Impact of educational level and travel burden on breast cancer stage at diagnosis in the state of Sao Paulo, Brazil

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MetadadosDescriçãoIdioma
Autor(es): dc.contributorUniversidade Estadual Paulista (UNESP)-
Autor(es): dc.contributorFundação Oncocentro de São Paulo (FOSP)-
Autor(es): dc.contributorUniversidade de São Paulo (USP)-
Autor(es): dc.creatorAlmeida, Raissa Janine de-
Autor(es): dc.creatorLuizaga, Carolina Terra de Moraes-
Autor(es): dc.creatorEluf-Neto, José-
Autor(es): dc.creatorNunes, Hélio Rubens de Carvalho-
Autor(es): dc.creatorPessoa, Eduardo Carvalho-
Autor(es): dc.creatorMurta-Nascimento, Cristiane-
Data de aceite: dc.date.accessioned2025-08-21T19:57:25Z-
Data de disponibilização: dc.date.available2025-08-21T19:57:25Z-
Data de envio: dc.date.issued2023-03-01-
Data de envio: dc.date.issued2023-03-01-
Data de envio: dc.date.issued2022-11-30-
Fonte completa do material: dc.identifierhttp://dx.doi.org/10.1038/s41598-022-12487-9-
Fonte completa do material: dc.identifierhttp://hdl.handle.net/11449/240083-
Fonte: dc.identifier.urihttp://educapes.capes.gov.br/handle/11449/240083-
Descrição: dc.descriptionWe describe the characteristics of cases of breast cancer among women assisted at hospitals affiliated to the public health system in the state of São Paulo (Brazil), analysing the effects of level of education and travel burden to point of treatment. We conducted a retrospective analysis of invasive breast cancer among women diagnosed between 2000 and 2015. Data were extracted from the hospital-based cancer registries of Fundação Oncocentro de São Paulo—FOSP. The outcome was clinical stage at diagnosis (stage III–IV versus I–II). The explanatory variables were educational level and travel burden. Odds ratios (OR) and 95% confidence intervals (95% CI) were estimated. Multiple imputations were used for missing educational level (31%). The study included 81,669 women with invasive breast cancer diagnosed between 2000 and 2015. The mean age of patients at diagnosis was 56.8 years (standard deviation 13.6 years). 38% of patients were at an advanced stage at diagnosis (stage III–IV). Women with lower levels of education and those who received cancer care in municipalities other than where they lived were more likely to be diagnosed at an advanced stage. In conclusion, promotion of breast cancer awareness and improving pathways to expedite breast cancer diagnosis and treatment could help identify breast tumors at earlier stages.-
Descrição: dc.descriptionFundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)-
Descrição: dc.descriptionCoordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)-
Descrição: dc.descriptionFaculty of Medicine Sao Paulo State University (UNESP), Unesp. Av. Prof. Montenegro, s/n, Distrito de Rubião Junior, SP-
Descrição: dc.descriptionDepartment of Information and Epidemiology Fundação Oncocentro de São Paulo (FOSP), SP-
Descrição: dc.descriptionDepartment of Preventive Medicine Faculdade de Medicina FMUSP Universidade de São Paulo, SP-
Descrição: dc.descriptionFaculty of Medicine Sao Paulo State University (UNESP), Unesp. Av. Prof. Montenegro, s/n, Distrito de Rubião Junior, SP-
Descrição: dc.descriptionFAPESP: 19/02909-2-
Descrição: dc.descriptionCAPES: Finance Code 001-
Idioma: dc.languageen-
Relação: dc.relationScientific Reports-
???dc.source???: dc.sourceScopus-
Título: dc.titleImpact of educational level and travel burden on breast cancer stage at diagnosis in the state of Sao Paulo, Brazil-
Tipo de arquivo: dc.typelivro digital-
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