Limits...
Challenges to the control of breast cancer in a small developing country.

Mungrue K, Ramdath J, Ali S, Cuffie WA, Dodough N, Gangar M, Mohammed L, Mungroo V, Ramsahai J, Shah M - Breast Cancer (Auckl) (2014)

Bottom Line: Clinical and demographic data were extracted.A total of 640 patients were selected for the study and were available for the analysis.Surgery and chemotherapy were the major interventions employed.

View Article: PubMed Central - PubMed

Affiliation: University of the West Indies, Faculty of Medical Sciences, Department of Paraclinical Sciences, EMWSC, Mount Hope, Trinidad.

ABSTRACT

Objective: The aim of this study is to determine the clinicopathological features of breast cancer in two dedicated cancer treatment centers in north Trinidad. The histological types and stage at presentation were also investigated.

Design and methods: A retrospective cohort design was used; data were collected from a review of medical records of patients meeting the entry criteria. Clinical and demographic data were extracted.

Results: A total of 640 patients were selected for the study and were available for the analysis. The annual cumulative incidence rate of breast cancer for the calendar years 2010 and 2011 in north Trinidad was 32.4 per 100,000 and 24.6 per 100,000 of the population. The age group between 51-60 years had the highest proportion of cases of breast cancer. There was a significant ethnic disparity in the occurrence of breast cancer, as it was more common in people of African origin than among South East Asians. Surgery and chemotherapy were the major interventions employed.

Conclusion: Breast cancer prevalence continues to be high in Trinidad; we provide evidence of the extent of and the degree of sophistication required to care for patients with breast cancer in a health care system in a small developing country.

No MeSH data available.


Related in: MedlinePlus

The distribution of breast cancer cases by age at tertiary health care centers in North Trinidad, 2010–2011.
© Copyright Policy - open-access
Related In: Results  -  Collection


getmorefigures.php?uid=PMC3921156&req=5

f1-bcbcr-8-2014-007: The distribution of breast cancer cases by age at tertiary health care centers in North Trinidad, 2010–2011.

Mentions: A total of 640 patients who met the entry criteria were recruited into the study, and while all cases were available for analysis, all of the data from each patient were unavailable. In fact, in only 468 cases was age at diagnosis recorded. The age group ranging from 51–60 years had the highest proportion of breast cancer cases (Table 1). A cut-off point of ≥ 50 years was used to categorize cases into premenopause and postmenopause. There were more women in the postmenopausal age group (n = 291; 62.2%) compared with women in the premenopausal group. However, in the premenopausal group, the rate of the disease increased with age and peaked at 50–61 years, while in the postmenopausal age group, the disease incidence declined with age (Fig. 1). Breast cancer was more common in women of the African Diaspora than women of South East Asian origin, and more common among married women (47%) compared to single women (21.7%). In addition, the incidence of breast cancer was highest among the unemployed. Stage 2A breast cancer was the most common presenting stage (n = 154; 24%), while invasive ductal carcinoma was the most common histological type (n = 429; 67%) (Table 2).


Challenges to the control of breast cancer in a small developing country.

Mungrue K, Ramdath J, Ali S, Cuffie WA, Dodough N, Gangar M, Mohammed L, Mungroo V, Ramsahai J, Shah M - Breast Cancer (Auckl) (2014)

The distribution of breast cancer cases by age at tertiary health care centers in North Trinidad, 2010–2011.
© Copyright Policy - open-access
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC3921156&req=5

f1-bcbcr-8-2014-007: The distribution of breast cancer cases by age at tertiary health care centers in North Trinidad, 2010–2011.
Mentions: A total of 640 patients who met the entry criteria were recruited into the study, and while all cases were available for analysis, all of the data from each patient were unavailable. In fact, in only 468 cases was age at diagnosis recorded. The age group ranging from 51–60 years had the highest proportion of breast cancer cases (Table 1). A cut-off point of ≥ 50 years was used to categorize cases into premenopause and postmenopause. There were more women in the postmenopausal age group (n = 291; 62.2%) compared with women in the premenopausal group. However, in the premenopausal group, the rate of the disease increased with age and peaked at 50–61 years, while in the postmenopausal age group, the disease incidence declined with age (Fig. 1). Breast cancer was more common in women of the African Diaspora than women of South East Asian origin, and more common among married women (47%) compared to single women (21.7%). In addition, the incidence of breast cancer was highest among the unemployed. Stage 2A breast cancer was the most common presenting stage (n = 154; 24%), while invasive ductal carcinoma was the most common histological type (n = 429; 67%) (Table 2).

Bottom Line: Clinical and demographic data were extracted.A total of 640 patients were selected for the study and were available for the analysis.Surgery and chemotherapy were the major interventions employed.

View Article: PubMed Central - PubMed

Affiliation: University of the West Indies, Faculty of Medical Sciences, Department of Paraclinical Sciences, EMWSC, Mount Hope, Trinidad.

ABSTRACT

Objective: The aim of this study is to determine the clinicopathological features of breast cancer in two dedicated cancer treatment centers in north Trinidad. The histological types and stage at presentation were also investigated.

Design and methods: A retrospective cohort design was used; data were collected from a review of medical records of patients meeting the entry criteria. Clinical and demographic data were extracted.

Results: A total of 640 patients were selected for the study and were available for the analysis. The annual cumulative incidence rate of breast cancer for the calendar years 2010 and 2011 in north Trinidad was 32.4 per 100,000 and 24.6 per 100,000 of the population. The age group between 51-60 years had the highest proportion of cases of breast cancer. There was a significant ethnic disparity in the occurrence of breast cancer, as it was more common in people of African origin than among South East Asians. Surgery and chemotherapy were the major interventions employed.

Conclusion: Breast cancer prevalence continues to be high in Trinidad; we provide evidence of the extent of and the degree of sophistication required to care for patients with breast cancer in a health care system in a small developing country.

No MeSH data available.


Related in: MedlinePlus