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妇女健康随访研究:新泽西州黑人乳腺癌幸存者的基于人群的纵向研究。

The Women's Circle of Health Follow-Up Study: a population-based longitudinal study of Black breast cancer survivors in New Jersey.

机构信息

Cancer Prevention and Control Program, Rutgers Cancer Institute of New Jersey, 195 Little Albany St, New Brunswick, NJ, 08903, USA.

Department of Biostatistics and Epidemiology, Rutgers School of Public Health, Piscataway, NJ, USA.

出版信息

J Cancer Surviv. 2020 Jun;14(3):331-346. doi: 10.1007/s11764-019-00849-8. Epub 2020 Jan 6.

Abstract

PURPOSE

The Women's Circle of Health Follow-Up Study is an ongoing longitudinal study of African American/Black breast cancer survivors in New Jersey, specifically designed to evaluate the impact of obesity and related comorbidities on breast cancer survival and health-related quality-of-life in this understudied population. Here, we describe our recruitment and data collection methods and compare characteristics of the overall cohort and the subcohort with follow-up data.

METHODS

Newly diagnosed breast cancer cases have been recruited into the study since 2006. Pre-diagnosis data on relevant factors and a saliva sample are collected during an in-person interview within 12 months from diagnosis. In 2013, we began active follow up by recontacting participants annually, including two home visits at approximately 2 and 3 years post-diagnosis, during which blood samples are collected. Mortality outcomes (all-cause and breast cancer-specific mortality) are ascertained through linkage with New Jersey State Cancer Registry files. We expect to assemble a cohort of over 2000 Black breast cancer survivors with at least 800 of them having detailed post-diagnosis data.

RESULTS

Distribution of sociodemographic characteristics, body mass index, comorbidities, clinicopathologic characteristics, and treatment modalities were very similar between those in the full cohort and the subset with follow-up data and blood samples. Obesity (> 50%), hypertension (> 58%), and diabetes (22%) were common in this population.

CONCLUSIONS AND IMPLICATIONS FOR CANCER SURVIVORS

This ongoing longitudinal study represents a unique resource to better understand breast cancer outcomes, patient-reported symptoms, and health-related quality of life among Black breast cancer survivors.

摘要

目的

妇女健康随访研究是一项针对新泽西州非裔美国/黑人乳腺癌幸存者的正在进行的纵向研究,旨在评估肥胖症和相关合并症对该研究人群中乳腺癌生存和健康相关生活质量的影响。在这里,我们描述了我们的招募和数据收集方法,并比较了总体队列和具有随访数据的亚队列的特征。

方法

自 2006 年以来,我们一直在招募新诊断的乳腺癌病例。在诊断后 12 个月内,通过面对面访谈收集与相关因素和唾液样本有关的预诊断数据。2013 年,我们开始通过每年重新联系参与者进行积极随访,包括在诊断后约 2 年和 3 年进行两次家庭访问,在此期间采集血液样本。通过与新泽西州癌症登记处文件的链接确定死亡率结果(全因和乳腺癌特异性死亡率)。我们预计将组建一个超过 2000 名黑人乳腺癌幸存者的队列,其中至少有 800 名有详细的诊断后数据。

结果

在全队列和具有随访数据和血液样本的亚队列中,社会人口统计学特征、体重指数、合并症、临床病理特征和治疗方式的分布非常相似。该人群中肥胖症(>50%)、高血压(>58%)和糖尿病(22%)很常见。

结论和对癌症幸存者的影响

这项正在进行的纵向研究代表了一个独特的资源,可以更好地了解黑人乳腺癌幸存者的乳腺癌结局、患者报告的症状和健康相关的生活质量。

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