Impact of educational level and travel burden on breast cancer stage at diagnosis in the state of Sao Paulo, Brazil

Detalhes bibliográficos
Autor(a) principal: Almeida, Raissa Janine de [UNESP]
Data de Publicação: 2022
Outros Autores: Luizaga, Carolina Terra de Moraes, Eluf-Neto, José, Nunes, Hélio Rubens de Carvalho [UNESP], Pessoa, Eduardo Carvalho [UNESP], Murta-Nascimento, Cristiane [UNESP]
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da UNESP
Texto Completo: http://dx.doi.org/10.1038/s41598-022-12487-9
http://hdl.handle.net/11449/240083
Resumo: We describe the characteristics of cases of breast cancer among women assisted at hospitals affiliated to the public health system in the state of São Paulo (Brazil), analysing the effects of level of education and travel burden to point of treatment. We conducted a retrospective analysis of invasive breast cancer among women diagnosed between 2000 and 2015. Data were extracted from the hospital-based cancer registries of Fundação Oncocentro de São Paulo—FOSP. The outcome was clinical stage at diagnosis (stage III–IV versus I–II). The explanatory variables were educational level and travel burden. Odds ratios (OR) and 95% confidence intervals (95% CI) were estimated. Multiple imputations were used for missing educational level (31%). The study included 81,669 women with invasive breast cancer diagnosed between 2000 and 2015. The mean age of patients at diagnosis was 56.8 years (standard deviation 13.6 years). 38% of patients were at an advanced stage at diagnosis (stage III–IV). Women with lower levels of education and those who received cancer care in municipalities other than where they lived were more likely to be diagnosed at an advanced stage. In conclusion, promotion of breast cancer awareness and improving pathways to expedite breast cancer diagnosis and treatment could help identify breast tumors at earlier stages.
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spelling Impact of educational level and travel burden on breast cancer stage at diagnosis in the state of Sao Paulo, BrazilWe describe the characteristics of cases of breast cancer among women assisted at hospitals affiliated to the public health system in the state of São Paulo (Brazil), analysing the effects of level of education and travel burden to point of treatment. We conducted a retrospective analysis of invasive breast cancer among women diagnosed between 2000 and 2015. Data were extracted from the hospital-based cancer registries of Fundação Oncocentro de São Paulo—FOSP. The outcome was clinical stage at diagnosis (stage III–IV versus I–II). The explanatory variables were educational level and travel burden. Odds ratios (OR) and 95% confidence intervals (95% CI) were estimated. Multiple imputations were used for missing educational level (31%). The study included 81,669 women with invasive breast cancer diagnosed between 2000 and 2015. The mean age of patients at diagnosis was 56.8 years (standard deviation 13.6 years). 38% of patients were at an advanced stage at diagnosis (stage III–IV). Women with lower levels of education and those who received cancer care in municipalities other than where they lived were more likely to be diagnosed at an advanced stage. In conclusion, promotion of breast cancer awareness and improving pathways to expedite breast cancer diagnosis and treatment could help identify breast tumors at earlier stages.Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)Faculty of Medicine Sao Paulo State University (UNESP), Unesp. Av. Prof. Montenegro, s/n, Distrito de Rubião Junior, SPDepartment of Information and Epidemiology Fundação Oncocentro de São Paulo (FOSP), SPDepartment of Preventive Medicine Faculdade de Medicina FMUSP Universidade de São Paulo, SPFaculty of Medicine Sao Paulo State University (UNESP), Unesp. Av. Prof. Montenegro, s/n, Distrito de Rubião Junior, SPFAPESP: 19/02909-2CAPES: Finance Code 001Universidade Estadual Paulista (UNESP)Fundação Oncocentro de São Paulo (FOSP)Universidade de São Paulo (USP)Almeida, Raissa Janine de [UNESP]Luizaga, Carolina Terra de MoraesEluf-Neto, JoséNunes, Hélio Rubens de Carvalho [UNESP]Pessoa, Eduardo Carvalho [UNESP]Murta-Nascimento, Cristiane [UNESP]2023-03-01T20:00:47Z2023-03-01T20:00:47Z2022-12-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttp://dx.doi.org/10.1038/s41598-022-12487-9Scientific Reports, v. 12, n. 1, 2022.2045-2322http://hdl.handle.net/11449/24008310.1038/s41598-022-12487-92-s2.0-85130372082Scopusreponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPengScientific Reportsinfo:eu-repo/semantics/openAccess2023-03-01T20:00:48Zoai:repositorio.unesp.br:11449/240083Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestopendoar:29462024-08-05T19:39:55.226285Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false
dc.title.none.fl_str_mv Impact of educational level and travel burden on breast cancer stage at diagnosis in the state of Sao Paulo, Brazil
title Impact of educational level and travel burden on breast cancer stage at diagnosis in the state of Sao Paulo, Brazil
spellingShingle Impact of educational level and travel burden on breast cancer stage at diagnosis in the state of Sao Paulo, Brazil
Almeida, Raissa Janine de [UNESP]
title_short Impact of educational level and travel burden on breast cancer stage at diagnosis in the state of Sao Paulo, Brazil
title_full Impact of educational level and travel burden on breast cancer stage at diagnosis in the state of Sao Paulo, Brazil
title_fullStr Impact of educational level and travel burden on breast cancer stage at diagnosis in the state of Sao Paulo, Brazil
title_full_unstemmed Impact of educational level and travel burden on breast cancer stage at diagnosis in the state of Sao Paulo, Brazil
title_sort Impact of educational level and travel burden on breast cancer stage at diagnosis in the state of Sao Paulo, Brazil
author Almeida, Raissa Janine de [UNESP]
author_facet Almeida, Raissa Janine de [UNESP]
Luizaga, Carolina Terra de Moraes
Eluf-Neto, José
Nunes, Hélio Rubens de Carvalho [UNESP]
Pessoa, Eduardo Carvalho [UNESP]
Murta-Nascimento, Cristiane [UNESP]
author_role author
author2 Luizaga, Carolina Terra de Moraes
Eluf-Neto, José
Nunes, Hélio Rubens de Carvalho [UNESP]
Pessoa, Eduardo Carvalho [UNESP]
Murta-Nascimento, Cristiane [UNESP]
author2_role author
author
author
author
author
dc.contributor.none.fl_str_mv Universidade Estadual Paulista (UNESP)
Fundação Oncocentro de São Paulo (FOSP)
Universidade de São Paulo (USP)
dc.contributor.author.fl_str_mv Almeida, Raissa Janine de [UNESP]
Luizaga, Carolina Terra de Moraes
Eluf-Neto, José
Nunes, Hélio Rubens de Carvalho [UNESP]
Pessoa, Eduardo Carvalho [UNESP]
Murta-Nascimento, Cristiane [UNESP]
description We describe the characteristics of cases of breast cancer among women assisted at hospitals affiliated to the public health system in the state of São Paulo (Brazil), analysing the effects of level of education and travel burden to point of treatment. We conducted a retrospective analysis of invasive breast cancer among women diagnosed between 2000 and 2015. Data were extracted from the hospital-based cancer registries of Fundação Oncocentro de São Paulo—FOSP. The outcome was clinical stage at diagnosis (stage III–IV versus I–II). The explanatory variables were educational level and travel burden. Odds ratios (OR) and 95% confidence intervals (95% CI) were estimated. Multiple imputations were used for missing educational level (31%). The study included 81,669 women with invasive breast cancer diagnosed between 2000 and 2015. The mean age of patients at diagnosis was 56.8 years (standard deviation 13.6 years). 38% of patients were at an advanced stage at diagnosis (stage III–IV). Women with lower levels of education and those who received cancer care in municipalities other than where they lived were more likely to be diagnosed at an advanced stage. In conclusion, promotion of breast cancer awareness and improving pathways to expedite breast cancer diagnosis and treatment could help identify breast tumors at earlier stages.
publishDate 2022
dc.date.none.fl_str_mv 2022-12-01
2023-03-01T20:00:47Z
2023-03-01T20:00:47Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://dx.doi.org/10.1038/s41598-022-12487-9
Scientific Reports, v. 12, n. 1, 2022.
2045-2322
http://hdl.handle.net/11449/240083
10.1038/s41598-022-12487-9
2-s2.0-85130372082
url http://dx.doi.org/10.1038/s41598-022-12487-9
http://hdl.handle.net/11449/240083
identifier_str_mv Scientific Reports, v. 12, n. 1, 2022.
2045-2322
10.1038/s41598-022-12487-9
2-s2.0-85130372082
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv Scientific Reports
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.source.none.fl_str_mv Scopus
reponame:Repositório Institucional da UNESP
instname:Universidade Estadual Paulista (UNESP)
instacron:UNESP
instname_str Universidade Estadual Paulista (UNESP)
instacron_str UNESP
institution UNESP
reponame_str Repositório Institucional da UNESP
collection Repositório Institucional da UNESP
repository.name.fl_str_mv Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)
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