文献检索文档翻译深度研究
Suppr Zotero 插件Zotero 插件
邀请有礼套餐&价格历史记录

新学期,新优惠

限时优惠:9月1日-9月22日

30天高级会员仅需29元

1天体验卡首发特惠仅需5.99元

了解详情
不再提醒
插件&应用
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
高级版
套餐订阅购买积分包
AI 工具
文献检索文档翻译深度研究
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利:CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2025

美国三阴性乳腺癌差异的最新研究:基于美国癌症统计数据库的 2010 年至 2014 年的人群研究。

Update on triple-negative breast cancer disparities for the United States: A population-based study from the United States Cancer Statistics database, 2010 through 2014.

机构信息

Division of Epidemiology and Biostatistics, School of Public Health, Georgia State University, Atlanta, Georgia.

Department of Health Management and Policy, School of Public Health, Georgia State University, Atlanta, Georgia.

出版信息

Cancer. 2019 Oct 1;125(19):3412-3417. doi: 10.1002/cncr.32207. Epub 2019 Jul 8.


DOI:10.1002/cncr.32207
PMID:31282032
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6744285/
Abstract

BACKGROUND: Triple-negative breast cancer (TNBC) has been associated with a more aggressive histology, poorer prognosis, and nonresponsiveness to hormone therapy. It is imperative that cancer research identify factors that drive disparities and focus on prevention. METHODS: Using the United States Cancer Statistics database, the authors examined differences between TNBCs compared with all other breast cancers with regard to age, race/ethnicity, and stage at diagnosis. RESULTS: A total of 1,151,724 cases of breast cancer were identified from 2010 through 2014, with the triple-negative phenotype accounting for approximately 8.4% of all cases. In unadjusted analyses, non-Hispanic black women (odds ratio [OR], 2.27; 95% CI, 2.23-2.31) and Hispanic women (OR, 1.22; 95% CI, 1.19-1.25) had higher odds of diagnosis when compared with non-Hispanic white women. Women aged <40 years had the highest odds of diagnosis compared with women aged 50 to 64 years (OR, 1.95; 95% CI, 1.90-2.01). Diagnosis at American Joint Committee on Cancer stage III and beyond conferred higher odds of the diagnosis of TNBC (OR for stage III, 1.69 [95% CI, 1.68-1.72]; and OR for stage IV, 1.47 [95% CI, 1.43-1.51]). Results varied slightly in adjusted analyses. CONCLUSIONS: The results of the current study demonstrated that there is a significant burden of disease in TNBC diagnosed among women of color, specifically non-Hispanic black women, and younger women. Additional studies are needed to determine drivers of disparities between race, age, and stage of disease at diagnosis.

摘要

背景:三阴性乳腺癌(TNBC)与更具侵袭性的组织学、更差的预后和对激素治疗无反应有关。癌症研究必须确定导致差异的因素,并专注于预防。

方法:作者使用美国癌症统计数据库,检查了 2010 年至 2014 年期间 TNBC 与所有其他乳腺癌在年龄、种族/族裔和诊断时的分期方面的差异。

结果:共确定了 1151724 例乳腺癌病例,其中三阴性表型约占所有病例的 8.4%。在未调整分析中,与非西班牙裔白人女性相比,非西班牙裔黑人女性(比值比[OR],2.27;95%置信区间[CI],2.23-2.31)和西班牙裔女性(OR,1.22;95%CI,1.19-1.25)诊断的可能性更高。与 50 至 64 岁的女性相比,年龄<40 岁的女性诊断的可能性最高(OR,1.95;95%CI,1.90-2.01)。美国癌症联合委员会(AJCC)分期 III 期及以上的诊断与 TNBC 诊断的可能性更高相关(分期 III 期的 OR,1.69[95%CI,1.68-1.72];分期 IV 期的 OR,1.47[95%CI,1.43-1.51])。调整分析后的结果略有不同。

结论:本研究的结果表明,有色人种(尤其是非西班牙裔黑人女性)和年轻女性中 TNBC 的疾病负担显著。需要进一步的研究来确定种族、年龄和诊断时疾病分期之间差异的驱动因素。

相似文献

[1]
Update on triple-negative breast cancer disparities for the United States: A population-based study from the United States Cancer Statistics database, 2010 through 2014.

Cancer. 2019-7-8

[2]
Differences in breast cancer stage at diagnosis and cancer-specific survival by race and ethnicity in the United States.

JAMA. 2015-1-13

[3]
Racial disparities in breast cancer diagnosis and treatment by hormone receptor and HER2 status.

Cancer Epidemiol Biomarkers Prev. 2015-11

[4]
Breast cancer subtypes among Eastern-African-born black women and other black women in the United States.

Cancer. 2019-6-13

[5]
The joint contribution of tumor phenotype and education to breast cancer survival disparity between Hispanic and non-Hispanic white women.

Cancer Causes Control. 2013-12-14

[6]
Descriptive analysis of estrogen receptor (ER)-negative, progesterone receptor (PR)-negative, and HER2-negative invasive breast cancer, the so-called triple-negative phenotype: a population-based study from the California cancer Registry.

Cancer. 2007-5-1

[7]
Racial and regional disparities of triple negative breast cancer incidence rates in the United States: An analysis of 2011-2019 NPCR and SEER incidence data.

Front Public Health. 2022

[8]
Racial Differences in the Use and Outcome of Neoadjuvant Chemotherapy for Breast Cancer: Results From the National Cancer Data Base.

J Clin Oncol. 2015-11-23

[9]
Annual Report to the Nation on the Status of Cancer, 1975-2011, Featuring Incidence of Breast Cancer Subtypes by Race/Ethnicity, Poverty, and State.

J Natl Cancer Inst. 2015-3-30

[10]
US incidence of breast cancer subtypes defined by joint hormone receptor and HER2 status.

J Natl Cancer Inst. 2014-4-28

引用本文的文献

[1]
Clinical effect of Shugan Jieyu San for improving liver function and alleviating depression in patients with triple negative breast cancer.

J Tradit Chin Med. 2025-6

[2]
Relevance of Cellular Homeostasis-Related Gene Expression Signatures in Distinct Molecular Subtypes of Breast Cancer.

Biomedicines. 2025-4-28

[3]
Tumor-associated MerTK promotes a pro-inflammatory microenvironment and enhances immune checkpoint inhibitor response in triple-negative breast cancer.

Front Oncol. 2025-5-5

[4]
Responses to checkpoint inhibition in metastatic triple negative breast cancer driven by divergent myeloid phenotypes.

Commun Med (Lond). 2025-5-17

[5]
Genetic insights into BRCA1/2 associated breast cancer in Türkiye: focus on early-onset and aggressive subtypes.

Discov Oncol. 2025-5-13

[6]
Evaluating algorithmic bias on biomarker classification of breast cancer pathology reports.

JAMIA Open. 2025-5-9

[7]
When "One Size Fits All" Fits None: A Commentary on the Impacts of the"Draft Canadian Breast Cancer Screening Guidelines" on Racialized Populations in Canada.

Curr Oncol. 2025-2-22

[8]
Health-Related Quality of Life in Breast Cancer Patients during Chemotherapy: A Cross-Sectional Study Using the EORTC QLQ-C30 and BR45.

Eur J Breast Health. 2025-3-25

[9]
An Electrochemical Nucleic Acid Biosensor for Triple-Negative Breast Cancer Biomarker Detection.

Sensors (Basel). 2024-9-4

[10]
Racial/ethnic differences in the clinical presentation and survival of breast cancer by subtype.

Front Oncol. 2024-8-16

本文引用的文献

[1]
Impact of Breast Cancer Subtypes on Prognosis of Women with Operable Invasive Breast Cancer: A Population-based Study Using SEER Database.

Clin Cancer Res. 2018-12-17

[2]
Cancer statistics, 2018.

CA Cancer J Clin. 2018-1-4

[3]
Patterns and Trends in Age-Specific Black-White Differences in Breast Cancer Incidence and Mortality - United States, 1999-2014.

MMWR Morb Mortal Wkly Rep. 2016-10-14

[4]
How generalizable are the SEER registries to the cancer populations of the USA?

Cancer Causes Control. 2016-9

[5]
Differences in breast cancer stage at diagnosis and cancer-specific survival by race and ethnicity in the United States.

JAMA. 2015-1-13

[6]
Epidemiology, biology, and treatment of triple-negative breast cancer in women of African ancestry.

Lancet Oncol. 2014-12

[7]
Epidemiology of triple negative breast cancers.

Breast Dis. 2010

[8]
African ancestry and higher prevalence of triple-negative breast cancer: findings from an international study.

Cancer. 2010-11-1

[9]
The American Joint Committee on Cancer: the 7th edition of the AJCC cancer staging manual and the future of TNM.

Ann Surg Oncol. 2010-6

[10]
Variation in breast cancer subtypes with age and race/ethnicity.

Crit Rev Oncol Hematol. 2009-10-2

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

推荐工具

医学文档翻译智能文献检索