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dc.contributor.authorWoods LMen
dc.contributor.authorRachet Ben
dc.contributor.authorO'Connell DLen
dc.contributor.authorLawrence Gen
dc.contributor.authorTracey Een
dc.contributor.authorWillmore Aen
dc.contributor.authorColeman MPen
dc.date.accessioned2015-02-17T09:23:00Zen
dc.date.available2015-02-17T09:23:00Zen
dc.date.issued2008en
dc.identifier.govdoc609en
dc.identifier.urihttp://researchpubs.cancercouncil.com.au/cancercounciljspui/handle/1/1475en
dc.description.abstractSurvival from breast cancer in the UK is lower than in other countries in Western Europe, the USA and Australia. However, these international differences have not yet been examined in relation to tumor characteristics, treatment, screening history or other prognostic factors. We calculated relative survival by age, period of diagnosis, category of unemployment and extent of disease for women diagnosed with breast cancer during the period 1980-2002 in New South Wales (Australia) and West Midlands (England). National cancer registry data for each country for the period 1990-1994 were also examined. The excess hazard ratio was modeled as a function of prognostic covariables. Survival in Australia and New South Wales was higher than in England and West Midlands, respectively. In both regions, survival was lower for more deprived women and for the elderly. These differences were greater in West Midlands. Survival from localized and regional disease in New South Wales was higher than in West Midlands, but survival from metastatic disease was similar. Differences in breast cancer survival are unlikely to be entirely due to differences in data quality or to limitations of the analyses, although the measure of extent of disease used may not have been adequate to elucidate the effect of stage fully. One possible causal explanation is that the management of breast cancer differs between these regions. Further research should acquire better data on stage and investigate the effect of comorbidity and of patterns of care upon the difference in breast cancer survival between England and Australiaen
dc.language.isoenen
dc.subject.otherCancer Type - Breast Cancer-
dc.subject.otherCancer Control, Survivorship, and Outcomes Research - Surveillance-
dc.titleLarge differences in patterns of breast cancer survival between Australia and England: a comparative study using cancer registry dataen
dc.typePeer Reviewed Journal Articleen
dc.subject.keywordsAdolescenten
dc.subject.keywordscancer survivalen
dc.subject.keywordsComorbidityen
dc.subject.keywordsComparative Studyen
dc.subject.keywordsdiagnosisen
dc.subject.keywordsEnglanden
dc.subject.keywordsepidemiologyen
dc.subject.keywordsEuropeen
dc.subject.keywordsFemaleen
dc.subject.keywordshistoryen
dc.subject.keywordsHumansen
dc.subject.keywordsAdulten
dc.subject.keywordsMiddle Ageden
dc.subject.keywordsMultivariate Analysisen
dc.subject.keywordsNew South Walesen
dc.subject.keywordsOtheren
dc.subject.keywordsPatterns of careen
dc.subject.keywordsPrognosisen
dc.subject.keywordsregionalen
dc.subject.keywordsRegistriesen
dc.subject.keywordsrelative survivalen
dc.subject.keywordsResearchen
dc.subject.keywordsAgeden
dc.subject.keywordsscreeningen
dc.subject.keywordssurvivalen
dc.subject.keywordsSurvival Analysisen
dc.subject.keywordsWalesen
dc.subject.keywordsWomenen
dc.subject.keywordsAged,80 and overen
dc.subject.keywordsAustraliaen
dc.subject.keywordsbreasten
dc.subject.keywordsBreast Neoplasmsen
dc.subject.keywordscanceren
dc.subject.keywordscancer registryen
dc.identifier.journaltitleInternational Journal of Canceren
dc.identifier.volume124en
dc.identifier.issue10en
dc.identifier.pagestart2391en
dc.identifier.pageend2399en
dc.identifier.programmeHealth Services Researchen
dc.identifier.divisionCancer Research Division-
Appears in Collections:Research Articles

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