Geographic variations in breast cancer mortality: Do higher rates imply elevated incidence or poorer survival?

被引：28

作者：

Goodwin, JS

Freeman, JL

Freeman, D

Nattinger, AB

机构：

[1] Univ Texas, Med Branch, Dept Med, Galveston, TX 77550 USA

[2] Univ Texas, Med Branch, Sealy Ctr Aging, Galveston, TX 77550 USA

[3] Univ Texas, Med Branch, Off Biostat, Galveston, TX 77550 USA

[4] Med Coll Wisconsin, Dept Med, Milwaukee, WI 53226 USA

来源：

AMERICAN JOURNAL OF PUBLIC HEALTH | 1998年 / 88卷 / 03期

关键词：

D O I：

10.2105/AJPH.88.3.458

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Objectives. Mortality rates from breast cancer are approximately 25% higher for women in the northeastern United States than for women in the South or West. This study examined the hypothesis that the elevation is due to decreased survival rather than increased incidence. Methods. Data on breast cancer incidence, treatment, and mortality were reviewed. Results. The elevated mortality in the Northeast is apparent only in older women. For women aged 65 years and older, breast cancer mortality is 26% higher in New England than in the South, while incidence is only 3% higher. Breast cancer mortality for older women by state correlates poorly with incidence (r = 0.28). Conclusions. Those seeking to explain the excess breast cancer mortality in the Northeast should assess survival and should examine differences in cancer control practices that affect survival.

引用

页码：458 / 460

页数：3