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Disease trajectories and mortality among women diagnosed with breast cancer.


ABSTRACT:

Purpose

Breast cancer is a common disease with a relatively good prognosis. Therefore, understanding the spectrum of diseases and mortality among breast cancer patients is important, though currently incomplete. We systematically examined the incidence and mortality of all diseases following a breast cancer diagnosis, as well as the sequential association of disease occurrences (trajectories).

Methods

In this national cohort study, 57,501 breast cancer patients (2001-2011) were compared to 564,703 matched women from the general Swedish population and followed until 2012. The matching criteria included year of birth, county of residence, and socioeconomic status. Based on information from the Swedish Patient and Cause of Death Registries, hazard ratios (HR) were estimated for disease incidence and mortality. Conditional logistic regression models were used to identify disease trajectories among breast cancer patients.

Results

Among 225 diseases, 45 had HRs >?1.5 and p?ConclusionsWhile an increased incidence of other diseases was found among breast cancer patients, increased mortality was only due to other solid cancers. Preventing death due to breast cancer should be a priority to prolong life in breast cancer patients, but closer surveillance of other solid cancers is also needed.

SUBMITTER: Yang H 

PROVIDER: S-EPMC6698019 | biostudies-literature | 2019 Aug

REPOSITORIES: biostudies-literature

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Publications

Disease trajectories and mortality among women diagnosed with breast cancer.

Yang Haomin H   Pawitan Yudi Y   He Wei W   Eriksson Louise L   Holowko Natalie N   Hall Per P   Czene Kamila K  

Breast cancer research : BCR 20190816 1


<h4>Purpose</h4>Breast cancer is a common disease with a relatively good prognosis. Therefore, understanding the spectrum of diseases and mortality among breast cancer patients is important, though currently incomplete. We systematically examined the incidence and mortality of all diseases following a breast cancer diagnosis, as well as the sequential association of disease occurrences (trajectories).<h4>Methods</h4>In this national cohort study, 57,501 breast cancer patients (2001-2011) were co  ...[more]

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