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Factors associated with readmissions in women participating in screening programs and treated for breast cancer: a retrospective cohort study.

ABSTRACT: BACKGROUND:We aimed to identify the risk factors associated with early, late and long-term readmissions in women diagnosed with breast cancer participating in screening programs. METHODS:We performed a multicenter cohort study of 1055 women aged 50-69?years participating in Spanish screening programs, diagnosed with breast cancer between 2000 and 2009, and followed up to 2014. Readmission was defined as a hospital admission related to the disease and/or treatment complications, and was classified as early (?1?year). We used logistic regression to estimate the adjusted odds ratios (aOR), and 95% confidence intervals (95% CI) to explore the factors associated with early, late and long-term readmissions, adjusting by women's and tumor characteristics, detection mode, treatments received, and surgical and medical complications. RESULTS:Among the women included, early readmission occurred in 76 (7.2%), late readmission in 87 (8.2%), long-term readmission in 71 (6.7%), and no readmission in 821 (77.8%). Surgical complications were associated with an increased risk of early readmissions (aOR?=?3.62; 95%CI: 1.27-10.29), and medical complications with late readmissions (aOR?=?8.72; 95%CI: 2.83-26.86) and long-term readmissions (aOR?=?4.79; 95%CI: 1.41-16.31). CONCLUSION:Our results suggest that the presence of surgical or medical complications increases readmission risk, taking into account the detection mode and treatments received. Identifying early complications related to an increased risk of readmission could be useful to adapt the management of patients and reduce further readmissions. TRIAL REGISTRATION:ClinicalTrials.govIdentifier: NCT03165006. Registration date: May 22, 2017 (Retrospectively registered).

SUBMITTER: Miret C

PROVIDER: S-EPMC6896282 | biostudies-literature | 2019 Dec

REPOSITORIES: biostudies-literature

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Factors associated with readmissions in women participating in screening programs and treated for breast cancer: a retrospective cohort study.

Miret Carme C Domingo Laia L Louro Javier J Barata Teresa T Baré Marisa M Ferrer Joana J Carmona-García Maria Carmen MC Castells Xavier X Sala Maria M

BMC health services research 20191205 1

<h4>Background</h4>We aimed to identify the risk factors associated with early, late and long-term readmissions in women diagnosed with breast cancer participating in screening programs.<h4>Methods</h4>We performed a multicenter cohort study of 1055 women aged 50-69 years participating in Spanish screening programs, diagnosed with breast cancer between 2000 and 2009, and followed up to 2014. Readmission was defined as a hospital admission related to the disease and/or treatment complications, an ...[more]

PMID: 31805926

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Project description:OBJECTIVES:Breast cancer incidence rates are rising in Qatar. Although the Qatari government provides subsidised healthcare and screening programmes that reduce cost barriers for residents, breast cancer screening (BCS) practices among women remain low. This study explores the influence of socioeconomic status on BCS among Arab women in Qatar. SETTING:A multicentre, cross-sectional quantitative survey was conducted with 1063 Arab women (87.5% response rate) in Qatar from March 2011 to July 2011. Women who were 35?years or older and had lived in Qatar for at least 10?years were recruited from seven primary healthcare centres and women's health clinics in urban and semiurban regions of Qatar. Associations between socioeconomic factors and BCS practice were estimated using ?(2) tests and multivariate logistic regression analyses. RESULTS:Findings indicate that less than one-third of the participants practised BCS appropriately, whereas less than half of the participants were familiar with recent BCS guidelines. Married women and women with higher education and income levels were significantly more likely to be aware of and to practise BCS than women who had lower education and income levels. CONCLUSIONS:Findings indicate low levels of awareness and low participation rates in BCS among Arab women in Qatar. Socioeconomic factors influence these women's participation in BCS activities. The strongest predictors for BCS practice are higher education and higher income levels. RECOMMENDATIONS:Additional research is needed to explore the impact of economic factors on healthcare seeking behaviours in the Middle Eastern countries that have a high national gross domestic product where healthcare services are free or heavily subsidised by the government; promotion of BCS and intervention strategies in these countries should focus on raising awareness about breast cancer, the cost and benefit of early screening for this disease, particularly among low-income women.

Dataset Information

Factors associated with readmissions in women participating in screening programs and treated for breast cancer: a retrospective cohort study.

Publications

Factors associated with readmissions in women participating in screening programs and treated for breast cancer: a retrospective cohort study.

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