Évaluation des pratiques de prise en charge initiale du cancer du sein de petite taille chez la femme

Fritsch, Béatrice; Ostermann, Michèle; Thorn, Sylvie; F, Seiller; Fischer, Bertrand; Weill, G.

doi:10.1016/j.lpm.2007.03.046

Cited by 1 publication

(1 citation statement)

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“…Few European countries, however, have published time trends in hormone therapy and chemotherapy delivered to patients or published information on breast cancer management 3940 41 42 43 44 45 Recently published data comparing spending on new cancer drugs and their uptake6 do not assess treatment efforts specific to breast cancer, including changes in non-drug treatments (such as changes in surgical and radiotherapy management). Mortality reductions started after the release of reports on efficacy of chemotherapy and hormone therapy 46.…”

Section: Discussionmentioning

confidence: 99%

Disparities in breast cancer mortality trends between 30 European countries: retrospective trend analysis of WHO mortality database

Autier

Boniol

Vecchia

et al. 2010

BMJ

346

268

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Objective To examine changes in temporal trends in breast cancer mortality in women living in 30 European countries. Design Retrospective trend analysis. Data source WHO mortality database on causes of deaths Subjects reviewed Female deaths from breast cancer from 1989 to 2006 Main outcome measures Changes in breast cancer mortality for all women and by age group (<50, 50-69, and ≥70 years) calculated from linear regressions of log transformed, age adjusted death rates. Joinpoint analysis was used to identify the year when trends in all age mortality began to change. Results From 1989 to 2006, there was a median reduction in breast cancer mortality of 19%, ranging from a 45% reduction in Iceland to a 17% increase in Romania. Breast cancer mortality decreased by ≥20% in 15 countries, and the reduction tended to be greater in countries with higher mortality in 1987-9. England and Wales, Northern Ireland, and Scotland had the second, third, and fourth largest decreases of 35%, 29%, and 30%, respectively. In France, Finland, and Sweden, mortality decreased by 11%, 12%, and 16%, respectively. In central European countries mortality did not decline or even increased during the period. Downward mortality trends usually started between 1988 and 1996, and the persistent reduction from 1999 to 2006 indicates that these trends may continue. The median changes in the age groups were −37% (range −76% to −14%) in women aged <50, −21% (−40% to 14%) in 50-69 year olds, and −2% (−42% to 80%) in ≥70 year olds.

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