Rural–urban differences in the presentation, management and survival of breast cancer in Western Australia

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• 作者：K.J. Mitchell ; L. Fritschi ; A. Reid ; S.P. McEvoy ; D.M. Ingram ; K. Jamrozik ; C. Clayforth ; M.J. Byrne
• 关键词：Breast cancer ; Geographical differences ; Rural ; Urban ; Inequality ; Survival
• 刊名：The Breast
• 出版年：2006
• 出版时间：December 2006
• 年：2006
• 卷：15
• 期：6
• 页码：769-776
• 全文大小：145 K

文摘

From all women diagnosed with invasive breast cancer in 1999 in Western Australia, rural and urban women were compared with regard to mode of detection, tumour characteristics at presentation, diagnostic investigations, treatment and survival. Women from rural areas with breast cancer (n=206, 23 % ) were less likely to have open biopsy with frozen section (P<0.001), breast-conserving surgery (P<0.001), adjuvant radiotherapy (P=0.004) and hormonal therapy (P=0.03), and were less likely to be treated by a high caseload breast cancer surgeon (e56132ee01216461105b2fb99f"" title=""Click to view the MathML source"">P<0.001). Adjusting for age and tumour characteristics, rural women had an increased likelihood of death within 5 years of breast cancer diagnosis (HR 1.62, 95 % CI 1.10–2.38). This difference was not significant after adjustment for treatment factors (HR 1.36, 95 % CI 0.90–2.04).