Tiscoski Katsuki Arima, Giacomazzi Juliana, Rocha Matheus Soares, Gössling Gustavo, Werutsky Gustavo
Santa Casa de Misericórdia de Porto Alegre, Rua Professor Annes Dias, Porto Alegre 90020-090, Brazil.
https://orcid.org/0000-0003-0074-4272.
Ecancermedicalscience. 2023 Nov 21;17:1635. doi: 10.3332/ecancer.2023.1635. eCollection 2023.
Breast cancer (BC) is the most prevalent cancer in women in Latin America and the Caribbean. We compiled real-world data (RWD) on the epidemiology, diagnosis, treatment, and patient outcomes of triple-negative breast cancer (TNBC), addressing the main barriers to optimal care in Latin America. The prevalence of TNBC varies between 11% and 38.5% of all BC cases diagnosed in the region, and TNBC primarily affects young patients. Delays in BC diagnosis, with consequent advanced disease stages and barriers to access efficient therapies, particularly due to high costs, negatively impact patient outcomes. Cancer clinical trials are an opportunity to access standard and novel therapies for patients with this aggressive BC subtype and thus must be prioritised. Finally, generating RWD and cost-effectiveness studies in a region with limited resources is critical for decision-makers to define the incorporation of new technologies for the treatment of BC.
乳腺癌(BC)是拉丁美洲和加勒比地区女性中最常见的癌症。我们汇编了关于三阴性乳腺癌(TNBC)的流行病学、诊断、治疗及患者预后的真实世界数据(RWD),探讨了拉丁美洲最佳治疗的主要障碍。TNBC在该地区所有确诊的BC病例中所占比例在11%至38.5%之间,且TNBC主要影响年轻患者。BC诊断的延迟,以及随之而来的疾病晚期和获得有效治疗的障碍,特别是由于成本高昂,对患者预后产生了负面影响。癌症临床试验为患有这种侵袭性BC亚型的患者提供了获得标准和新型疗法的机会,因此必须优先考虑。最后,在资源有限的地区开展RWD和成本效益研究,对于决策者确定纳入治疗BC的新技术至关重要。