of breast cancer: prospective stud...
21892294 - A comparison of merkel cell carcinoma and melanoma: results from the california cancer ...
1375484 - Expression of pp60c-src in human small cell and non-small cell lung carcinomas.
Publication Detail:
Type:  Journal Article     Date:  2009-05-07
Journal Detail:
Title:  Journal of public health (Oxford, England)     Volume:  31     ISSN:  1741-3850     ISO Abbreviation:  -     Publication Date:  2009 Sep 
Date Detail:
Created Date:  2009-08-25     Completed Date:  2009-09-29     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101188638     Medline TA:  J Public Health (Oxf)     Country:  England    
Other Details:
Languages:  eng     Pagination:  398-405     Citation Subset:  IM    
Trent Cancer Registry, Sheffield S10 3TG, UK.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Age Distribution
Age Factors
Breast Neoplasms / diagnosis*,  ethnology
Cross-Sectional Studies
Early Detection of Cancer
England / epidemiology
Health Status Disparities*
Mass Screening*
Middle Aged
National Health Programs*
Neoplasm Invasiveness / diagnosis*
Neoplasm Staging / statistics & numerical data*
Outcome Assessment (Health Care) / statistics & numerical data*
Risk Factors
Socioeconomic Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Vancomycin-resistant enterococcal bacteraemia: is daptomycin as effective as linezolid?
Next Document:  What causes H5N1 avian influenza? Lay perceptions of H5N1 aetiology in South East and East Asia.