Investigation of low 5-year relative survival for breast cancer in a London cancer network

Background: Breast cancer 5-year relative survival is low in the North East London Cancer Network (NELCN). Methods: We compared breast cancer that was diagnosed during 2001–2005 with that in the rest of London. Results: North East London Cancer Network women more often lived in socioeconomic quintil...

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Bibliographic Details
Published in:British journal of cancer 2010-09, Vol.103 (7), p.1076-1080
Main Authors: Davies, E A, Linklater, K M, Coupland, V H, Renshaw, C, Toy, J, Park, R, Petit, J, Housden, C, Møller, H
Format: Article
Language:English
Subjects:
692/699/67/1347
692/699/67/2324
692/700/139
692/700/1750/1976
Adult
Age groups
Aged
Aged, 80 and over
Biological and medical sciences
Biomedical and Life Sciences
Biomedicine
Breast cancer
Breast Neoplasms - mortality
Cancer Research
Confidence intervals
Delayed Diagnosis
Drug Resistance
Epidemiology
Ethnicity
Female
Gynecology. Andrology. Obstetrics
Humans
Hypotheses
London
Mammary gland diseases
Medical prognosis
Medical research
Medical sciences
Middle Aged
Minority & ethnic groups
Molecular Medicine
Mortality
Oncology
Public health
Short Communication
Socioeconomic Factors
Survival Analysis
Tumors
Womens health
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Summary:Background: Breast cancer 5-year relative survival is low in the North East London Cancer Network (NELCN). Methods: We compared breast cancer that was diagnosed during 2001–2005 with that in the rest of London. Results: North East London Cancer Network women more often lived in socioeconomic quintile 5 (42 vs 21%) and presented with advanced disease (11 vs 7%). Cox regression analysis showed the survival difference (hazard ratio: 1.27, 95% confidence interval (CI): 1.15–1.41) reduced to 1.00 (95% CI: 0.89–1.11) after adjustment for age, stage, socioeconomic deprivation, ethnicity and treatment. Major drivers were stage and deprivation. Excess mortality was in the first year. Conclusion: Late diagnosis occurs in NELCN.
ISSN:0007-0920
1532-1827
DOI:10.1038/sj.bjc.6605857