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Socioeconomic inequalities in metastasis, recurrence, stage and grade of breast cancer: a hospital-based retrospective cohort study
INTRODUCTION: This study aims to estimate the Socio-Economic Status (SES) inequality on the metastasis, recurrence, stage and grade in Breast Cancer (BC). METHODS: This retrospective cohort study conducted on 411 BC patients in Arak, Iran. Asset-based questionnaire used to estimate the household SES...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Pacini Editore srl
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6797882/ https://www.ncbi.nlm.nih.gov/pubmed/31650064 http://dx.doi.org/10.15167/2421-4248/jpmh2019.60.3.1162 |
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author | TAHERI, M. TAVAKOL, M. AKBARI, M.E. ANOSHIRVANI, A.A. AGHABOZORGI, R. ALMASI-HASHIANI, A. ABBASI, M. |
author_facet | TAHERI, M. TAVAKOL, M. AKBARI, M.E. ANOSHIRVANI, A.A. AGHABOZORGI, R. ALMASI-HASHIANI, A. ABBASI, M. |
author_sort | TAHERI, M. |
collection | PubMed |
description | INTRODUCTION: This study aims to estimate the Socio-Economic Status (SES) inequality on the metastasis, recurrence, stage and grade in Breast Cancer (BC). METHODS: This retrospective cohort study conducted on 411 BC patients in Arak, Iran. Asset-based questionnaire used to estimate the household SES. For calculate of SES inequality was used from Concentration Index (C). Moreover for investigate the association between recurrence and metastasis with other variables were used from multilevel logistic regression and analysis of variance were used to investigate the relationship between SES and other variables. The data were analyzed with Stata (v.13) software. RESULTS: Results of analysis of variance showed statistical significant relationship between SES with, insurance, surgery, grade, stage, recurrence and metastasis (p-value < 0.05). Moreover the Odds Ratio (OR) were significant of recurrence with age, academic level of education, supplementary insurance history of BC in first-degree relatives, stage and grade, also, metastasis with age of > 80 years, insurance, supplementary insurance, history of BC in first-degree relatives, chemotherapy, radiotherapy, stage and grade four. The total C index obtained 0.015 (0.002, 0.026), 0.011 (0.003, 0.031), – 0.014 (– 0.034, – 0.001) and – 0.042 (– 0.061, – 0.002) for metastasis, recurrence, stage and grade of BC respectively. CONCLUSIONS: Our results showed evidence of inequality in the metastasis, recurrence, stage and grade in BC patients. |
format | Online Article Text |
id | pubmed-6797882 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Pacini Editore srl |
record_format | MEDLINE/PubMed |
spelling | pubmed-67978822019-10-24 Socioeconomic inequalities in metastasis, recurrence, stage and grade of breast cancer: a hospital-based retrospective cohort study TAHERI, M. TAVAKOL, M. AKBARI, M.E. ANOSHIRVANI, A.A. AGHABOZORGI, R. ALMASI-HASHIANI, A. ABBASI, M. J Prev Med Hyg Original Article INTRODUCTION: This study aims to estimate the Socio-Economic Status (SES) inequality on the metastasis, recurrence, stage and grade in Breast Cancer (BC). METHODS: This retrospective cohort study conducted on 411 BC patients in Arak, Iran. Asset-based questionnaire used to estimate the household SES. For calculate of SES inequality was used from Concentration Index (C). Moreover for investigate the association between recurrence and metastasis with other variables were used from multilevel logistic regression and analysis of variance were used to investigate the relationship between SES and other variables. The data were analyzed with Stata (v.13) software. RESULTS: Results of analysis of variance showed statistical significant relationship between SES with, insurance, surgery, grade, stage, recurrence and metastasis (p-value < 0.05). Moreover the Odds Ratio (OR) were significant of recurrence with age, academic level of education, supplementary insurance history of BC in first-degree relatives, stage and grade, also, metastasis with age of > 80 years, insurance, supplementary insurance, history of BC in first-degree relatives, chemotherapy, radiotherapy, stage and grade four. The total C index obtained 0.015 (0.002, 0.026), 0.011 (0.003, 0.031), – 0.014 (– 0.034, – 0.001) and – 0.042 (– 0.061, – 0.002) for metastasis, recurrence, stage and grade of BC respectively. CONCLUSIONS: Our results showed evidence of inequality in the metastasis, recurrence, stage and grade in BC patients. Pacini Editore srl 2019-09-30 /pmc/articles/PMC6797882/ /pubmed/31650064 http://dx.doi.org/10.15167/2421-4248/jpmh2019.60.3.1162 Text en ©2019 Pacini Editore SRL, Pisa, Italy http://creativecommons.org/licenses/by-nc/4.0/ This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/. |
spellingShingle | Original Article TAHERI, M. TAVAKOL, M. AKBARI, M.E. ANOSHIRVANI, A.A. AGHABOZORGI, R. ALMASI-HASHIANI, A. ABBASI, M. Socioeconomic inequalities in metastasis, recurrence, stage and grade of breast cancer: a hospital-based retrospective cohort study |
title | Socioeconomic inequalities in metastasis, recurrence, stage and grade of breast cancer: a hospital-based retrospective cohort study |
title_full | Socioeconomic inequalities in metastasis, recurrence, stage and grade of breast cancer: a hospital-based retrospective cohort study |
title_fullStr | Socioeconomic inequalities in metastasis, recurrence, stage and grade of breast cancer: a hospital-based retrospective cohort study |
title_full_unstemmed | Socioeconomic inequalities in metastasis, recurrence, stage and grade of breast cancer: a hospital-based retrospective cohort study |
title_short | Socioeconomic inequalities in metastasis, recurrence, stage and grade of breast cancer: a hospital-based retrospective cohort study |
title_sort | socioeconomic inequalities in metastasis, recurrence, stage and grade of breast cancer: a hospital-based retrospective cohort study |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6797882/ https://www.ncbi.nlm.nih.gov/pubmed/31650064 http://dx.doi.org/10.15167/2421-4248/jpmh2019.60.3.1162 |
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