Factors affecting survival of women diagnosed with breast cancer in El-Minia Governorate, Egypt

Objectives: This study was conducted to determine breast cancer survival time and the association between breast cancer survival and socio-demographic and pathologic factors among women, in El-Minia, Egypt. While there has been much researches regarding prognostic factors for breast cancer but the m...

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Main Authors: Amany Edward Seedhom, Nashwa Nabil Kamal
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2011-01-01
Series:International Journal of Preventive Medicine
Subjects:
Online Access:http://www.ijpvmjournal.net/article.asp?issn=2008-7802;year=2011;volume=2;issue=3;spage=131;epage=138;aulast=Seedhom
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author Amany Edward Seedhom
Nashwa Nabil Kamal
author_facet Amany Edward Seedhom
Nashwa Nabil Kamal
author_sort Amany Edward Seedhom
collection DOAJ
description Objectives: This study was conducted to determine breast cancer survival time and the association between breast cancer survival and socio-demographic and pathologic factors among women, in El-Minia, Egypt. While there has been much researches regarding prognostic factors for breast cancer but the majority of these studies were from developed countries. El-Minia has a population of approximately 4 million. To date, no research has been performed to determine breast cancer survival and the factors affecting it in El-minia. Methods : This retrospective study used data obtained from the cancer registry in the National Institute of Oncology in El-Minia and included 1207 women diagnosed with first primary breast cancer between 1 st January 2005 and 31st December 2009 and followed to 30 th June 2010. The association between survival and sociodemographic and pathological factors and distant metastasis at diagnosis, and treatment options was investigated using unifactorial chi-square test and multi-factorial (Cox regression) analyses. Kaplan-Meier analysis was used to compare survival time among different groups. Results: Median survival time was 83.8 ± 3.2. Cox regression showed that high vs low educational level (Hazard ratio (HR)= 0.35, 95% CI; 0.27-0.46), metastases to bone (HR = 3.22, 95% CI: 1.71-6.05), metastases to lung (HR= 2.314, 95% CI: 1.225-4.373), tumor size (≤ 2 cm vs ≥ 5 cm: HR = 1.4, 95% CI: 1.1-1.8) and number of involved nodes (1 vs > 10 HR = 5.21, 95%CI: 3.1-9.01) were significantly related to survival. Conclusions: The results showed the need to develop screening programs and standardized treatment regimens in a tax-funded health care system.
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spelling doaj.art-c50817cd0ba04ac48dcc27066de63d922022-12-21T17:42:46ZengWolters Kluwer Medknow PublicationsInternational Journal of Preventive Medicine2008-78022008-82132011-01-0123131138Factors affecting survival of women diagnosed with breast cancer in El-Minia Governorate, EgyptAmany Edward SeedhomNashwa Nabil KamalObjectives: This study was conducted to determine breast cancer survival time and the association between breast cancer survival and socio-demographic and pathologic factors among women, in El-Minia, Egypt. While there has been much researches regarding prognostic factors for breast cancer but the majority of these studies were from developed countries. El-Minia has a population of approximately 4 million. To date, no research has been performed to determine breast cancer survival and the factors affecting it in El-minia. Methods : This retrospective study used data obtained from the cancer registry in the National Institute of Oncology in El-Minia and included 1207 women diagnosed with first primary breast cancer between 1 st January 2005 and 31st December 2009 and followed to 30 th June 2010. The association between survival and sociodemographic and pathological factors and distant metastasis at diagnosis, and treatment options was investigated using unifactorial chi-square test and multi-factorial (Cox regression) analyses. Kaplan-Meier analysis was used to compare survival time among different groups. Results: Median survival time was 83.8 ± 3.2. Cox regression showed that high vs low educational level (Hazard ratio (HR)= 0.35, 95% CI; 0.27-0.46), metastases to bone (HR = 3.22, 95% CI: 1.71-6.05), metastases to lung (HR= 2.314, 95% CI: 1.225-4.373), tumor size (≤ 2 cm vs ≥ 5 cm: HR = 1.4, 95% CI: 1.1-1.8) and number of involved nodes (1 vs > 10 HR = 5.21, 95%CI: 3.1-9.01) were significantly related to survival. Conclusions: The results showed the need to develop screening programs and standardized treatment regimens in a tax-funded health care system.http://www.ijpvmjournal.net/article.asp?issn=2008-7802;year=2011;volume=2;issue=3;spage=131;epage=138;aulast=SeedhomBreast cancerSurvivalEgypt
spellingShingle Amany Edward Seedhom
Nashwa Nabil Kamal
Factors affecting survival of women diagnosed with breast cancer in El-Minia Governorate, Egypt
International Journal of Preventive Medicine
Breast cancer
Survival
Egypt
title Factors affecting survival of women diagnosed with breast cancer in El-Minia Governorate, Egypt
title_full Factors affecting survival of women diagnosed with breast cancer in El-Minia Governorate, Egypt
title_fullStr Factors affecting survival of women diagnosed with breast cancer in El-Minia Governorate, Egypt
title_full_unstemmed Factors affecting survival of women diagnosed with breast cancer in El-Minia Governorate, Egypt
title_short Factors affecting survival of women diagnosed with breast cancer in El-Minia Governorate, Egypt
title_sort factors affecting survival of women diagnosed with breast cancer in el minia governorate egypt
topic Breast cancer
Survival
Egypt
url http://www.ijpvmjournal.net/article.asp?issn=2008-7802;year=2011;volume=2;issue=3;spage=131;epage=138;aulast=Seedhom
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