Addressing the Younger Age at Onset in Breast Cancer Patients in Asia: An Age-Period-Cohort Analysis of Fifty Years of Quality Data from the International Agency for Research on Cancer.

Introduction.There is an established fact that Asian breast cancer patients are, on average, younger than their European counterparts. This study aimed to utilize the data from the Cancer Incidence in Five Continents I through XIII (published by the International Agency for Research on Cancer) to ex...

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Publicado en:ISRN Oncology pp. 1 - 9
Autores principales: Mousavi-Jarrrahi, Seyed Houssein, Kasaeian, Amir, Mansori, Kamyar, Ranjbaran, Mehdi, Khodadost, Mahmoud, Mosavi-Jarrahi, Alireza
Formato: equations & formulas research tables/charts Journal Article
Publicado: Wiley-Blackwell 2013
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 2013
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      pub: Wiley-Blackwell
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        10.1155/2013/429862
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        atl: Addressing the Younger Age at Onset in Breast Cancer Patients in Asia: An Age-Period-Cohort Analysis of Fifty Years of Quality Data from the International Agency for Research on Cancer.
      aug:
        au:
          Mousavi-Jarrrahi, Seyed Houssein
          Kasaeian, Amir
          Mansori, Kamyar
          Ranjbaran, Mehdi
          Khodadost, Mahmoud
          Mosavi-Jarrahi, Alireza
        affil: Department of Biostatistics, School of Public Heath, Mashhad University of Medical Sciences, Mashhad, Iran
      sug:
        subj:
          Breast Neoplasms
          Age Factors
          Bias (Research)
          Human
          Asia
          Academic Medical Centers
          Registries, Disease Utilization
          Confidence Intervals Utilization
          Breast Neoplasms Epidemiology
          Life Style
          Data Analysis Software Utilization
      ab: Introduction.There is an established fact that Asian breast cancer patients are, on average, younger than their European counterparts. This study aimed to utilize the data from the Cancer Incidence in Five Continents I through XIII (published by the International Agency for Research on Cancer) to examine what contributes to the younger age at onset in the Asian population. Material and Methods. Data (number of breast cancer cases and corresponding population figures) for 29 registries in Europe and 9 registries in Asia for the period of 1953-2002 was accessioned and pooled to form two distinct populations, Asia and Europe. The age specific rates were defined and analyzed cross-sectionally (period wise) and longitudinally (cohort wise).The magnitude and the pattern of age specific rates were analyzed using the age-period-cohort analysis.The constrained generalized linear model with a priority assumption of cohort effect as contributing factor to changing rates was used to analyze the data. Result. During the last 50 years, the rate of breast cancer increased for both populations with an estimated annual percent change of 1.03% (with 95% CI of 1.029, 1.031) for Asia and 1.016% (95% CI of 1.015, 1.017) for Europe. There were stronger cohort effects in the magnitude of rates among the Asian population compared to the European population.The cohort effects, expressed as the rate ratio with cohort born in 1970 as reference, ranged from 0.06 (95% CI 0.05, 0.08) to 0.94 (95% CI 0.93, 0.96) for Asians and 0.35 (95% CI 0.33, 0.36) to 1.03 (95% CI 1.02, 1.04) for Europeans. The estimated longitudinal age specific rates (adjusted for cohort and period effects) showed similar patterns between the two populations. Conclusion. It was concluded that a strong cohort effect contributes to the younger age at onset among Asian breast cancer patients.
      pubtype: Academic Journal
      doctype:
        equations & formulas
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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