Breast cancer survival gap between urban and rural female population in Podlaskie Voivodship, Poland, in 2001–2002. Population study.
Journal Title: Annals of Agricultural and Environmental Medicine - Year 2010, Vol 17, Issue 2
Abstract
The aim of the study was to evaluate differences in breast cancer 5-year relative survival rates between the urban and rural female population in Podlaskie Voivodship in 2001-2002, before the introduction of the Population Screening Programme in 2006. The analysis was based on 659 breast cancer cases diagnosed in 2001-2002 and registered in CR in Białystok (Voivodship Cancer Registry). Relative survival and relative excess of risk of death after 5 years of diagnosis as function of age and stage among urban and rural women population were calculated. The results showed that survival rates in Podlaskie Voivodship were low (69.4%) in comparison to the European average (79.4%), and they differed between urban and rural areas. Patients living in rural areas had a much lower survival rate than those living in urban areas at local and regional stage of disease, whereas survivals were higher at the metastatic stage. In all age groups considered in the study, the survivals in rural areas were lower than in urban areas. The multivariate analysis confirmed that both the cancer stage and place of residence are independent prognostic factors. Relationship with age was not confirmed. The research results indicate low curability of breast cancer in Podlaskie Voivodship, and significant differences between urban and rural areas. These results need to be considered in the planning and monitoring of further intervention in order to increase the effectiveness of prevention and treatment standards for more disadvantaged rural areas. It is particularly significant when implementing the National Cancer Control Programme.
Authors and Affiliations
Michalina Krzyzak, Dominik Maślach, Magdalena Bielska-Lasota, Marzena Juczewska, Daniel Rabczenko, Jerzy T Marcinkowski, Andrzej Szpak
Keywords
Related Articles
- EP ID EP58700
- DOI -
- Views 142
- Downloads 0
A study of [i]Neospora caninum[/i] and [i]Toxoplasma[/i] [i]gondii[/i] antibody seroprevalence in healthy cattle in the Czech Republic
[b]Introduction and objective[/b]. The aim of study was to test the sera of healthy dairy cows by ELISAs, the methods also used in other groups of animals in the Czech Republic, and thus to obtain actual data about [i]N....
Forecasting of the selected features of Poaceae (R. Br.) Barnh., Artemisia L. and Ambrosia L. pollen season in Szczecin, north-western Poland, using Gumbel’s distribution
Introduction and objectives. The allergenic pollen content of the atmosphere varies according to climate, biogeography and vegetation. Minimisation of the pollen allergy symptoms is related to the possibility of avoidanc...
Review of methods used for identification of biothreat agents in environmental protection and human health aspects
Modern threats of bioterrorism force the need to develop methods for rapid and accurate dentification of dangerous biological agents. Currently, there are many types of methods used in this field of studies that are ba...
Serological survey in persons occupationally exposed to tick-borne pathogens in cases of co-infections with Borrelia burgdorferi, Anaplasma phagocytophilum, Bartonella spp. and Babesia microti
Sera of 39 farmers, 119 foresters and 32 blood donors were investigated for the presence of antibodies against [i]B. burgdorferi[/i], [i]A. phagocytophilum[/i], [i]B. microti[/i] and [i]Bartonella[/i] spp. Semi-quantitat...
Psychosocial generalised resistance resources and clinical indicators of patients suffering from Osteoarthritis at the Institute of Rural Health in Lublin, Poland
Objective. The aim of the study was investigation of the correlations between medical indicators of the course of illness and psychological factors, treated as generalised resistance resources, according to the Salutogen...