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Gu J, Hu M, Chen Y, Yu J, Ji Y, Wei G, Huo J. Bibliometric analysis of global research on physical activity and sedentary behavior in the context of cancer. Front Oncol 2023; 13:1095852. [PMID: 36776335 PMCID: PMC9909561 DOI: 10.3389/fonc.2023.1095852] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/07/2022] [Accepted: 01/13/2023] [Indexed: 01/27/2023] Open
Abstract
Objective Numerous studies focusing on sedentary behavior (SB) and physical activity (PA) in the context of cancer have been reported in recent years. We analyzed and visualized studies on SB and PA in patients with cancer over the last 20 years using scientometric methods, to provide insights on gaps and deficiencies in the literature, and to inform future research guidelines. Methods All relevant studies in the field from 2001 to October 2022 were reviewed using bibliometric tools, including VOSviewer, Bibliometric online analysis platform, and biblioshiny, to determine the most influential countries, institutions, journals, and authors. We explored current research hotpots and potential research trends, based on keyword clustering and dynamic changes. Our research focuses on PA, SB, and cancer across the entire cancer continuum, from primary prevention to treatment to cancer survivorship. Results Scientometric analysis identified 4,382 relevant manuscripts on SB and PA in the context of cancer, with a 10-fold increase in articles over the past 20 years. The United States, Canada, and Australia were the most influential countries. The journal, Supportive Care in Cancer, had the highest number of publications, while Clinical Oncology had the highest H-index. K.S. Courneya was the most influential author in this field, with the highest number of publications, total citations, and H-index. Keyword analysis revealed that current research is focused on PA and SB in patients with breast cancer, quality of life, and aerobic exercise. Future frontiers include cancer prehabilitation programs and cardiorespiratory fitness, and remote intervention and social support. Conclusion By using bibliometrics, we conducted a comprehensive review of SB and PA in cancer-related studies. The current research focused on exercise and sedentariness in breast cancer patients and the role of PA in improving quality of life in survivorship. Emerging research foci were generally around cancer prehabilitation programs and remote intervention issues for PA. In addition, some publication deficits are noted: studies of PA and SB in less common cancers; the recommended doses and intensities of exercise for cancer; the timing of interventions for prehabilitation and the establishment of individualized exercise protocols. These deficiencies align with the needs for future research topics.
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Affiliation(s)
- Jialin Gu
- Department of Oncology, Affiliated Hospital of Integrated Traditional Chinese and Western Medicine, Nanjing University of Chinese Medicine, Nanjing, Jiangsu, China,The Third Clinical Medical College, Nanjing University of Chinese Medicine, Nanjing, Jiangsu, China
| | - Miao Hu
- Department of Oncology, Affiliated Hospital of Integrated Traditional Chinese and Western Medicine, Nanjing University of Chinese Medicine, Nanjing, Jiangsu, China,The Third Clinical Medical College, Nanjing University of Chinese Medicine, Nanjing, Jiangsu, China
| | - Yonglin Chen
- Key Laboratory of Acupuncture and Medicine Research of Ministry of Education, Nanjing University of Chinese Medicine, Nanjing, Jiangsu, China
| | - Jialin Yu
- Department of Oncology, Affiliated Hospital of Integrated Traditional Chinese and Western Medicine, Nanjing University of Chinese Medicine, Nanjing, Jiangsu, China,Department of Oncology, Jiangsu Province Academy of Traditional Chinese Medicine, Nanjing, Jiangsu, China
| | - Yi Ji
- Department of Oncology, Affiliated Hospital of Integrated Traditional Chinese and Western Medicine, Nanjing University of Chinese Medicine, Nanjing, Jiangsu, China,Department of Oncology, Jiangsu Province Academy of Traditional Chinese Medicine, Nanjing, Jiangsu, China
| | - Guoli Wei
- Department of Oncology, Affiliated Hospital of Integrated Traditional Chinese and Western Medicine, Nanjing University of Chinese Medicine, Nanjing, Jiangsu, China,Department of Oncology, Jiangsu Province Academy of Traditional Chinese Medicine, Nanjing, Jiangsu, China,*Correspondence: Guoli Wei, ; Jiege Huo,
| | - Jiege Huo
- Department of Oncology, Affiliated Hospital of Integrated Traditional Chinese and Western Medicine, Nanjing University of Chinese Medicine, Nanjing, Jiangsu, China,Department of Oncology, Jiangsu Province Academy of Traditional Chinese Medicine, Nanjing, Jiangsu, China,*Correspondence: Guoli Wei, ; Jiege Huo,
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Trieu PD(Y, Mello-Thoms CR, Barron ML, Lewis SJ. Look how far we have come: BREAST cancer detection education on the international stage. Front Oncol 2023; 12:1023714. [PMID: 36686760 PMCID: PMC9846523 DOI: 10.3389/fonc.2022.1023714] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/20/2022] [Accepted: 12/05/2022] [Indexed: 01/06/2023] Open
Abstract
The development of screening mammography over 30 years has remarkedly reduced breast cancer-associated mortality by 20%-30% through detection of small cancer lesions at early stages. Yet breast screening programmes may function differently in each nation depending on the incidence rate, national legislation, local health infrastructure and training opportunities including feedback on performance. Mammography has been the frontline breast cancer screening tool for several decades; however, it is estimated that there are 15% to 35% of cancers missed on screening which are owing to perceptual and decision-making errors by radiologists and other readers. Furthermore, mammography screening is not available in all countries and the increased speed in the number of new breast cancer cases among less developed countries exceeds that of the developed world in recent decades. Studies conducted through the BreastScreen Reader Assessment Strategy (BREAST) training tools for breast screening readers have documented benchmarking and significant variation in diagnostic performances in screening mammogram test sets in different countries. The performance of the radiologists from less well-established breast screening countries such as China, Mongolia and Vietnam were significant lower in detecting early-stage cancers than radiologists from developed countries such as Australia, USA, Singapore, Italy. Differences in breast features and cancer presentations, discrepancies in the level of experiences in reading screening mammograms, the availability of high-quality national breast screening program and breast image interpretation training courses between developed and less developed countries are likely to have impact on the variation of readers' performances. Hence dedicated education training programs with the ability to tailor to different reader cohorts and different population presentations are suggested to ameliorate challenges in exposure to a range of cancer cases and improve the interpretation skills of local radiologists. Findings from this review provide a good understanding of the radiologist' performances and their improvement using the education interventions, primarily the BREAST program, which has been deployed in a large range of developing and developed countries in the last decade. Self-testing and immediate feedback loops have been shown to have important implications for benchmarking and improving the diagnostic accuracy in radiology worldwide for better breast cancer control.
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Affiliation(s)
- Phuong Dung (Yun) Trieu
- Discipline of Medical Imaging Sciences, School of Health Sciences, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, Australia
| | - Claudia R. Mello-Thoms
- Discipline of Medical Imaging Sciences, School of Health Sciences, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, Australia
- Department of Radiology, Carver College of Medicine, University of Iowa, Iowa City, IA, United States
| | - Melissa L. Barron
- Discipline of Medical Imaging Sciences, School of Health Sciences, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, Australia
| | - Sarah J. Lewis
- Discipline of Medical Imaging Sciences, School of Health Sciences, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, Australia
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Dunn N, Youl P, Moore J, Harden H, Walpole E, Evans E, Taylor K, Philpot S, Furnival C. Breast-cancer mortality in screened versus unscreened women: Long-term results from a population-based study in Queensland, Australia. J Med Screen 2020; 28:193-199. [PMID: 32842857 DOI: 10.1177/0969141320950776] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
OBJECTIVE In the context of a mature mammographic screening programme, the aim of this population-based study was to estimate rates of breast-cancer mortality among participants versus non-participants in Queensland, Australia. METHODS The Queensland Electoral Roll was used to identify women aged 50-65 in the year 2000 (n = 269,198). Women with a prior history of invasive or in situ breast cancer were excluded (n = 6,848). The study population was then linked to mammography records from BreastScreen Queensland together with the Wesley Breast Screening Clinic (the largest provider of private screening in Queensland) to establish a screened cohort (n = 187,558) and an unscreened cohort (n = 74,792). Cohort members were matched and linked to cancer notifications and deaths through the state-based Queensland Oncology Repository. Differences in breast-cancer mortality between the two cohorts were measured using Cox proportional hazards regression. RESULTS After 16 years of follow-up, women in the screened cohort showed a 39% reduction in breast-cancer mortality compared to the unscreened cohort (HR = 0.61, 95%CI = 0.55-0.68). Cumulative mortality over the same period was 0.47% and 0.77% in the screened and unscreened cohorts, respectively. CONCLUSIONS This study found a significant reduction in breast-cancer mortality for women who participated in mammographic screening compared to unscreened women. Our findings of a breast-cancer mortality benefit for women who have mammographic screening are in line with other observational studies.
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Affiliation(s)
- Nathan Dunn
- Cancer Alliance Queensland, Metro South Hospital and Health Service, Princess Alexandra Hospital, Brisbane, Australia
| | - Philippa Youl
- Cancer Alliance Queensland, Metro South Hospital and Health Service, Princess Alexandra Hospital, Brisbane, Australia
| | - Julie Moore
- Cancer Alliance Queensland, Metro South Hospital and Health Service, Princess Alexandra Hospital, Brisbane, Australia
| | - Hazel Harden
- Cancer Alliance Queensland, Metro South Hospital and Health Service, Princess Alexandra Hospital, Brisbane, Australia
| | - Euan Walpole
- Cancer Alliance Queensland, Metro South Hospital and Health Service, Princess Alexandra Hospital, Brisbane, Australia
| | | | - Kate Taylor
- BreastScreen Queensland, Metro Southside Service, Archerfield, Australia
| | - Shoni Philpot
- Cancer Alliance Queensland, Metro South Hospital and Health Service, Princess Alexandra Hospital, Brisbane, Australia
| | - Colin Furnival
- Cancer Alliance Queensland, Metro South Hospital and Health Service, Princess Alexandra Hospital, Brisbane, Australia
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Walpole E, Dunn N, Youl P, Harden H, Furnival C, Moore J, Taylor K, Evans E, Philpot S. Nonbreast cancer incidence, treatment received and outcomes: Are there differences in breast screening attendees versus nonattendees? Int J Cancer 2020; 147:856-865. [PMID: 31808149 DOI: 10.1002/ijc.32821] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/30/2019] [Accepted: 11/12/2019] [Indexed: 11/08/2022]
Abstract
While reductions in breast cancer mortality have been evident since the introduction of population-based breast screening in women aged 50-74 years, participation in cancer screening programs can be influenced by several factors, including health system and those related to the individual. In our study, we compared cancer incidence and mortality for several cancer types other than breast cancer, noncancer mortality and patterns of treatment amongst women who did and did not participate in mammography screening. All women aged 50-65 years enrolled on the Queensland Electoral Roll in 2000 were included. The study population was then linked to records from the population-based breast screening program and private fee-for-service screening options to establish screened and unscreened cohorts. Diagnostic details for selected cancers and cause of death were obtained from the Queensland Oncology Repository. We calculated incidence rate ratios and hazard ratios comparing screened and unscreened cohorts. Among screened compared to unscreened women, we found a lower incidence of cancers of the lung, cervix, head and neck and esophagus and an increase in colorectal cancers. Cancer mortality (excluding breast cancer) was 35% lower among screened compared to unscreened women and they were also about 23% less likely to be diagnosed with distant disease. Screened compared to unscreened women were more likely to receive surgery and less likely to receive no treatment. Our study adds further to the population data examining outcomes among women participating in mammography screening.
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Affiliation(s)
- Euan Walpole
- Cancer Alliance Queensland, Metro South Hospital and Health Service, Princess Alexandra Hospital, Burke St, Woolloongabba, QLD, Australia
| | - Nathan Dunn
- Cancer Alliance Queensland, Metro South Hospital and Health Service, Princess Alexandra Hospital, Burke St, Woolloongabba, QLD, Australia
| | - Philippa Youl
- Cancer Alliance Queensland, Metro South Hospital and Health Service, Princess Alexandra Hospital, Burke St, Woolloongabba, QLD, Australia
| | - Hazel Harden
- Cancer Alliance Queensland, Metro South Hospital and Health Service, Princess Alexandra Hospital, Burke St, Woolloongabba, QLD, Australia
| | - Colin Furnival
- Cancer Alliance Queensland, Metro South Hospital and Health Service, Princess Alexandra Hospital, Burke St, Woolloongabba, QLD, Australia
| | - Julie Moore
- Cancer Alliance Queensland, Metro South Hospital and Health Service, Princess Alexandra Hospital, Burke St, Woolloongabba, QLD, Australia
| | - Kate Taylor
- BreastScreen Queensland, Metro Southside Service, Coopers Plains, QLD, Australia
| | - Elizabeth Evans
- The Wesley Breast Clinic, 451 Coronation Drive, Auchenflower, QLD, Australia
| | - Shoni Philpot
- Cancer Alliance Queensland, Metro South Hospital and Health Service, Princess Alexandra Hospital, Burke St, Woolloongabba, QLD, Australia
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Ali Ghalib HH, Ali DH, Molah Karim SA, Mohialdeen Gubari MI, Mohammed SA, Marif DH, Othman HM. Risk factors assessment of breast cancer among Iraqi Kurdish women: Case-control study. J Family Med Prim Care 2019; 8:3990-3997. [PMID: 31879648 PMCID: PMC6924248 DOI: 10.4103/jfmpc.jfmpc_528_19] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/10/2019] [Revised: 07/13/2019] [Accepted: 07/16/2019] [Indexed: 11/05/2022] Open
Abstract
BACKGROUND To our knowledge, there is no international publication on risk factors of breast cancer among Kurdish women. There are several risk factors of breast cancer may differ in different geographical cultures. The aims of this study are to assess the established and probable risk factors of breast cancer among Iraqi Kurdish women as well as to investigate the effect of some Mediterranean food items on this issue. MATERIALS AND METHODS This retrospective case-control study was constructed in Sulaimanyah governorate-Iraq. Data were collected regarding socio-demographic characters, established risk factors, and dietary habits of 338 cases that were registered in Sulaimanyah Breast Center during January 2015-February 2019 with collection of same items for 338 age-matched controls. RESULTS The marriage was appeared to be a protective factor with (OR = 0.596, CI: 0.364-0.974, P = 0.039). Age at menarche ≥14 years has a protective effect with (OR: 0.326, P = 0.027) and 152 cases (45.0%) had menarche at ≤12 years compared to 56 controls (16.6%) with (P = 0.000). Numbers of children ≥ 3, regular exercise, and breastfeeding for >48 months duration have protective role. Consumption of fast foods and some Mediterranean foods weekly >2 times are risk factors, while taking stewed meat weekly one time, fish weekly ≥1 time, fruit daily>1 time and vegetables daily≥1 time, and black tea daily >3 cups have preventative effect on breast cancer. CONCLUSION Among Kurdish women, some items of Mediterranean food have the same causative effect as fast food items. Marriages, consumption of stewed meat, fish, fruit, vegetables, and black tea may have preventative effect.
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Affiliation(s)
- Hawar Hasan Ali Ghalib
- Consultant Breast Surgeon, Department of Surgery, College of Medicine, Sulaimani University, Kurdistan Region, Iraq
| | - Dawan Hiwa Ali
- High Diploma Candidate for Breast Diseases, Department of Breast Diseases, Breast Center of Sulaimanyah, Sulaimanyah Governorate, Kurdistan Region, Iraq
| | - Sherko Abdullah Molah Karim
- General and Digestive Surgeon, Department of Surgery, Shar Teaching Hospital, Sulaimanyah Governorate, Kurdistan Region, Iraq
| | - Mohammed Ibrahim Mohialdeen Gubari
- Department of Community Health, Technical College of Health, Sulaimani Polytechnic University, Sulaimanyah Governorate, Kurdistan Region, Iraq
| | - Saman Ahmed Mohammed
- Department of Family and Community Medicine, College of Medicine, Sulaimani University, Kurdistan Region, Iraq
| | - Diyar Hassan Marif
- Department of General Surgery, Sulaimanyah Teaching Hospital, Sulaimanyah Governorate, Kurdistan Region, Iraq
| | - Hawsar Mohammed Othman
- Department of General Surgery, Sulaimanyah Teaching Hospital, Sulaimanyah Governorate, Kurdistan Region, Iraq
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Tirkel T, Edan Y, Khvorostianov N, Bar-Haim S. SIT LESS: A prototype home-based system for monitoring older adults sedentary behavior. Assist Technol 2018; 32:79-91. [PMID: 29944466 DOI: 10.1080/10400435.2018.1493707] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/23/2023] Open
Abstract
This paper presents the overall design of a prototype home-based system aimed to reduce sedentary behavior of older adults. Quantitative performance indicators were developed to measure the sedentary behavior and daily activities of an older adult. The sedentary behavior is monitored by identifying individual positions (standing, sitting, and lying) within the field of view of a Microsoft Kinect sensor, using a custom designed algorithm. The physical activity of the older adult when outside the field of view of the Microsoft Kinect sensor is monitored by counting the number of steps using a Fitbit Charge HR watch, which the older adult is equipped with. A user interface was developed on a PC platform to interact with the older adult. The user interface is automatically operated and includes several modules. It displays the activity level, and provides feedbacks, alerts, and reminders to reduce sedentary behavior. Evaluations using a mixed methods approach that included a focus group, interviews, and observations were conducted to examine the integrated system, evaluate the users' experience with the system, and compare different types of feedbacks and alerts. The analyses indicated the feasibility of the proposed SIT LESS system along with recommendations for improving the system in future research.
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Affiliation(s)
- Tzafit Tirkel
- Industrial Engineering and Management, Ben-Gurion University of the Negev, Beer-Sheva, Israel
| | - Yael Edan
- Industrial Engineering and Management, Ben-Gurion University of the Negev, Beer-Sheva, Israel
| | | | - Simona Bar-Haim
- Physical Therapy, Ben-Gurion University of the Negev, Beer-Sheva, Israel
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Pape R, Spuur K, Umo P. Mammographic parenchymal pattern and breast cancer risk profile of Papua New Guinean women - A baseline study of the screening population. Radiography (Lond) 2017; 23:e93-e98. [PMID: 28965910 DOI: 10.1016/j.radi.2017.05.006] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/23/2016] [Revised: 04/24/2017] [Accepted: 05/14/2017] [Indexed: 10/19/2022]
Abstract
INTRODUCTION The aim of this research is to evidence for the first time the breast density of Papua New Guinean (PNG) women as described by mammographic parenchymal patterns (MPPs) and profile breast cancer risk; to examine the relationship of age and MPPs. METHODS A retrospective analysis of 1161 screening mammograms of women who had undergone imaging at the Pacific International Hospital (PIH) was undertaken. Mammograms were classified into one of five Tabár MPPs; age was recorded in years. Descriptive analysis of the data for pattern distribution and a chi-square test, to test for relationships between age and pattern type were undertaken. RESULTS The majority (51.42%) of women had Pattern I breasts; Pattern II (30.58%), Pattern III (4.31%), Pattern IV (7.24%), and Pattern V (6.46%). The mean age was 38.8 with a range of 30-80 years; there were no obvious differences in mean age across the categories of patterns. A chi-square test reported no evidence of a relationship between age and pattern type (p-value = 0.504). Pattern V differed from other patterns, with proportionally more women aged over 50 and less aged in their 40s. CONCLUSION This study sets a baseline for future studies of the MPPs of PNG women, and demonstrated that in this snapshot of PNG women, there is no unique distribution of MPPs and no increased risk of breast cancer based on breast density profile. This result does not help to explain the high incidence of breast cancer in PNG. A more comprehensive study of the PNG screening population is required to validate this study.
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Affiliation(s)
- R Pape
- School of Medicine and Health Sciences, Discipline of Medical Imaging, UPNG Taurama Campus, University of Papua New Guinea, Boroko, NCD, Papua New Guinea; Pacific International Hospital, PO Box 6103, Boroko, NCD, Papua New Guinea.
| | - K Spuur
- School of Dentistry and Health Sciences, Faculty of Science, Charles Sturt University, Locked Bag 588, Wagga Wagga, NSW 2678, Australia.
| | - P Umo
- Pacific International Hospital, PO Box 6103, Boroko, NCD, Papua New Guinea.
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Trieu PDY, Mello-Thoms C, Peat JK, Do TD, Brennan PC. Risk Factors of Female Breast Cancer in Vietnam: A Case-Control Study. Cancer Res Treat 2017; 49:990-1000. [PMID: 28231427 PMCID: PMC5654173 DOI: 10.4143/crt.2016.488] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/10/2016] [Accepted: 12/28/2016] [Indexed: 12/15/2022] Open
Abstract
Purpose Rates of women with breast cancer have increased rapidly in recent years in Vietnam, with over 10,000 new patients contracting the disease every year. This study was conducted to identify demographic, reproductive and lifestyle risk factors for breast cancer in Vietnam. Materials and Methods Breast density, demographic, reproductive and lifestyle data of 269 women with breast cancer and 519 age-matched controls were collected in the two largest oncology hospitals in Vietnam (one in the north and one in the south). Baseline differences between cases and controls in all women, premenopausal and postmenopausal women were assessed using chi-squared tests and independent t tests. Conditional logistic regression was used to derive odds ratios (OR) for factors that had statistically significant associations with breast cancer. Results Vietnamese women with breast cancer were significantly more likely to have a breast density > 75% (OR, 1.7), be younger than 14 years at first menstrual period (OR, 2.2), be postmenopausal (OR, 2.0), have less than three pregnancies (OR, 2.1), and have less than two babies (OR, 1.7). High breast density (OR, 1.6), early age at first menstrual period (OR, 2.6), low number of pregnancies (OR, 2.3), hormone use (OR, 1.8), and no physical activities (OR, 2.2) were significantly associated with breast cancer among premenopausal women, while breast density (OR, 2.0), age at first menstrual period (OR, 1.8), number of pregnancies (OR, 2.3), and number of live births (OR, 2.4) were the risk factors for postmenopausal women. Conclusion Breast density, age at first menarche, menopause status, number of pregnancies, number of babies born, hormone use and physical activities were significantly associated with breast cancer in Vietnamese women.
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Affiliation(s)
- Phuong Dung Yun Trieu
- Faculty of Health Sciences, The University of Sydney, New South Wales, Australia.,University of Medicine and Pharmacy, Ho Chi Minh City, Vietnam
| | - Claudia Mello-Thoms
- Faculty of Health Sciences, The University of Sydney, New South Wales, Australia
| | | | - Thuan Doan Do
- Department of Diagnostic Imaging, Vietnam National Cancer Hospital, Hanoi, Vietnam
| | - Patrick C Brennan
- Faculty of Health Sciences, The University of Sydney, New South Wales, Australia
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Bernardes CM, Valery PC, Garvey G. Exploring the cancer risk perception and interest in genetic services among Indigenous people in Queensland, Australia. Aust N Z J Public Health 2015; 38:344-8. [PMID: 25091074 DOI: 10.1111/1753-6405.12256] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/01/2013] [Revised: 01/01/2014] [Accepted: 04/01/2014] [Indexed: 02/06/2023] Open
Abstract
OBJECTIVE The purpose of this study is to explore the levels of interest among Indigenous people with cancer in identifying cancer risk in their family and seeking genetic counselling/testing. DESIGN AND SETTING A cross-sectional survey of Indigenous cancer patients recruited from four major treating hospitals in Queensland. Participants' family history of cancer and interest in genetic counselling/testing was sought using a structured questionnaire. RESULTS Overall, 73.0% of 252 participants reported having a family history of cancer; of those, 52.8% had at least one first-degree relative with cancer. A total of 68.3% of participants indicated concern about relatives being affected by cancer and 54.4% of participants indicated they would like to assess the cancer risk in their family with a specialist. Concern was associated with willingness to discuss the risk of cancer with a specialist (p<0.001). CONCLUSIONS Indigenous cancer patients do have a family history of cancer and appear willing to undergo genetic counselling/investigation. It is of great concern that this population could miss the benefits of the technological advances in health care, creating a much larger disparity in health outcomes. IMPLICATIONS Health service providers should not assume that Indigenous cancer patients will not follow their recommendations when referred to genetic counselling/investigation services.
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Affiliation(s)
- Christina M Bernardes
- Epidemiology and Health Systems Division, Menzies School of Health Research, Charles Darwin University, Queensland
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Association of sedentary behavior with the risk of breast cancer in women: update meta-analysis of observational studies. Ann Epidemiol 2015; 25:687-97. [DOI: 10.1016/j.annepidem.2015.05.007] [Citation(s) in RCA: 37] [Impact Index Per Article: 4.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/04/2014] [Revised: 04/30/2015] [Accepted: 05/07/2015] [Indexed: 11/21/2022]
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Population attributable risk of modifiable risk factors associated with invasive breast cancer in women aged 45–69 years in Queensland, Australia. Maturitas 2013; 76:370-6. [DOI: 10.1016/j.maturitas.2013.09.002] [Citation(s) in RCA: 25] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/28/2013] [Revised: 08/09/2013] [Accepted: 09/03/2013] [Indexed: 11/20/2022]
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Schneider KI, Schmidtke J. Patient compliance based on genetic medicine: a literature review. J Community Genet 2013; 5:31-48. [PMID: 23934761 DOI: 10.1007/s12687-013-0160-2] [Citation(s) in RCA: 26] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/26/2012] [Accepted: 07/02/2013] [Indexed: 12/19/2022] Open
Abstract
For this literature review, medical literature data bases were searched for studies on patient compliance after genetic risk assessment. The review focused on conditions where secondary or tertiary preventive options exist, namely cancer syndromes (BRCA-related cancer, HNPCC/colon cancer), hemochromatosis, thrombophilia, smoking cessation, and obesity. As a counterpart, patient compliance was assessed regarding medication adherence and medical advice in some of the most epidemiologically important conditions (including high blood pressure, metabolic syndrome, and coronary heart disease) after receiving medical advice based on nongenetic risk information or a combination of genetic and nongenetic risk information. In the majority of studies based on genetic risk assessments, patients were confronted with predictive rather than diagnostic genetic profiles. Most of the studies started from a knowledge base around 10 years ago when DNA testing was at an early stage, limited in scope and specificity, and costly. The major result is that overall compliance of patients after receiving a high-risk estimate from genetic testing for a given condition is high. However, significant behavior change does not take place just because the analyte is "genetic." Many more factors play a role in the complex process of behavioral tuning. Without adequate counseling and guidance, patients may interpret risk estimates of predictive genetic testing with an increase in fear and anxiety.
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Affiliation(s)
- Kai Insa Schneider
- Institute of Human Genetics, Hannover Medical School, Carl-Neuberg-Strasse 1, 30625, Hannover, Germany
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