Effects of young age at presentation on survival in breast cancer
2006

Effects of Young Age on Breast Cancer Survival

Sample size: 1263 publication 10 minutes Evidence: moderate

Author Information

Author(s): El Saghir Nagi S, Seoud Muhieddine, Khalil Mazen K, Charafeddine Maya, Salem Ziad K, Geara Fady B, Shamseddine Ali I

Primary Institution: American University of Beirut Medical Center

Hypothesis

Does young age at presentation affect survival in breast cancer patients?

Conclusion

Young age at presentation is associated with worse survival outcomes in breast cancer patients, despite higher hormone receptor positivity and more aggressive treatment.

Supporting Evidence

  • Young patients had a higher percentage of positive hormone receptors.
  • More young patients received anthracycline-based chemotherapy.
  • Survival was significantly worse for patients under 35 years of age.
  • Patients with positive lymph nodes had worse survival outcomes.
  • Grade III tumors were more common in younger patients.

Takeaway

If you're young and have breast cancer, it might be harder to survive, even if you get good treatment.

Methodology

The study reviewed medical records of 1320 breast cancer patients, analyzing survival based on age groups using statistical methods including Chi-square and Cox regression.

Potential Biases

Potential biases may arise from the retrospective nature of the study and the specific patient population at a single medical center.

Limitations

The study is limited to a single institution and may not be generalizable to other populations.

Participant Demographics

Patients were primarily Lebanese women, with 56% being postmenopausal and a significant portion having a family history of breast cancer.

Statistical Information

P-Value

0.03

Confidence Interval

95% CI for hazard ratio: 1.04 – 4.49

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1186/1471-2407-6-194

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