Hamadeh Randah R, Abulfatih Najat M, Fekri Majeda A, Al-Mehza Hala E
Department of Family & Community Medicine, College of Medicine & Medical Sciences, Arabian Gulf University, Manama, Bahrain;
Ministry of Health Bahrain, Manama, Bahrain.
Sultan Qaboos Univ Med J. 2014 May;14(2):e176-82. Epub 2014 Apr 7.
The aim of this study was to describe the epidemiology of breast cancer among the Bahraini female population in the years 2000-2010 and examine its health policy implications.
All breast cancer cases in the Bahrain Cancer Registry from 1(st) January 2000 to 31(st) December 2010 were included.
There were 1,005 cases, 12.7% of which were detected by screening. The overall mean age at diagnosis was 50.9 years (95% confidence interval 50.1-51.6). The age-standardised incidence rate declined from 58.2 per 100,000 in 2000 to 44.4 per 100,000 in 2010. The majority of cases were infiltrating ductal carcinoma (76.9%). Of the registered cases, 44.1% and 48.1% had an unknown grade and stage, respectively. The five-year survival rate was 63 ± 2%.
The low percentage of cases detected by screening merits further evaluation of Bahrain's screening programme. More effort should be made to reduce the proportion of unknown stage and grade breast cancers. Future research has to be directed towards understanding the reasons for Bahrain having the highest incidence rate of breast cancer in the Gulf Cooperation Council countries.
本研究旨在描述2000年至2010年巴林女性人群中乳腺癌的流行病学情况,并探讨其对健康政策的影响。
纳入巴林癌症登记处2000年1月1日至2010年12月31日期间的所有乳腺癌病例。
共有1005例病例,其中12.7%通过筛查发现。诊断时的总体平均年龄为50.9岁(95%置信区间50.1 - 51.6)。年龄标准化发病率从2000年的每10万人58.2例降至2010年的每10万人44.4例。大多数病例为浸润性导管癌(76.9%)。在登记的病例中,分别有44.1%和48.1%的病例分级和分期不明。五年生存率为63±2%。
筛查发现的病例比例较低,值得对巴林的筛查计划进行进一步评估。应更加努力降低乳腺癌分期和分级不明的比例。未来的研究必须致力于了解巴林在海湾合作委员会国家中乳腺癌发病率最高的原因。