The influence of socio-economic and surveillance characteristics on breast cancer survival: a French population-based study

Fiche publication


Date publication

janvier 2008

Auteurs

Membres identifiés du Cancéropôle Est :
Pr VELTEN Michel


Tous les auteurs :
Gentil-Brevet J, Colonna M, Danzon A, Grosclaude P, Chaplain G, Velten M, Bonnetain F, Arveux P

Résumé

Survival data on female invasive breast cancer with 9-year follow-up from five French cancer registries were analysed by logistic regression for prognostic factors of cancer stage. The Kaplan-Meier method and log-rank test were used to estimate and compare the overall survival probability at 5 and 7 years, and at the endpoint. The Cox regression model was used for multivariate analysis. County of residence, age group, occupational status, mammographic surveillance, gynaecological prevention consultations and the diagnosis mammography, whether within a screening framework or not, were independent prognostic factors of survival. Moreover, for the same age group, and only for cancers T2 and/or N+ (whether 1, 2 or 3) and M0, the prognosis was significantly better when the diagnosis mammography was done within the framework of screening. Socio-economic and surveillance characteristics are independent prognostic factors of both breast cancer stage at diagnosis and of survival. Screening mammography is an independent prognostic factor of survival.

Référence

Br J Cancer. 2008 Jan 15;98(1):217-24.