Presentation, tumour and treatment features in immigrant women from Arabic-speaking countries treated for breast cancer in Australia
Autor: | Meagan Brennan, James French, Kavitha Kanesalingam, Nina Sriram, Farid Meybodi, Ghaith Bahjat Heilat |
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Rok vydání: | 2019 |
Předmět: |
Adult
Arabic media_common.quotation_subject Immigration Population Emigrants and Immigrants Breast Neoplasms Audit 03 medical and health sciences Middle East Young Adult 0302 clinical medicine Breast cancer Survivorship curve medicine Humans education media_common Aged Retrospective Studies Aged 80 and over education.field_of_study business.industry Australia General Medicine Middle Aged medicine.disease language.human_language Disadvantaged 030220 oncology & carcinogenesis language 030211 gastroenterology & hepatology Surgery Female Presentation (obstetrics) business Demography |
Zdroj: | ANZ journal of surgeryReferences. 90(3) |
ISSN: | 1445-2197 |
Popis: | Australia has a large population of immigrant women from Arabic-speaking countries. The aim of this study was to examine breast cancer tumour and surgical treatment features for women born in Arabic-speaking countries and compare them to women born in Australia and other countries. Another aim was to consider how this information can inform clinical care for this multicultural population.This is a retrospective audit of an institutional breast cancer database. Demographic, tumour and surgical treatment data were extracted for the Arab women and compared to Australian-born women (comparison 1) and to women born in all other countries (comparison 2); chi-squared analysis was performed to test for differences between groups.A total of 2086 cases with country of birth information were identified, of whom 139 women (6.7%) were born in Arabic-speaking countries, 894 (42.8%) were born in Australia and 1053 (50.4%) were born in other countries (71 nations). Arab women tended to be younger (P = 0.013), more disadvantaged (P 0.001), were more likely to have symptomatic rather than screen-detected breast cancer (P 0.001), had a higher rate of high grade (P = 0.021), HER2-positive (P = 0.025) breast cancer compared to Australian-born women or others. There was no difference in tumour (pT) stage, rate of breast conservation versus mastectomy, re-excision and contralateral prophylactic mastectomy between groups. Australian-born women were more likely to undergo breast reconstruction after mastectomy (P 0.001); reconstruction rate was29% in all groups.Women born in Arabic-speaking countries were younger, more disadvantaged and showed more aggressive tumour features. This has implications for supportive care during treatment and survivorship. |
Databáze: | OpenAIRE |
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