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Incidence of brain metastasis according to patient race and primary cancer origin: a systematic review

Purpose A systematic review was conducted to investigate differences in incidence and primary origin of synchronous brain metastasis (sBM) in varying racial groups with different primary cancers. Methods Adhering to PRISMA 2020 guidelines a search was conducted using PubMed and Ovid databases for pu...

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Published in:Journal of neuro-oncology 2024-09, Vol.169 (3), p.457-467
Main Authors: Gomez, David, Feng, Jeffrey J., Cheok, Stephanie, Shah, Ishan, Dicharry, Holly, Cote, David J., Briggs, Robert G., Guerra, Gage A., Peterson, Racheal, Salhia, Bodour, Neman, Josh, Attenello, Frank, Chow, Frances, Musabelliu, Erion K., Zada, Gabriel
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container_issue 3
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container_title Journal of neuro-oncology
container_volume 169
creator Gomez, David
Feng, Jeffrey J.
Cheok, Stephanie
Shah, Ishan
Dicharry, Holly
Cote, David J.
Briggs, Robert G.
Guerra, Gage A.
Peterson, Racheal
Salhia, Bodour
Neman, Josh
Attenello, Frank
Chow, Frances
Musabelliu, Erion K.
Zada, Gabriel
description Purpose A systematic review was conducted to investigate differences in incidence and primary origin of synchronous brain metastasis (sBM) in varying racial groups with different primary cancers. Methods Adhering to PRISMA 2020 guidelines a search was conducted using PubMed and Ovid databases for publications from January 2000 to January 2023, with search terms including combinations of “brain metastasis,” “race,” “ethnicity,” and “incidence.” Three independent reviewers screened for inclusion criteria encompassing studies clearly reporting primary cancer sites, patient demographics including race, and synchronous BM (sBM) incidence. Results Of 806 articles, 10 studies comprised of mainly adult patients from the United States met final inclusion for data analysis. Higher sBM incidence proportions were observed in American Indian/Alaska native patients for primary breast ( p  
doi_str_mv 10.1007/s11060-024-04748-6
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Methods Adhering to PRISMA 2020 guidelines a search was conducted using PubMed and Ovid databases for publications from January 2000 to January 2023, with search terms including combinations of “brain metastasis,” “race,” “ethnicity,” and “incidence.” Three independent reviewers screened for inclusion criteria encompassing studies clearly reporting primary cancer sites, patient demographics including race, and synchronous BM (sBM) incidence. Results Of 806 articles, 10 studies comprised of mainly adult patients from the United States met final inclusion for data analysis. Higher sBM incidence proportions were observed in American Indian/Alaska native patients for primary breast ( p  &lt; 0.001), colorectal ( p  = 0.015), and esophageal cancers ( p  = 0.024) as well as in Asian or Pacific islanders for primary stomach ( p  &lt; 0.001), thyroid ( p  = 0.006), and lung/bronchus cancers ( p  &lt; 0.001) yet higher proportions in White patients for malignant melanoma ( p  &lt; 0.001). Compared to White patients, Black patients had higher sBM incidence likelihood in breast cancer (OR = 1.27, p  = 0.01) but lower likelihood in renal (OR = 0.46, p  &lt; 0.001) and esophageal cancers (OR = 0.31, p  = 0.005). American Indian/Alaska native patients had a higher sBM likelihood (OR = 3.78, p  = 0.004) relative to White patients in esophageal cancer. Conclusions These findings reveal several comparative racial differences in sBM incidence arising from different primary cancer origins, underscoring a need for further research to explain these variations. Identifying the factors contributing to these disparities holds the potential to promote greater equity in oncological care according to cancer type.</description><identifier>ISSN: 0167-594X</identifier><identifier>ISSN: 1573-7373</identifier><identifier>EISSN: 1573-7373</identifier><identifier>DOI: 10.1007/s11060-024-04748-6</identifier><identifier>PMID: 38896356</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Brain Neoplasms - epidemiology ; Brain Neoplasms - secondary ; Bronchus ; Cancer ; Esophagus ; Humans ; Incidence ; Medicine ; Medicine &amp; Public Health ; Melanoma ; Metastases ; Metastasis ; Neoplasms - epidemiology ; Neoplasms - pathology ; Neurology ; Oncology ; Patients ; Race ; Racial Groups - statistics &amp; numerical data ; Review ; Systematic review</subject><ispartof>Journal of neuro-oncology, 2024-09, Vol.169 (3), p.457-467</ispartof><rights>The Author(s) 2024</rights><rights>2024. The Author(s).</rights><rights>The Author(s) 2024. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). 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Methods Adhering to PRISMA 2020 guidelines a search was conducted using PubMed and Ovid databases for publications from January 2000 to January 2023, with search terms including combinations of “brain metastasis,” “race,” “ethnicity,” and “incidence.” Three independent reviewers screened for inclusion criteria encompassing studies clearly reporting primary cancer sites, patient demographics including race, and synchronous BM (sBM) incidence. Results Of 806 articles, 10 studies comprised of mainly adult patients from the United States met final inclusion for data analysis. Higher sBM incidence proportions were observed in American Indian/Alaska native patients for primary breast ( p  &lt; 0.001), colorectal ( p  = 0.015), and esophageal cancers ( p  = 0.024) as well as in Asian or Pacific islanders for primary stomach ( p  &lt; 0.001), thyroid ( p  = 0.006), and lung/bronchus cancers ( p  &lt; 0.001) yet higher proportions in White patients for malignant melanoma ( p  &lt; 0.001). 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Methods Adhering to PRISMA 2020 guidelines a search was conducted using PubMed and Ovid databases for publications from January 2000 to January 2023, with search terms including combinations of “brain metastasis,” “race,” “ethnicity,” and “incidence.” Three independent reviewers screened for inclusion criteria encompassing studies clearly reporting primary cancer sites, patient demographics including race, and synchronous BM (sBM) incidence. Results Of 806 articles, 10 studies comprised of mainly adult patients from the United States met final inclusion for data analysis. Higher sBM incidence proportions were observed in American Indian/Alaska native patients for primary breast ( p  &lt; 0.001), colorectal ( p  = 0.015), and esophageal cancers ( p  = 0.024) as well as in Asian or Pacific islanders for primary stomach ( p  &lt; 0.001), thyroid ( p  = 0.006), and lung/bronchus cancers ( p  &lt; 0.001) yet higher proportions in White patients for malignant melanoma ( p  &lt; 0.001). 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subjects Brain Neoplasms - epidemiology
Brain Neoplasms - secondary
Bronchus
Cancer
Esophagus
Humans
Incidence
Medicine
Medicine & Public Health
Melanoma
Metastases
Metastasis
Neoplasms - epidemiology
Neoplasms - pathology
Neurology
Oncology
Patients
Race
Racial Groups - statistics & numerical data
Review
Systematic review
title Incidence of brain metastasis according to patient race and primary cancer origin: a systematic review
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