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    
Abstract/OtherAbstract:
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.
Authors:
Sarah A Cuthbertson; Elizabeth C Goyder; Jason Poole
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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    
Affiliation:
Trent Cancer Registry, Sheffield S10 3TG, UK. sarah.cuthbertson@nhs.net
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MeSH Terms
Descriptor/Qualifier:
Age Distribution
Age Factors
Aged
Breast Neoplasms / diagnosis*,  ethnology
Cross-Sectional Studies
Early Detection of Cancer
England / epidemiology
Female
Health Status Disparities*
Humans
Mammography
Mass Screening*
Middle Aged
National Health Programs*
Neoplasm Invasiveness / diagnosis*
Neoplasm Staging / statistics & numerical data*
Outcome Assessment (Health Care) / statistics & numerical data*
Registries
Risk Factors
Socioeconomic Factors

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


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