Five- year survival in Iranian breast cancer patients: a prospective study

Objective(s): To examine survival rate in Iranian breast cancer patients. Material & Methods: One hundred and sixty- seven breast cancer patients diagnosed at 1997 were entered into the study and followed up for five years. Results: The mean age of patients at diagnosis was 47.2 (SD=13.5) rangin...

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Main Authors: Vahdaninia M, Harirchi A.M, Montazeri A
Format: Article
Language:fas
Published: Iranian Institute for Health Sciences Research 2003-04-01
Series:Payesh
Subjects:
Online Access:http://payeshjournal.ir/article-1-847-en.html
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author Vahdaninia M
Harirchi A.M
Montazeri A
author_facet Vahdaninia M
Harirchi A.M
Montazeri A
author_sort Vahdaninia M
collection DOAJ
description Objective(s): To examine survival rate in Iranian breast cancer patients. Material & Methods: One hundred and sixty- seven breast cancer patients diagnosed at 1997 were entered into the study and followed up for five years. Results: The mean age of patients at diagnosis was 47.2 (SD=13.5) ranging from 24 to 81 years. In all 39 patients were lost in the follow- up period. This led to analysis of data for the 128 remaining patients. Of these at five years 79 patients were alive and 49 patients were dead. Most patients (61 %) presented with advanced disease (stage III, n=42 and stage IV, n=36). The remaining 39% had stag I (n=lO) or stage II (n=40) breast cancer. Using the life table analysis the overall 5-year survival rate was found to be 62% (SEM=0.04) In addition, after adjustment for age at diagnosis, initial treatment (mastectomy, breast conserving surgery, and neo-adjuvant therapy), and disease stage, using The Coxchr('39')s regression model, it was found that receiving neo-adjuvant therapy as initial treatment was an independent predictor of poorer survival (Hazard ratio= 4.56, 95%CI=2.20 to 9.044, P<0.0001). The other variables (older age and late stage disease) although showing a higher hazard rate were not significant. Conclusion: The study findings suggest that overall survival rate in Iranian breast cancer patients stands between western and eastern European countries and needs to be improved. It seems that early detection and better management using standard guidelines could contribute considerably to improved survival in women who are experiencing breast cancer.
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spelling doaj.art-72fe87f2ee5e4cb98ae3c26cb87b17ff2022-12-21T22:53:33ZfasIranian Institute for Health Sciences ResearchPayesh1680-76262008-45362003-04-0122147154Five- year survival in Iranian breast cancer patients: a prospective studyVahdaninia M0Harirchi A.M1Montazeri A2 Objective(s): To examine survival rate in Iranian breast cancer patients. Material & Methods: One hundred and sixty- seven breast cancer patients diagnosed at 1997 were entered into the study and followed up for five years. Results: The mean age of patients at diagnosis was 47.2 (SD=13.5) ranging from 24 to 81 years. In all 39 patients were lost in the follow- up period. This led to analysis of data for the 128 remaining patients. Of these at five years 79 patients were alive and 49 patients were dead. Most patients (61 %) presented with advanced disease (stage III, n=42 and stage IV, n=36). The remaining 39% had stag I (n=lO) or stage II (n=40) breast cancer. Using the life table analysis the overall 5-year survival rate was found to be 62% (SEM=0.04) In addition, after adjustment for age at diagnosis, initial treatment (mastectomy, breast conserving surgery, and neo-adjuvant therapy), and disease stage, using The Coxchr('39')s regression model, it was found that receiving neo-adjuvant therapy as initial treatment was an independent predictor of poorer survival (Hazard ratio= 4.56, 95%CI=2.20 to 9.044, P<0.0001). The other variables (older age and late stage disease) although showing a higher hazard rate were not significant. Conclusion: The study findings suggest that overall survival rate in Iranian breast cancer patients stands between western and eastern European countries and needs to be improved. It seems that early detection and better management using standard guidelines could contribute considerably to improved survival in women who are experiencing breast cancer.http://payeshjournal.ir/article-1-847-en.htmlbreast cancer5-year survivaliransurvival rate
spellingShingle Vahdaninia M
Harirchi A.M
Montazeri A
Five- year survival in Iranian breast cancer patients: a prospective study
Payesh
breast cancer
5-year survival
iran
survival rate
title Five- year survival in Iranian breast cancer patients: a prospective study
title_full Five- year survival in Iranian breast cancer patients: a prospective study
title_fullStr Five- year survival in Iranian breast cancer patients: a prospective study
title_full_unstemmed Five- year survival in Iranian breast cancer patients: a prospective study
title_short Five- year survival in Iranian breast cancer patients: a prospective study
title_sort five year survival in iranian breast cancer patients a prospective study
topic breast cancer
5-year survival
iran
survival rate
url http://payeshjournal.ir/article-1-847-en.html
work_keys_str_mv AT vahdaniniam fiveyearsurvivaliniranianbreastcancerpatientsaprospectivestudy
AT harirchiam fiveyearsurvivaliniranianbreastcancerpatientsaprospectivestudy
AT montazeria fiveyearsurvivaliniranianbreastcancerpatientsaprospectivestudy