Abraxane Versus Taxol For Patients with Advanced Breast Cancer: A Prospective Time and Motion Analysis from a Chinese Health Care Perspective

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.

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Abstract P3-06-08: Patterns of health care utilization and costs by chemotherapy and endocrine therapy sequencing among patients with hormone receptor positive (HR+)/HER2- negative advanced breast cancer

10.1158/0008-5472.sabcs13-p3-06-08 ◽

2013 ◽

Author(s):

NM Engel-Nitz ◽

Y Hao ◽

G Gomez Rey ◽

J Sullivan ◽

J Willemann Rogerio

Keyword(s):

Breast Cancer ◽

Health Care ◽

Health Care Utilization ◽

Advanced Breast Cancer ◽

Endocrine Therapy ◽

Hormone Receptor ◽

Advanced Breast ◽

Care Utilization ◽

Hormone Receptor Positive

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Healthcare Use during the Last Six Months of Life in Patients with Advanced Breast Cancer

Cancers ◽

10.3390/cancers13215271 ◽

2021 ◽

Vol 13 (21) ◽

pp. 5271

Author(s):

Renée. S. J. M. Schmitz ◽

Sandra. M. E. Geurts ◽

Khava. I. E. Ibragimova ◽

Dominique. J. P. Tilli ◽

Vivianne C. G. Tjan-Heijnen ◽

...

Keyword(s):

Breast Cancer ◽

Health Care ◽

Advanced Breast Cancer ◽

End Of Life ◽

Medical Center ◽

Treatment Options ◽

Admission Rate ◽

Health Care Use ◽

Advanced Breast ◽

Hospital Admission Rate

New treatment options in cancer have resulted in increased use of health care resources near the end of life. We assessed health care use near the end of life of patients with advanced breast cancer (ABC). From the Southeast Netherlands Breast cancer (SONABRE) registry, we selected all deceased patients diagnosed with ABC in Maastricht University Medical Center between January 2007 and October 2017. Frequency of health care use in the last six months of life was described and predictors for health care use were assessed. Of 203 patients, 76% were admitted during the last six months, 6% to the intensive care unit (ICU) and 2% underwent cardiopulmonary resuscitation (CPR). Death in hospital occurred in 25%. Nine percent of patients received a new line of chemotherapy ≤30 days before death, which was associated with age <65 years and <1 year survival since diagnosis of metastases. In these patients, the hospital admission rate was 95%, of which 79% died in the hospital, mostly due to progressive disease (80%). In conclusion, the frequency of ICU-admission, CPR or a new line of chemotherapy ≤ 30 days before death was low. Most patients receiving a new line of chemotherapy ≤ 30 days before death, died in the hospital.

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REASONS FOR DELAYED PRESENTATION IN ADVANCED BREAST CANCER PATIENTS AND HOW TO AVOID THIS: A PROSPECTIVE STUDY AT A TERTIARY CARE HOSPITAL OF NORTHERN INDIA

International Journal of Medical and Biomedical Studies ◽

10.32553/ijmbs.v3i3.138 ◽

2019 ◽

Vol 3 (3) ◽

Author(s):

Shabir Ahmad Mir ◽

Suhail Farooq ◽

Azher Mushtaq ◽

Mumtazdin Wani

Keyword(s):

Breast Cancer ◽

Health Care ◽

Prospective Study ◽

Advanced Breast Cancer ◽

Rural Areas ◽

Tertiary Care ◽

Advanced Breast ◽

Care Hospital ◽

Delayed Presentation ◽

Breast Cancer Patients

Background: Delay in presentation of breast cancer is usually detrimental to patient survival. Women with breast from rural areas of developing countries usually present late because of shyness and unawareness about the grave nature of disease. Under this background present study was carried out. Materials and Methods: This prospective study was conducted over a period of 4 years in the Department of Surgery in SMHS (Shri Maharaja Hari Singh) hospital at Government Medical College Srinagar, Jammu and Kashmir, India, from January 2013 to January 2017. A total of 31 patients of advanced breast cancer with delayed presentation were studied during this period. Objective: Our aim wasto look for the reasons of delayed presentation of breast carcinoma and highlight the need for measures to be taken in this regard. Results: The age of the patients ranged from 33 years to 77 years. The mean age was 61.9 years. The average age in the elder group (>50 years) was 68 years. Most of the patients were of >50 years age. They were uneducated, unaware about the lethal nature of disease, and were shy in exposing their breasts to health care persons. Most (83%) of them were from rural areas. Conclusion: Since majority of our patients were illiterate, unaware about the lethal nature of disease and were shy to expose their diseased breasts to health care personal, hence need of the hour is to create awareness about the nature of disease, its symptomatology, self-breast examination, and the risks conducting associated with delay in seeking medical advice after first noticing the disease. Key words: Delayed presentation, advanced, breast cancer, illiterate.

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Rural women’s knowledge of prevention and care related to breast cancer

Curationis ◽

10.4102/curationis.v32i2.928 ◽

2009 ◽

Vol 32 (2) ◽

Cited By ~ 4

Author(s):

N.H. Mugivhi ◽

J.E. Maree, ◽

S.C.D. Wright

Keyword(s):

Breast Cancer ◽

Health Care ◽

Advanced Breast Cancer ◽

Signs And Symptoms ◽

Advanced Breast ◽

Breast Health ◽

Breast Self Examination ◽

Oncology Nurse ◽

Level Of Knowledge ◽

Self Examination

According to the experience of the researcher, an oncology nurse, women living in the rural areas of Thulamela municipality in the Limpopo Province, have many different perceptions of breast cancer. Perceptions are based on previous disease experiences. As with previous illnesses, changes in the breast caused by breast cancer are self-managed and treated. When these women seek medical advice for breast cancer related problems, they already have advanced cancer. The purpose of the study was to investigate if women are knowledgeable of the signs and symptoms of breast cancer, breast self-examination, as well as appropriate health care to take responsibility to prevent admission with advanced breast cancer. The research study was an exploratory and contextual survey. The sampling method was convenient (n=200). Data were gathered during a structured interview using a checklist. Data analysis was done by means of descriptive statistics. The results of the study indicated a low level of knowledge regarding the signs and symptoms of breast cancer. The average level of knowledge for the signs and symptoms of breast cancer was less than 10% (n=20). With regards to breast self-examination the results varied between 8.5% (n=17) and 13% (n=26). Biomedical medicine was the preferred treatment choice for the majority of the respondents. The study provided evidence that women were unable to take responsibility for their breast health. Their lack of knowledge of the signs and symptoms of breast cancer and breast self-examination would not enable them to prevent presenting with advanced disease. A breast health care strategy for women living in Thulamela should be designed, implemented and evaluated to prevent presentation with advanced breast cancer.

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