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Clinicopathological characteristics and health care for Tibetan women with breast cancer: a cross-sectional survey
BACKGROUND: The healthcare system (HCS) improved in Tibet Autonomous Region (TAR), China. The present study aimed to investigate whether these improvements might alter the clinicopathological characteristics of a Tibetan female with breast cancer (BC) in TAR. METHODS: This was a single-center cross-...
Autores principales: | , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6482490/ https://www.ncbi.nlm.nih.gov/pubmed/31023263 http://dx.doi.org/10.1186/s12885-019-5580-x |
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author | Zhao, Yulan Luo, Hanhuan Zhang, Xintian Bianba, Tashi Li, Lin Wang, Qian Guo, Lei Wang, Dian Ze, Yongge Zheng, Shan |
author_facet | Zhao, Yulan Luo, Hanhuan Zhang, Xintian Bianba, Tashi Li, Lin Wang, Qian Guo, Lei Wang, Dian Ze, Yongge Zheng, Shan |
author_sort | Zhao, Yulan |
collection | PubMed |
description | BACKGROUND: The healthcare system (HCS) improved in Tibet Autonomous Region (TAR), China. The present study aimed to investigate whether these improvements might alter the clinicopathological characteristics of a Tibetan female with breast cancer (BC) in TAR. METHODS: This was a single-center cross-sectional study conducted at TAR People’s Hospital. All Tibetan adult women were treated for BC in this hospital between January 1, 1973 and December 31, 2015. The inclusion criteria were as follows: (1) Tibetan adult woman living in Tibet; (2) Histopathology or cytopathology or both confirming primary BC; (3) All the treatments were finished in this hospital. χ(2) test and logistic regression were applied, using age group and census register as the two covariates. RESULTS: A total of 273 patients with BC were included in the final analysis. Of these, 14 patients were in the free HCS, 183 patients had medical insurance combined with a new rural cooperative HCS, and 76 were in a rural and urban integration HCS. Currently, a rural and urban integration HCS is an improved system. Consequently, an increase in the proportion patients in the T1–3 stage was observed (0.198; 0.046 to 0.852) between the rural and urban integration HCS and free HCS. The proportion of patients in early (I + II) stage cancer (0.110; 0.019–0.633) also increased between these two HCSs. CONCLUSION: This was the first report about Tibetan women with BC in Tibet. Some clinicopathological characteristics at the presentation of Tibetan women with BC may improve during different HCSs. The cancer awareness, early detection, and the overall management in patients with advanced stage BC might improve the prognosis of BC in the rural and urban integration HCS. |
format | Online Article Text |
id | pubmed-6482490 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-64824902019-05-02 Clinicopathological characteristics and health care for Tibetan women with breast cancer: a cross-sectional survey Zhao, Yulan Luo, Hanhuan Zhang, Xintian Bianba, Tashi Li, Lin Wang, Qian Guo, Lei Wang, Dian Ze, Yongge Zheng, Shan BMC Cancer Research Article BACKGROUND: The healthcare system (HCS) improved in Tibet Autonomous Region (TAR), China. The present study aimed to investigate whether these improvements might alter the clinicopathological characteristics of a Tibetan female with breast cancer (BC) in TAR. METHODS: This was a single-center cross-sectional study conducted at TAR People’s Hospital. All Tibetan adult women were treated for BC in this hospital between January 1, 1973 and December 31, 2015. The inclusion criteria were as follows: (1) Tibetan adult woman living in Tibet; (2) Histopathology or cytopathology or both confirming primary BC; (3) All the treatments were finished in this hospital. χ(2) test and logistic regression were applied, using age group and census register as the two covariates. RESULTS: A total of 273 patients with BC were included in the final analysis. Of these, 14 patients were in the free HCS, 183 patients had medical insurance combined with a new rural cooperative HCS, and 76 were in a rural and urban integration HCS. Currently, a rural and urban integration HCS is an improved system. Consequently, an increase in the proportion patients in the T1–3 stage was observed (0.198; 0.046 to 0.852) between the rural and urban integration HCS and free HCS. The proportion of patients in early (I + II) stage cancer (0.110; 0.019–0.633) also increased between these two HCSs. CONCLUSION: This was the first report about Tibetan women with BC in Tibet. Some clinicopathological characteristics at the presentation of Tibetan women with BC may improve during different HCSs. The cancer awareness, early detection, and the overall management in patients with advanced stage BC might improve the prognosis of BC in the rural and urban integration HCS. BioMed Central 2019-04-25 /pmc/articles/PMC6482490/ /pubmed/31023263 http://dx.doi.org/10.1186/s12885-019-5580-x Text en © The Author(s). 2019 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Research Article Zhao, Yulan Luo, Hanhuan Zhang, Xintian Bianba, Tashi Li, Lin Wang, Qian Guo, Lei Wang, Dian Ze, Yongge Zheng, Shan Clinicopathological characteristics and health care for Tibetan women with breast cancer: a cross-sectional survey |
title | Clinicopathological characteristics and health care for Tibetan women with breast cancer: a cross-sectional survey |
title_full | Clinicopathological characteristics and health care for Tibetan women with breast cancer: a cross-sectional survey |
title_fullStr | Clinicopathological characteristics and health care for Tibetan women with breast cancer: a cross-sectional survey |
title_full_unstemmed | Clinicopathological characteristics and health care for Tibetan women with breast cancer: a cross-sectional survey |
title_short | Clinicopathological characteristics and health care for Tibetan women with breast cancer: a cross-sectional survey |
title_sort | clinicopathological characteristics and health care for tibetan women with breast cancer: a cross-sectional survey |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6482490/ https://www.ncbi.nlm.nih.gov/pubmed/31023263 http://dx.doi.org/10.1186/s12885-019-5580-x |
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