scholarly journals Quality Assured Health Care in Certified Breast Centers and Improvement of the Prognosis of Breast Cancer Patients

Onkologie ◽  
2011 ◽  
Vol 34 (7) ◽  
pp. 362-367 ◽  
Author(s):  
Matthias W. Beckmann ◽  
Cosima Brucker ◽  
Volker Hanf ◽  
Claudia Rauh ◽  
Mayada R. Bani ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Health Care ◽  
Cancer Patients ◽  
Breast Cancer Patients ◽  
Breast Centers

scholarly journals Concordance with NCCN treatment guidelines: Relations with health care utilization, cost, and mortality in breast cancer patients with secondary metastasis

Cancer ◽  
2018 ◽  
Vol 124 (21) ◽  
pp. 4231-4240 ◽  
Author(s):  
Gabrielle B. Rocque ◽  
Courtney P. Williams ◽  
Kelly M. Kenzik ◽  
Bradford E. Jackson ◽  
Andres Azuero ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Health Care ◽  
Health Care Utilization ◽  
Cancer Patients ◽  
Treatment Guidelines ◽  
Care Utilization ◽  
Breast Cancer Patients ◽  
Utilization Cost ◽  
Secondary Metastasis

scholarly journals Changing goals in the management of breast carcinoma patients towards preservation of feminity and quality of life

2018 ◽  
Vol 4 (2) ◽  
pp. 96-98
Author(s):  
Soumi Pathak ◽  
Ajay Kumar Bhargava
Keyword(s):  
Breast Cancer ◽  
Quality Of Life ◽  
Health Care ◽  
Developing Countries ◽  
Breast Carcinoma ◽  
Cancer Patients ◽  
Breast Cancer Survivors ◽  
Breast Cancer Patients ◽  
Health Care Burden

Breast cancer is the commonest cancer in women worldwide. In the developing countries of Asia, the health care burden on account of breast cancer has been steadily mounting. Over 100,000 new breast cancer patients are estimated to be diagnosed annually in India.1 As per the ICMR-PBCR data, breast cancer is the commonest cancer among women in urban registries of Delhi, Mumbai, Ahmedabad, Calcutta, and Trivandrum where it constitutes > 30% of all cancers in females. Previous literature on mastectomy indicates that the operation may be perceived by the patient as a threat to her feminity. Breast cancer survivors have dissatisfaction with appearance, perceived loss of femininity and body integrity, self-consciousness about appearance, and dissatisfaction with surgical scars… Journal of Society of Anesthesiologists of NepalVol. 4, No. 2, 2017, Page: 96-98 

scholarly journals Health Care Utilization From Chemotherapy-Related Adverse Events Among Low-Income Breast Cancer Patients

2014 ◽  
Vol 75 (4) ◽  
pp. 231-238 ◽  
Author(s):  
Ravi K. Goyal ◽  
Stephanie B. Wheeler ◽  
Racquel E. Kohler ◽  
Kristen H. Lich ◽  
Ching-Ching Lin ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Health Care ◽  
Adverse Events ◽  
Health Care Utilization ◽  
Cancer Patients ◽  
Low Income ◽  
Care Utilization ◽  
Breast Cancer Patients

Demonstrating Higher Incidence of Advanced Breast Malignancies in Our Young Hispanic Population

2018 ◽  
Vol 84 (11) ◽  
pp. 1787-1789
Author(s):  
Amanda Klein ◽  
Michael Villareal ◽  
Sepeadeh Radpour ◽  
Boone Goodgame ◽  
Sadia Ali ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Health Care ◽  
Advanced Breast Cancer ◽  
Cancer Patients ◽  
Advanced Breast ◽  
Hispanic Population ◽  
Breast Cancer Patients ◽  
Advanced Malignancies ◽  
Hispanic Patients ◽  
Breast Malignancies

Historically, the Hispanic population in the United States has had a lower incidence of cancer than the matched non-Hispanic population, despite disparities in access to health care, screening, and prevention. Our experience in Austin, Texas, directly contradicts this. We have seen a disproportionate amount of young Hispanic patients with advanced malignancies, particularly of the breast. The aim of this study was to compare the incidence of advanced breast malignancies. We performed a retrospective review over a 10-year period (2003–2013) of all newly diagnosed breast cancer patients. Data were collected from the cancer registry. Patients were divided into two groups: Hispanic versus non-Hispanic descent, with a subgroup of those aged less than 50 years. Primary outcome was the incidence of advanced cancers (stage 3 or 4). There were a total of 3968 breast cancer patients seen in our Shivers Cancer Center from 2003 to 2013, with an overall incidence of advanced breast cancer of 11.5 per cent. Of the patients aged less than 50 years, 14.2 per cent had advanced breast cancer. However, the rate among Hispanic patients was 21.3 per cent, whereas in non-Hispanic patients it was 13.5 per cent, P = 0.002. Being Hispanic was found to be an independent predictor of having advanced malignancies at a young age (odds ratio 1.7, confidence interval 1.1–2.5, P = 0.01). Here in Austin, Texas, we have found a higher overall incidence of breast cancer among young Hispanic women. This is important to recognize because more efforts may be required to increase screening and health-care access to this population.

Trends of skeletal related events in patients with breast cancer metastasized to bone.

2020 ◽  
Vol 38 (15_suppl) ◽  
pp. 1098-1098
Author(s):  
Prasanth Lingamaneni ◽  
Ishaan Vohra ◽  
Krishna Rekha Moturi ◽  
Muhammad Zain Farooq ◽  
Sheeba Habeeb Ba Aqeel ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Health Care ◽  
Cancer Patients ◽  
Surgical Intervention ◽  
Temporal Trends ◽  
Multivariable Analysis ◽  
Breast Cancer Patients ◽  
Inpatient Mortality ◽  
Skeletal Related Events ◽  
Over Time

1098 Background: Up to three-quarters of women with advanced breast cancer develop bone metastases, predisposing to Skeletal Related Events (SRE), which are associated with a significant health care burden, poor prognosis, loss of functional independence and a decrease in quality of life. We performed a retrospective analysis on predictors of SRE in this population. We also evaluated temporal trends of outcomes and resource utilization in those with SRE. Methods: Adult breast cancer patients with metastases to bone, admitted from January 2012 to September 2015 were identified from the Nationwide Inpatient Sample database. Based on previous studies, SRE was defined by using ICD-9 codes for pathologic fracture, spinal cord compression, necessity for radiation to bone or surgery to bone. Multivariable analysis of predictors of SRE in patients with breast cancer metastatic to bone, as well as mortality in the SRE group were performed. Temporal trends of resource utilization across the years were evaluated. Results: A total of 143,455 patients with breast cancer with metastases to bone were identified, of which 17.2% had SRE. Patients with SRE had a mean age of 66 years and were predominantly white (70.2%). After adjusting for confounders, African Americans and Hispanics were less likely than Whites to develop SRE. On multivariable analysis, only comorbidity burden (in the form of high Charlson comorbidity index) predicted inpatient mortality. Rates of SRE in breast cancer patients with bone metastases did not change over the years (17.2% to 17.1%). Inpatient mortality of patients with SRE remained stable (3.76% to 3.79%). There was a statistically significant increase in surgical intervention (43.4% to 47.7%, p<0.01) and decrease in radiation to bone (25.7% to 19.7%, p<0.001) over time. Length of hospital stay and total hospital charges, after adjusting for inflation, remained largely unchanged. Conclusions: Incidence of SRE, inpatient outcomes and health care costs remained stagnant in those with metastatic breast cancer between 2012 and 2015, despite the advent of novel bone-targeted agents. There has been an increased trend towards surgical intervention and less utilization of local radiation over time. [Table: see text]

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