Socioeconomic, Clinical, and Molecular Features of Breast Cancer Influence Overall Survival of Latin American Women
Molecular profile of breast cancer in Latin-American women was studied in five countries: Argentina, Brazil, Chile, Mexico, and Uruguay. Data about socioeconomic characteristics, risk factors, prognostic factors, and molecular subtypes were described, and the 60-month overall cumulative survival pro...
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Format: | Article |
Language: | English |
Published: |
Frontiers Media S.A.
2022-03-01
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Series: | Frontiers in Oncology |
Subjects: | |
Online Access: | https://www.frontiersin.org/articles/10.3389/fonc.2022.845527/full |
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author | Liz Maria de Almeida Sandra Cortés Marta Vilensky Olivia Valenzuela Laura Cortes-Sanabria Mirian de Souza Rafael Alonso Barbeito Eliana Abdelhay Nora Artagaveytia Adrian Daneri-Navarro Andrea S. Llera Bettina Müller Osvaldo L. Podhajcer Carlos Velazquez Elsa Alcoba Isabel Alonso Alicia I. Bravo Natalia Camejo Dirce Maria Carraro Mónica Castro Sandra Cataldi Alfonso Cayota Mauricio Cerda Alicia Colombo Susanne Crocamo Alicia Del Toro-Arreola Raul Delgadillo-Cristerna Lucia Delgado Marisa Dreyer Breitenbach Elmer Fernández Jorge Fernández Wanda Fernández Ramon A. Franco-Topete Fancy Gaete Jorge Gómez Leivy P. Gonzalez-Ramirez Marisol Guerrero Susan A. Gutierrez-Rubio Beatriz Jalfin Alejandra Lopez-Vazquez Dora Loria Silvia Míguez Andres de J. Moran-Mendoza Gilberto Morgan-Villela Carina Mussetti Maria Aparecida Nagai Antonio Oceguera-Villanueva Rui M. Reis Javier Retamales Robinson Rodriguez Cristina Rosales Efrain Salas-Gonzalez Laura Segovia Juan M. Sendoya Aida A. Silva-Garcia Stella Viña Livia Zagame Beth Jones Moysés Szklo United States-Latin American Cancer Research Network (US-LACRN) Juan Abarca Pamela Acevedo Graciela Acosta Ana Acosta Gabriela Acosta Haab Keyla Teresa Acosta-Torres Marta Aghazarian Carola Aguayo Gustavo Alarcon-Lopez Viviane Andrade Wenceslao Angeles Bueno Roberto Arai Priscila Elvira Arambula-Barreras Maria Isabel Arámburo-Rubio Estrellita Araus Gonzalo Ardao Lilia A. Arellano-Jimenez Felipe Argandoña Claudia Arias Ricardo Armisen Mauricio Aspee Rodrigo Assar Itzel Reneé Astiazarán-Rascón Sebastian Astorga Maxwell Avilés-Rodrıguez Antônio Bailão Junior Adolfo E. Barragan-Curiel Adelfo Barragan-Ruiz Julia Bernachin Wilfrido Bernal-Herrera Renata Binato Sarah Brnich Claudio Bustamante Miguel Angel Bustamante Julio Bustos Gomez Felipe de J. Bustos Rodriguez Janett Caballero-Jasso Angie Calfuman Antonio Hugo José Froes Marques Campos Mónica Campos Soledad Cano Juan C. Canton-Romero Paulina Carmona Fernando Carrizo Andre Lopes Carvalho Erika Carvallo Julio Carzoglio Monica Casalnuovo Benedicta Caserta Alvaro Castillo César Castillo Juan M. Castro-Cervantes Yascara Cerda Roger Chammas Mario Alberto Chavez-Zamudio Loreto Chia Daniela Chirico Esther Cisneros-Quirarter Minor Raul Cordero-Bautista Valeria Cornejo Baldemar Corral-Villegas Andrés Cortés German Salvador Cortez-Zamorano Alejandro Corvalan Adolfo Cruz Alba d’Aurora Sandra De la Fuente Soledad De la Peña Roberto de Leon-Caballero César Del Castillo Azucena Del-Toro-Valero Mirtha Di Pretoro Andrea Digonzelli Jose El Ters Paula Escobar Marcela Estolaza Adriane Feijo Evangelista Marcelo Fanelli Paulo Farias Diego Flaks Edgar G. Flores-Ayala Maria R. Flores-Marquez David Franco-Hughes Karina Franco-Topete Cristobal Fresno Carolina Gabay Mario Gallegos Jorge Gamboa Daiana Ganiewich Carlos Garbovesky Ricardo Garcia-Gaeta Alma C. Garcia-Martinez Rubén Alejandro Garcıa-Munguıa Adriana Garibay-Escobar Liliana Gimenez Mariana M. Gomez-Del Toro Germán González César Osbaldo González Mondaca Leivy P. Gonzalez-Ramirez Beatriz Gonzalez-Ulloa Susana Gorostidy Gonzalo Greif Alfonso G. Guevara-Torres Lorena Gutierrez Adrián Hannois Andrew Hart Steffen Härtel Marcos Henriquez Miriam E Hernandez-Franco Rafael Hernandez-Guevara Manuel I Herrera-Miramontes Graciela Horton Gladys Ibañez Martın Ipiña Lilian Jara Raul Jara Maria Luisa Jaramillo Beatriz Jardim Maria Eugenia Jimenez Victor M. Jimenez-Moreno Hugo Ju Nazareth Juárez Rusjan Karen Juneman Ligia Maria Kerr Alejandra Krupelis Guillermo Laviña Fernando Lavista Irma Leticia León-Duarte Alberto Lescano Verónica Lezano Rossana Mendoza Lopez Jose Guillermo López-Cervantes Miguel Enrique Lopez-Muñoz Francisca Lucena Alejandra Luque Alejandro Maass Maria do Socorro Maciel Silvina Maldonado Flavia Rotea Mangone Jorge Mansilla Katherine Marcelain Carolina Mariani Marcia Maria Chiquitelli Marques Reyna J Martinez-Arriaga Hector R Martinez-Ramirez Marcela Martins Alma G Maya-Gonzalez Mariana Menini Soledad Milans Soledad Montes Ana Verónica Morales Hernández Carla Morong Eduardo Mussetti Luis J Najar-Acosta Elisa Napolitano e Ferreira Nancy E Navarro Ruiz Cristina Noblıa João Soares Nunes Fabiola Núñez Nilton Onari Emma M Oropeza-De Anda David Ortega-Tirado Miguel Angel Ortiz-Martinez Cynthia Aparecida Bueno de Toledo Osório Carlos Eduardo Paiva Paulina Peñaloza Miguel Peredo Navarro David Pereira Laura Perez-Michel Francisca Pino Tania Pino Natalia Pinto Jessica Pizarro Jael Quintero Antonio Quintero-Ramos Enrique Ramirez Gladys E Ramirez-Rosales Claudia Ramis Maritza Ramos Ramirez Adela Rascon-Alcantar Francois Richard Omar Rios-Méndez Ernesto Rivera-Claisse Ramón E. Robles-Zepeda Iara Santana Rocha Natalia Rodriguez Vilma Rodriguez Maria Teresa Rodriguez Diego Rodriguez-Gonzalez Rosemeire A Roela Ana M. Romero-Gomez Ana M. Rosales-Sandoval Lidia A. Rubio-Chavez Omar V. Rubio-Plascencia Florencia Russo Gaciela Sabini Isabel Saffie Brenda Samaniego Benito Sanchez-Llamas Verónica Sanchotena Daniel Sat-Muñoz Mariana Savignano Cristovam Scapulatempo Neto Max Mano Senna Carolina Silva Jaime Silvera Isabele Small Fernando Soares Iberê Soares Silvana Soares dos Santos Evandro Sobrosa de Mello José Antonio Sola Irene Sorın Alejandra Sosa Claudio Sosa Cristiano de Pádua Souza Lucıa Spangenberg Gustavo Steffanof Florencia Straminsky Mónica Tapia Raziel O. Tapia-Llanos Geronimo M. Tavares-Macias Veronica Terzieff Vicente Teti Javier Tognarelli Verónica Toledo Paulina Toro Roberto Torres Mariana Torres-Palomares Alejandra Trinchero Rogelio Troyo-San Roman Hernan Urbano Nicolas Vacca Marıa Lourdes Valencia-Peña Jaime Vazquez Nares Ezequiel Velez-Gomez Laura N. Venegas-Godinez Ricardo Verdugo René Aloisio da Costa Vieira Manuel Isaac Villegas-Gómez Silvia Vornetti Anapaula H. U. Watanabe Carlos Zamorano Luis Zapata Zdenka Zlatar |
author_facet | Liz Maria de Almeida Sandra Cortés Marta Vilensky Olivia Valenzuela Laura Cortes-Sanabria Mirian de Souza Rafael Alonso Barbeito Eliana Abdelhay Nora Artagaveytia Adrian Daneri-Navarro Andrea S. Llera Bettina Müller Osvaldo L. Podhajcer Carlos Velazquez Elsa Alcoba Isabel Alonso Alicia I. Bravo Natalia Camejo Dirce Maria Carraro Mónica Castro Sandra Cataldi Alfonso Cayota Mauricio Cerda Alicia Colombo Susanne Crocamo Alicia Del Toro-Arreola Raul Delgadillo-Cristerna Lucia Delgado Marisa Dreyer Breitenbach Elmer Fernández Jorge Fernández Wanda Fernández Ramon A. Franco-Topete Fancy Gaete Jorge Gómez Leivy P. Gonzalez-Ramirez Marisol Guerrero Susan A. Gutierrez-Rubio Beatriz Jalfin Alejandra Lopez-Vazquez Dora Loria Silvia Míguez Andres de J. Moran-Mendoza Gilberto Morgan-Villela Carina Mussetti Maria Aparecida Nagai Antonio Oceguera-Villanueva Rui M. Reis Javier Retamales Robinson Rodriguez Cristina Rosales Efrain Salas-Gonzalez Laura Segovia Juan M. Sendoya Aida A. Silva-Garcia Stella Viña Livia Zagame Beth Jones Moysés Szklo United States-Latin American Cancer Research Network (US-LACRN) Juan Abarca Pamela Acevedo Graciela Acosta Ana Acosta Gabriela Acosta Haab Keyla Teresa Acosta-Torres Marta Aghazarian Carola Aguayo Gustavo Alarcon-Lopez Viviane Andrade Wenceslao Angeles Bueno Roberto Arai Priscila Elvira Arambula-Barreras Maria Isabel Arámburo-Rubio Estrellita Araus Gonzalo Ardao Lilia A. Arellano-Jimenez Felipe Argandoña Claudia Arias Ricardo Armisen Mauricio Aspee Rodrigo Assar Itzel Reneé Astiazarán-Rascón Sebastian Astorga Maxwell Avilés-Rodrıguez Antônio Bailão Junior Adolfo E. Barragan-Curiel Adelfo Barragan-Ruiz Julia Bernachin Wilfrido Bernal-Herrera Renata Binato Sarah Brnich Claudio Bustamante Miguel Angel Bustamante Julio Bustos Gomez Felipe de J. Bustos Rodriguez Janett Caballero-Jasso Angie Calfuman Antonio Hugo José Froes Marques Campos Mónica Campos Soledad Cano Juan C. Canton-Romero Paulina Carmona Fernando Carrizo Andre Lopes Carvalho Erika Carvallo Julio Carzoglio Monica Casalnuovo Benedicta Caserta Alvaro Castillo César Castillo Juan M. Castro-Cervantes Yascara Cerda Roger Chammas Mario Alberto Chavez-Zamudio Loreto Chia Daniela Chirico Esther Cisneros-Quirarter Minor Raul Cordero-Bautista Valeria Cornejo Baldemar Corral-Villegas Andrés Cortés German Salvador Cortez-Zamorano Alejandro Corvalan Adolfo Cruz Alba d’Aurora Sandra De la Fuente Soledad De la Peña Roberto de Leon-Caballero César Del Castillo Azucena Del-Toro-Valero Mirtha Di Pretoro Andrea Digonzelli Jose El Ters Paula Escobar Marcela Estolaza Adriane Feijo Evangelista Marcelo Fanelli Paulo Farias Diego Flaks Edgar G. Flores-Ayala Maria R. Flores-Marquez David Franco-Hughes Karina Franco-Topete Cristobal Fresno Carolina Gabay Mario Gallegos Jorge Gamboa Daiana Ganiewich Carlos Garbovesky Ricardo Garcia-Gaeta Alma C. Garcia-Martinez Rubén Alejandro Garcıa-Munguıa Adriana Garibay-Escobar Liliana Gimenez Mariana M. Gomez-Del Toro Germán González César Osbaldo González Mondaca Leivy P. Gonzalez-Ramirez Beatriz Gonzalez-Ulloa Susana Gorostidy Gonzalo Greif Alfonso G. Guevara-Torres Lorena Gutierrez Adrián Hannois Andrew Hart Steffen Härtel Marcos Henriquez Miriam E Hernandez-Franco Rafael Hernandez-Guevara Manuel I Herrera-Miramontes Graciela Horton Gladys Ibañez Martın Ipiña Lilian Jara Raul Jara Maria Luisa Jaramillo Beatriz Jardim Maria Eugenia Jimenez Victor M. Jimenez-Moreno Hugo Ju Nazareth Juárez Rusjan Karen Juneman Ligia Maria Kerr Alejandra Krupelis Guillermo Laviña Fernando Lavista Irma Leticia León-Duarte Alberto Lescano Verónica Lezano Rossana Mendoza Lopez Jose Guillermo López-Cervantes Miguel Enrique Lopez-Muñoz Francisca Lucena Alejandra Luque Alejandro Maass Maria do Socorro Maciel Silvina Maldonado Flavia Rotea Mangone Jorge Mansilla Katherine Marcelain Carolina Mariani Marcia Maria Chiquitelli Marques Reyna J Martinez-Arriaga Hector R Martinez-Ramirez Marcela Martins Alma G Maya-Gonzalez Mariana Menini Soledad Milans Soledad Montes Ana Verónica Morales Hernández Carla Morong Eduardo Mussetti Luis J Najar-Acosta Elisa Napolitano e Ferreira Nancy E Navarro Ruiz Cristina Noblıa João Soares Nunes Fabiola Núñez Nilton Onari Emma M Oropeza-De Anda David Ortega-Tirado Miguel Angel Ortiz-Martinez Cynthia Aparecida Bueno de Toledo Osório Carlos Eduardo Paiva Paulina Peñaloza Miguel Peredo Navarro David Pereira Laura Perez-Michel Francisca Pino Tania Pino Natalia Pinto Jessica Pizarro Jael Quintero Antonio Quintero-Ramos Enrique Ramirez Gladys E Ramirez-Rosales Claudia Ramis Maritza Ramos Ramirez Adela Rascon-Alcantar Francois Richard Omar Rios-Méndez Ernesto Rivera-Claisse Ramón E. Robles-Zepeda Iara Santana Rocha Natalia Rodriguez Vilma Rodriguez Maria Teresa Rodriguez Diego Rodriguez-Gonzalez Rosemeire A Roela Ana M. Romero-Gomez Ana M. Rosales-Sandoval Lidia A. Rubio-Chavez Omar V. Rubio-Plascencia Florencia Russo Gaciela Sabini Isabel Saffie Brenda Samaniego Benito Sanchez-Llamas Verónica Sanchotena Daniel Sat-Muñoz Mariana Savignano Cristovam Scapulatempo Neto Max Mano Senna Carolina Silva Jaime Silvera Isabele Small Fernando Soares Iberê Soares Silvana Soares dos Santos Evandro Sobrosa de Mello José Antonio Sola Irene Sorın Alejandra Sosa Claudio Sosa Cristiano de Pádua Souza Lucıa Spangenberg Gustavo Steffanof Florencia Straminsky Mónica Tapia Raziel O. Tapia-Llanos Geronimo M. Tavares-Macias Veronica Terzieff Vicente Teti Javier Tognarelli Verónica Toledo Paulina Toro Roberto Torres Mariana Torres-Palomares Alejandra Trinchero Rogelio Troyo-San Roman Hernan Urbano Nicolas Vacca Marıa Lourdes Valencia-Peña Jaime Vazquez Nares Ezequiel Velez-Gomez Laura N. Venegas-Godinez Ricardo Verdugo René Aloisio da Costa Vieira Manuel Isaac Villegas-Gómez Silvia Vornetti Anapaula H. U. Watanabe Carlos Zamorano Luis Zapata Zdenka Zlatar |
author_sort | Liz Maria de Almeida |
collection | DOAJ |
description | Molecular profile of breast cancer in Latin-American women was studied in five countries: Argentina, Brazil, Chile, Mexico, and Uruguay. Data about socioeconomic characteristics, risk factors, prognostic factors, and molecular subtypes were described, and the 60-month overall cumulative survival probabilities (OS) were estimated. From 2011 to 2013, 1,300 eligible Latin-American women 18 years or older, with a diagnosis of breast cancer in clinical stage II or III, and performance status ≦̸1 were invited to participate in a prospective cohort study. Face-to-face interviews were conducted, and clinical and outcome data, including death, were extracted from medical records. Unadjusted associations were evaluated by Chi-squared and Fisher’s exact tests and the OS by Kaplan–Meier method. Log-rank test was used to determine differences between cumulative probability curves. Multivariable adjustment was carried out by entering potential confounders in the Cox regression model. The OS at 60 months was 83.9%. Multivariable-adjusted death hazard differences were found for women living in Argentina (2.27), Chile (1.95), and Uruguay (2.42) compared with Mexican women, for older (≥60 years) (1.84) compared with younger (≤40 years) women, for basal-like subtype (5.8), luminal B (2.43), and HER2-enriched (2.52) compared with luminal A subtype, and for tumor clinical stages IIB (1.91), IIIA (3.54), and IIIB (3.94) compared with stage IIA women. OS was associated with country of residence, PAM50 intrinsic subtype, age, and tumor stage at diagnosis. While the latter is known to be influenced by access to care, including cancer screening, timely diagnosis and treatment, including access to more effective treatment protocols, it may also influence epigenetic changes that, potentially, impact molecular subtypes. Data derived from heretofore understudied populations with unique geographic ancestry and sociocultural experiences are critical to furthering our understanding of this complexity. |
first_indexed | 2024-04-14T08:21:13Z |
format | Article |
id | doaj.art-b75fd4ef63dd4c808d33cebdf849c23d |
institution | Directory Open Access Journal |
issn | 2234-943X |
language | English |
last_indexed | 2024-04-14T08:21:13Z |
publishDate | 2022-03-01 |
publisher | Frontiers Media S.A. |
record_format | Article |
series | Frontiers in Oncology |
spelling | doaj.art-b75fd4ef63dd4c808d33cebdf849c23d2022-12-22T02:04:12ZengFrontiers Media S.A.Frontiers in Oncology2234-943X2022-03-011210.3389/fonc.2022.845527845527Socioeconomic, Clinical, and Molecular Features of Breast Cancer Influence Overall Survival of Latin American WomenLiz Maria de Almeida0Sandra Cortés1Marta Vilensky2Olivia Valenzuela3Laura Cortes-Sanabria4Mirian de Souza5Rafael Alonso Barbeito6Eliana Abdelhay7Nora Artagaveytia8Adrian Daneri-Navarro9Andrea S. Llera10Bettina Müller11Osvaldo L. Podhajcer12Carlos Velazquez13Elsa Alcoba14Isabel Alonso15Alicia I. Bravo16Natalia Camejo17Dirce Maria Carraro18Mónica Castro19Sandra Cataldi20Alfonso Cayota21Mauricio Cerda22Alicia Colombo23Susanne Crocamo24Alicia Del Toro-Arreola25Raul Delgadillo-Cristerna26Lucia Delgado27Marisa Dreyer Breitenbach28Elmer Fernández29Jorge Fernández30Wanda Fernández31Ramon A. Franco-Topete32Fancy Gaete33Jorge Gómez34Leivy P. Gonzalez-Ramirez35Marisol Guerrero36Susan A. Gutierrez-Rubio37Beatriz Jalfin38Alejandra Lopez-Vazquez39Dora Loria40Silvia Míguez41Andres de J. Moran-Mendoza42Gilberto Morgan-Villela43Carina Mussetti44Maria Aparecida Nagai45Antonio Oceguera-Villanueva46Rui M. Reis47Javier Retamales48Robinson Rodriguez49Cristina Rosales50Efrain Salas-Gonzalez51Laura Segovia52Juan M. Sendoya53Aida A. Silva-Garcia54Stella Viña55Livia Zagame56Beth Jones57Moysés Szklo58United States-Latin American Cancer Research Network (US-LACRN)Juan AbarcaPamela AcevedoGraciela AcostaAna AcostaGabriela Acosta HaabKeyla Teresa Acosta-TorresMarta AghazarianCarola AguayoGustavo Alarcon-LopezViviane AndradeWenceslao Angeles BuenoRoberto AraiPriscila Elvira Arambula-BarrerasMaria Isabel Arámburo-RubioEstrellita ArausGonzalo ArdaoLilia A. Arellano-JimenezFelipe ArgandoñaClaudia AriasRicardo ArmisenMauricio AspeeRodrigo AssarItzel Reneé Astiazarán-RascónSebastian AstorgaMaxwell Avilés-RodrıguezAntônio Bailão JuniorAdolfo E. Barragan-CurielAdelfo Barragan-RuizJulia BernachinWilfrido Bernal-HerreraRenata BinatoSarah BrnichClaudio BustamanteMiguel Angel BustamanteJulio Bustos GomezFelipe de J. Bustos RodriguezJanett Caballero-JassoAngie CalfumanAntonio HugoJosé Froes Marques CamposMónica CamposSoledad CanoJuan C. Canton-RomeroPaulina CarmonaFernando CarrizoAndre Lopes CarvalhoErika CarvalloJulio CarzoglioMonica CasalnuovoBenedicta CasertaAlvaro CastilloCésar CastilloJuan M. Castro-CervantesYascara CerdaRoger ChammasMario Alberto Chavez-ZamudioLoreto ChiaDaniela ChiricoEsther Cisneros-QuirarterMinor Raul Cordero-BautistaValeria CornejoBaldemar Corral-VillegasAndrés CortésGerman Salvador Cortez-ZamoranoAlejandro CorvalanAdolfo CruzAlba d’AuroraSandra De la FuenteSoledad De la PeñaRoberto de Leon-CaballeroCésar Del CastilloAzucena Del-Toro-ValeroMirtha Di PretoroAndrea DigonzelliJose El TersPaula EscobarMarcela EstolazaAdriane Feijo EvangelistaMarcelo FanelliPaulo FariasDiego FlaksEdgar G. Flores-AyalaMaria R. Flores-MarquezDavid Franco-HughesKarina Franco-TopeteCristobal FresnoCarolina GabayMario GallegosJorge GamboaDaiana GaniewichCarlos GarboveskyRicardo Garcia-GaetaAlma C. Garcia-MartinezRubén Alejandro Garcıa-MunguıaAdriana Garibay-EscobarLiliana GimenezMariana M. Gomez-Del ToroGermán GonzálezCésar Osbaldo González MondacaLeivy P. Gonzalez-RamirezBeatriz Gonzalez-UlloaSusana GorostidyGonzalo GreifAlfonso G. Guevara-TorresLorena GutierrezAdrián HannoisAndrew HartSteffen HärtelMarcos HenriquezMiriam E Hernandez-FrancoRafael Hernandez-GuevaraManuel I Herrera-MiramontesGraciela HortonGladys IbañezMartın IpiñaLilian JaraRaul JaraMaria Luisa JaramilloBeatriz JardimMaria Eugenia JimenezVictor M. Jimenez-MorenoHugo JuNazareth Juárez RusjanKaren JunemanLigia Maria KerrAlejandra KrupelisGuillermo LaviñaFernando LavistaIrma Leticia León-DuarteAlberto LescanoVerónica LezanoRossana Mendoza LopezJose Guillermo López-CervantesMiguel Enrique Lopez-MuñozFrancisca LucenaAlejandra LuqueAlejandro MaassMaria do Socorro MacielSilvina MaldonadoFlavia Rotea MangoneJorge MansillaKatherine MarcelainCarolina MarianiMarcia Maria Chiquitelli MarquesReyna J Martinez-ArriagaHector R Martinez-RamirezMarcela MartinsAlma G Maya-GonzalezMariana MeniniSoledad MilansSoledad MontesAna Verónica Morales HernándezCarla MorongEduardo MussettiLuis J Najar-AcostaElisa Napolitano e FerreiraNancy E Navarro RuizCristina NoblıaJoão Soares NunesFabiola NúñezNilton OnariEmma M Oropeza-De AndaDavid Ortega-TiradoMiguel Angel Ortiz-MartinezCynthia Aparecida Bueno de Toledo OsórioCarlos Eduardo PaivaPaulina PeñalozaMiguel Peredo NavarroDavid PereiraLaura Perez-MichelFrancisca PinoTania PinoNatalia PintoJessica PizarroJael QuinteroAntonio Quintero-RamosEnrique RamirezGladys E Ramirez-RosalesClaudia RamisMaritza Ramos RamirezAdela Rascon-AlcantarFrancois RichardOmar Rios-MéndezErnesto Rivera-ClaisseRamón E. Robles-ZepedaIara Santana RochaNatalia RodriguezVilma RodriguezMaria Teresa RodriguezDiego Rodriguez-GonzalezRosemeire A RoelaAna M. Romero-GomezAna M. Rosales-SandovalLidia A. Rubio-ChavezOmar V. Rubio-PlascenciaFlorencia RussoGaciela SabiniIsabel SaffieBrenda SamaniegoBenito Sanchez-LlamasVerónica SanchotenaDaniel Sat-MuñozMariana SavignanoCristovam Scapulatempo NetoMax Mano SennaCarolina SilvaJaime SilveraIsabele SmallFernando SoaresIberê SoaresSilvana Soares dos SantosEvandro Sobrosa de MelloJosé Antonio SolaIrene SorınAlejandra SosaClaudio SosaCristiano de Pádua SouzaLucıa SpangenbergGustavo SteffanofFlorencia StraminskyMónica TapiaRaziel O. Tapia-LlanosGeronimo M. Tavares-MaciasVeronica TerzieffVicente TetiJavier TognarelliVerónica ToledoPaulina ToroRoberto TorresMariana Torres-PalomaresAlejandra TrincheroRogelio Troyo-San RomanHernan UrbanoNicolas VaccaMarıa Lourdes Valencia-PeñaJaime Vazquez NaresEzequiel Velez-GomezLaura N. Venegas-GodinezRicardo VerdugoRené Aloisio da Costa VieiraManuel Isaac Villegas-GómezSilvia VornettiAnapaula H. U. WatanabeCarlos ZamoranoLuis ZapataZdenka ZlatarInstituto Nacional de Câncer, Rio de Janeiro, BrazilPontificia Universidad Católica de Chile, Santiago, ChileInstituto de Oncología Angel Roffo, Buenos Aires, ArgentinaUniversidad de Sonora, Hermosillo, MexicoHospital de Especialidades, CMNO-IMSS, Guadalajara, MexicoInstituto Nacional de Câncer, Rio de Janeiro, BrazilFacultad de Medicina, Montevideo, UruguayInstituto Nacional de Câncer, Rio de Janeiro, BrazilHospital de Clínicas Manuel Quintela, Universidad de la República, Montevideo, UruguayUniversidad de Guadalajara, Guadalajara, MexicoFundación Instituto Leloir, CONICET, Buenos Aires, Argentina0Instituto Nacional del Cáncer, Santiago, ChileFundación Instituto Leloir, CONICET, Buenos Aires, ArgentinaUniversidad de Sonora, Hermosillo, Mexico1Hospital Municipal de Oncología María Curie, Buenos Aires, Argentina2Centro Hospitalario Pereira Rossell, Montevideo, Uruguay3Hospital Regional de Agudos Eva Perón, Buenos Aires, ArgentinaHospital de Clínicas Manuel Quintela, Universidad de la República, Montevideo, Uruguay4AC Camargo Cancer Center, São Paulo, BrazilInstituto de Oncología Angel Roffo, Buenos Aires, Argentina5Instituto Nacional de Cáncer, Montevideo, Uruguay6Institut Pasteur de Montevideo, Montevideo, Uruguay7Universidad de Chile, Santiago, Chile7Universidad de Chile, Santiago, ChileInstituto Nacional de Câncer, Rio de Janeiro, BrazilUniversidad de Guadalajara, Guadalajara, MexicoHospital de Especialidades, CMNO-IMSS, Guadalajara, MexicoHospital de Clínicas Manuel Quintela, Universidad de la República, Montevideo, Uruguay8Universidade do Estado do Rio de Janeiro, Rio de Janeiro, Brazil9Universidad Católica de Córdoba, Centro de Investigaciones en Bioquímica Clínica e Inmunologia-CONICET, Córdoba, Argentina0Instituto de Salud Pública, Santiago, Chile1Hospital San Borja Arriarán, Santiago, Chile2OPD Hospital Civil de Guadalajara, Universidad de Guadalajara, Guadalajara, Mexico3Hospital Luis Tisne, Santiago, Chile4Texas A&M University, Houston, TX, United StatesUniversidad de Guadalajara, Guadalajara, Mexico5Hospital San José, Santiago, ChileUniversidad de Guadalajara, Guadalajara, Mexico3Hospital Regional de Agudos Eva Perón, Buenos Aires, ArgentinaUniversidad de Sonora, Hermosillo, MexicoInstituto de Oncología Angel Roffo, Buenos Aires, Argentina1Hospital Municipal de Oncología María Curie, Buenos Aires, Argentina6Hospital de Gineco-Obstetricia CMNO-IMSS, Guadalajara, MexicoHospital de Especialidades, CMNO-IMSS, Guadalajara, Mexico7Registro Nacional de Cancer, Montevideo, Uruguay8Instituto de Câncer de São Paulo, São Paulo, Brazil9Instituto Jalisciense de Cancerologia, Guadalajara, Mexico0Hospital de Câncer de Barretos, Barretos, Brazil1Grupo Oncológico Cooperativo Chileno de Investigación, Santiago, Chile2Hospital Central de las Fuerzas Armadas, Montevideo, Uruguay1Hospital Municipal de Oncología María Curie, Buenos Aires, Argentina5Hospital San José, Santiago, Chile3Hospital Barros Luco Trudeau, Santiago, ChileFundación Instituto Leloir, CONICET, Buenos Aires, Argentina2OPD Hospital Civil de Guadalajara, Universidad de Guadalajara, Guadalajara, MexicoInstituto de Oncología Angel Roffo, Buenos Aires, Argentina9Instituto Jalisciense de Cancerologia, Guadalajara, Mexico4Yale School of Public Health, Yale University, New Heaven, CT, United States5Johns Hopkins Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, United StatesMolecular profile of breast cancer in Latin-American women was studied in five countries: Argentina, Brazil, Chile, Mexico, and Uruguay. Data about socioeconomic characteristics, risk factors, prognostic factors, and molecular subtypes were described, and the 60-month overall cumulative survival probabilities (OS) were estimated. From 2011 to 2013, 1,300 eligible Latin-American women 18 years or older, with a diagnosis of breast cancer in clinical stage II or III, and performance status ≦̸1 were invited to participate in a prospective cohort study. Face-to-face interviews were conducted, and clinical and outcome data, including death, were extracted from medical records. Unadjusted associations were evaluated by Chi-squared and Fisher’s exact tests and the OS by Kaplan–Meier method. Log-rank test was used to determine differences between cumulative probability curves. Multivariable adjustment was carried out by entering potential confounders in the Cox regression model. The OS at 60 months was 83.9%. Multivariable-adjusted death hazard differences were found for women living in Argentina (2.27), Chile (1.95), and Uruguay (2.42) compared with Mexican women, for older (≥60 years) (1.84) compared with younger (≤40 years) women, for basal-like subtype (5.8), luminal B (2.43), and HER2-enriched (2.52) compared with luminal A subtype, and for tumor clinical stages IIB (1.91), IIIA (3.54), and IIIB (3.94) compared with stage IIA women. OS was associated with country of residence, PAM50 intrinsic subtype, age, and tumor stage at diagnosis. While the latter is known to be influenced by access to care, including cancer screening, timely diagnosis and treatment, including access to more effective treatment protocols, it may also influence epigenetic changes that, potentially, impact molecular subtypes. Data derived from heretofore understudied populations with unique geographic ancestry and sociocultural experiences are critical to furthering our understanding of this complexity.https://www.frontiersin.org/articles/10.3389/fonc.2022.845527/fullglobal excellenceoncologyLatin Americabreast cancermolecular subtypesrisk factors |
spellingShingle | Liz Maria de Almeida Sandra Cortés Marta Vilensky Olivia Valenzuela Laura Cortes-Sanabria Mirian de Souza Rafael Alonso Barbeito Eliana Abdelhay Nora Artagaveytia Adrian Daneri-Navarro Andrea S. Llera Bettina Müller Osvaldo L. Podhajcer Carlos Velazquez Elsa Alcoba Isabel Alonso Alicia I. Bravo Natalia Camejo Dirce Maria Carraro Mónica Castro Sandra Cataldi Alfonso Cayota Mauricio Cerda Alicia Colombo Susanne Crocamo Alicia Del Toro-Arreola Raul Delgadillo-Cristerna Lucia Delgado Marisa Dreyer Breitenbach Elmer Fernández Jorge Fernández Wanda Fernández Ramon A. Franco-Topete Fancy Gaete Jorge Gómez Leivy P. Gonzalez-Ramirez Marisol Guerrero Susan A. Gutierrez-Rubio Beatriz Jalfin Alejandra Lopez-Vazquez Dora Loria Silvia Míguez Andres de J. Moran-Mendoza Gilberto Morgan-Villela Carina Mussetti Maria Aparecida Nagai Antonio Oceguera-Villanueva Rui M. Reis Javier Retamales Robinson Rodriguez Cristina Rosales Efrain Salas-Gonzalez Laura Segovia Juan M. Sendoya Aida A. Silva-Garcia Stella Viña Livia Zagame Beth Jones Moysés Szklo United States-Latin American Cancer Research Network (US-LACRN) Juan Abarca Pamela Acevedo Graciela Acosta Ana Acosta Gabriela Acosta Haab Keyla Teresa Acosta-Torres Marta Aghazarian Carola Aguayo Gustavo Alarcon-Lopez Viviane Andrade Wenceslao Angeles Bueno Roberto Arai Priscila Elvira Arambula-Barreras Maria Isabel Arámburo-Rubio Estrellita Araus Gonzalo Ardao Lilia A. Arellano-Jimenez Felipe Argandoña Claudia Arias Ricardo Armisen Mauricio Aspee Rodrigo Assar Itzel Reneé Astiazarán-Rascón Sebastian Astorga Maxwell Avilés-Rodrıguez Antônio Bailão Junior Adolfo E. Barragan-Curiel Adelfo Barragan-Ruiz Julia Bernachin Wilfrido Bernal-Herrera Renata Binato Sarah Brnich Claudio Bustamante Miguel Angel Bustamante Julio Bustos Gomez Felipe de J. Bustos Rodriguez Janett Caballero-Jasso Angie Calfuman Antonio Hugo José Froes Marques Campos Mónica Campos Soledad Cano Juan C. Canton-Romero Paulina Carmona Fernando Carrizo Andre Lopes Carvalho Erika Carvallo Julio Carzoglio Monica Casalnuovo Benedicta Caserta Alvaro Castillo César Castillo Juan M. Castro-Cervantes Yascara Cerda Roger Chammas Mario Alberto Chavez-Zamudio Loreto Chia Daniela Chirico Esther Cisneros-Quirarter Minor Raul Cordero-Bautista Valeria Cornejo Baldemar Corral-Villegas Andrés Cortés German Salvador Cortez-Zamorano Alejandro Corvalan Adolfo Cruz Alba d’Aurora Sandra De la Fuente Soledad De la Peña Roberto de Leon-Caballero César Del Castillo Azucena Del-Toro-Valero Mirtha Di Pretoro Andrea Digonzelli Jose El Ters Paula Escobar Marcela Estolaza Adriane Feijo Evangelista Marcelo Fanelli Paulo Farias Diego Flaks Edgar G. Flores-Ayala Maria R. Flores-Marquez David Franco-Hughes Karina Franco-Topete Cristobal Fresno Carolina Gabay Mario Gallegos Jorge Gamboa Daiana Ganiewich Carlos Garbovesky Ricardo Garcia-Gaeta Alma C. Garcia-Martinez Rubén Alejandro Garcıa-Munguıa Adriana Garibay-Escobar Liliana Gimenez Mariana M. Gomez-Del Toro Germán González César Osbaldo González Mondaca Leivy P. Gonzalez-Ramirez Beatriz Gonzalez-Ulloa Susana Gorostidy Gonzalo Greif Alfonso G. Guevara-Torres Lorena Gutierrez Adrián Hannois Andrew Hart Steffen Härtel Marcos Henriquez Miriam E Hernandez-Franco Rafael Hernandez-Guevara Manuel I Herrera-Miramontes Graciela Horton Gladys Ibañez Martın Ipiña Lilian Jara Raul Jara Maria Luisa Jaramillo Beatriz Jardim Maria Eugenia Jimenez Victor M. Jimenez-Moreno Hugo Ju Nazareth Juárez Rusjan Karen Juneman Ligia Maria Kerr Alejandra Krupelis Guillermo Laviña Fernando Lavista Irma Leticia León-Duarte Alberto Lescano Verónica Lezano Rossana Mendoza Lopez Jose Guillermo López-Cervantes Miguel Enrique Lopez-Muñoz Francisca Lucena Alejandra Luque Alejandro Maass Maria do Socorro Maciel Silvina Maldonado Flavia Rotea Mangone Jorge Mansilla Katherine Marcelain Carolina Mariani Marcia Maria Chiquitelli Marques Reyna J Martinez-Arriaga Hector R Martinez-Ramirez Marcela Martins Alma G Maya-Gonzalez Mariana Menini Soledad Milans Soledad Montes Ana Verónica Morales Hernández Carla Morong Eduardo Mussetti Luis J Najar-Acosta Elisa Napolitano e Ferreira Nancy E Navarro Ruiz Cristina Noblıa João Soares Nunes Fabiola Núñez Nilton Onari Emma M Oropeza-De Anda David Ortega-Tirado Miguel Angel Ortiz-Martinez Cynthia Aparecida Bueno de Toledo Osório Carlos Eduardo Paiva Paulina Peñaloza Miguel Peredo Navarro David Pereira Laura Perez-Michel Francisca Pino Tania Pino Natalia Pinto Jessica Pizarro Jael Quintero Antonio Quintero-Ramos Enrique Ramirez Gladys E Ramirez-Rosales Claudia Ramis Maritza Ramos Ramirez Adela Rascon-Alcantar Francois Richard Omar Rios-Méndez Ernesto Rivera-Claisse Ramón E. Robles-Zepeda Iara Santana Rocha Natalia Rodriguez Vilma Rodriguez Maria Teresa Rodriguez Diego Rodriguez-Gonzalez Rosemeire A Roela Ana M. Romero-Gomez Ana M. Rosales-Sandoval Lidia A. Rubio-Chavez Omar V. Rubio-Plascencia Florencia Russo Gaciela Sabini Isabel Saffie Brenda Samaniego Benito Sanchez-Llamas Verónica Sanchotena Daniel Sat-Muñoz Mariana Savignano Cristovam Scapulatempo Neto Max Mano Senna Carolina Silva Jaime Silvera Isabele Small Fernando Soares Iberê Soares Silvana Soares dos Santos Evandro Sobrosa de Mello José Antonio Sola Irene Sorın Alejandra Sosa Claudio Sosa Cristiano de Pádua Souza Lucıa Spangenberg Gustavo Steffanof Florencia Straminsky Mónica Tapia Raziel O. Tapia-Llanos Geronimo M. Tavares-Macias Veronica Terzieff Vicente Teti Javier Tognarelli Verónica Toledo Paulina Toro Roberto Torres Mariana Torres-Palomares Alejandra Trinchero Rogelio Troyo-San Roman Hernan Urbano Nicolas Vacca Marıa Lourdes Valencia-Peña Jaime Vazquez Nares Ezequiel Velez-Gomez Laura N. Venegas-Godinez Ricardo Verdugo René Aloisio da Costa Vieira Manuel Isaac Villegas-Gómez Silvia Vornetti Anapaula H. U. Watanabe Carlos Zamorano Luis Zapata Zdenka Zlatar Socioeconomic, Clinical, and Molecular Features of Breast Cancer Influence Overall Survival of Latin American Women Frontiers in Oncology global excellence oncology Latin America breast cancer molecular subtypes risk factors |
title | Socioeconomic, Clinical, and Molecular Features of Breast Cancer Influence Overall Survival of Latin American Women |
title_full | Socioeconomic, Clinical, and Molecular Features of Breast Cancer Influence Overall Survival of Latin American Women |
title_fullStr | Socioeconomic, Clinical, and Molecular Features of Breast Cancer Influence Overall Survival of Latin American Women |
title_full_unstemmed | Socioeconomic, Clinical, and Molecular Features of Breast Cancer Influence Overall Survival of Latin American Women |
title_short | Socioeconomic, Clinical, and Molecular Features of Breast Cancer Influence Overall Survival of Latin American Women |
title_sort | socioeconomic clinical and molecular features of breast cancer influence overall survival of latin american women |
topic | global excellence oncology Latin America breast cancer molecular subtypes risk factors |
url | https://www.frontiersin.org/articles/10.3389/fonc.2022.845527/full |
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