Season of initial discovery of tumour as an independent variable predicting survival in breast cancer
1990

Season of Tumor Detection and Breast Cancer Survival

Sample size: 2245 publication Evidence: moderate

Author Information

Author(s): B.H. Mason, I.M. Holdaway, A.W. Stewart, L.M. Neave, R.G. Kay

Primary Institution: University of Auckland

Hypothesis

Does the month of initial tumor detection affect survival rates in breast cancer patients?

Conclusion

Women who detect their breast cancer in spring or summer have significantly better survival rates than those who detect it at other times of the year.

Supporting Evidence

  • Women aged > 50 years with ER-positive tumors detected in spring/summer had a 13% improvement in survival at 5 years.
  • Premenopausal women with receptor-negative tumors found in spring/summer had a 26% improvement in survival at 5 years.
  • Overall survival was significantly related to the season of initial tumor detection, independent of nodal and receptor status.

Takeaway

If a woman finds her breast cancer in spring or summer, she is likely to live longer than if she finds it in winter or autumn.

Methodology

The study recorded the month of tumor detection in 2,245 breast cancer patients and correlated it with survival over a follow-up period of 1.5-10 years.

Limitations

The study had a 3% loss to follow-up and did not account for patients with unknown nodal or receptor status.

Participant Demographics

The study included women with breast cancer, divided into age groups and receptor status.

Statistical Information

P-Value

0.006

Confidence Interval

1.07-1.47

Statistical Significance

p<0.05

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