scholarly journals Geospatial barriers to healthcare access for breast cancer diagnosis in sub‐Saharan African settings: The African Breast Cancer—Disparities in Outcomes Cohort Study

2020 ◽  
Author(s):  
Kayo Togawa ◽  
Benjamin O. Anderson ◽  
Milena Foerster ◽  
Moses Galukande ◽  
Annelle Zietsman ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Cohort Study ◽  
Cancer Diagnosis ◽  
Healthcare Access ◽  
Breast Cancer Diagnosis ◽  
Cancer Disparities ◽  
Barriers To Healthcare ◽  
Sub Saharan ◽  
Breast Cancer Disparities ◽  
Barriers To Healthcare Access

scholarly journals Dissecting the journey to breast cancer diagnosis in sub‐Saharan Africa: Findings from the multicountry ABC‐DO cohort study

2020 ◽  
Vol 148 (2) ◽  
pp. 340-351 ◽  
Author(s):  
Milena Foerster ◽  
Fiona McKenzie ◽  
Annelle Zietsman ◽  
Moses Galukande ◽  
Angelica Anele ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Cohort Study ◽  
Cancer Diagnosis ◽  
Breast Cancer Diagnosis ◽  
Sub Saharan Africa ◽  
Sub Saharan

scholarly journals Self-reported arm and shoulder problems in breast cancer survivors in Sub-Saharan Africa: the African Breast Cancer-Disparities in Outcomes cohort study

2021 ◽  
Vol 23 (1) ◽  
Author(s):  
Pauline Boucheron ◽  
Angelica Anele ◽  
Annelle Zietsman ◽  
Moses Galukande ◽  
Groesbeck Parham ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Cohort Study ◽  
Cancer Survivors ◽  
Breast Cancer Survivors ◽  
Cancer Disparities ◽  
High Income ◽  
Sub Saharan Africa ◽  
Arm Pain ◽  
Sub Saharan ◽  
Breast Cancer Disparities

Abstract Background Arm and shoulder problems (ASP), including lymphedema, were common among women with breast cancer in high-income countries before sentinel lymph node biopsy became the standard of care. Although ASP impair quality of life, as they affect daily life activities, their frequency and determinants in Sub-Saharan Africa remain unclear. Methods All women newly diagnosed with breast cancer at the Namibian, Ugandan, Nigerian, and Zambian sites of the African Breast Cancer-Disparities in Outcomes (ABC-DO) cohort study were included. At each 3-month follow-up interview, women answered the EORTC-QLQ-Br23 questionnaire, including three ASP items: shoulder/arm pain, arm stiffness, and arm/hand swelling. We estimated the cumulative incidence of first self-reported ASP, overall and stratified by study and treatment status, with deaths treated as competing events. To identify determinants of ASP, we estimated cause-specific hazard ratios using Cox models stratified by study site. Results Among 1476 women, up to 4 years after diagnosis, 43% (95% CI 40–46), 36% (33–38) and 23% (20–25), respectively, self-reported having experienced arm/shoulder pain, stiffness and arm/hand swelling at least once. Although risks of self-reported ASP differed between sites, a more advanced breast cancer stage at diagnosis, having a lower socioeconomic position and receiving treatment increased the risk of reporting an ASP. Conclusion ASP are very common in breast cancer survivors in Sub-Saharan Africa. They are influenced by different factors than those observed in high-income countries. There is a need to raise awareness and improve management of ASP within the African setting.

scholarly journals Drivers of advanced stage at breast cancer diagnosis in the multicountry African breast cancer - disparities in outcomes (ABC-DO) study

2017 ◽  
Vol 142 (8) ◽  
pp. 1568-1579 ◽  
Author(s):  
Fiona McKenzie ◽  
Annelle Zietsman ◽  
Moses Galukande ◽  
Angelica Anele ◽  
Charles Adisa ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Cancer Diagnosis ◽  
Breast Cancer Diagnosis ◽  
Cancer Disparities ◽  
Advanced Stage ◽  
Breast Cancer Disparities

Changes in employment status up to 5 years after breast cancer diagnosis: A prospective cohort study

The Breast ◽  
2019 ◽  
Vol 48 ◽  
pp. 38-44
Author(s):  
Isabel Monteiro ◽  
Samantha Morais ◽  
Ana Rute Costa ◽  
Luisa Lopes-Conceição ◽  
Natália Araújo ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Cohort Study ◽  
Prospective Cohort Study ◽  
Cancer Diagnosis ◽  
Prospective Cohort ◽  
Employment Status ◽  
Breast Cancer Diagnosis
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