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Disparities in access to anti-HER2 therapies in neoadjuvant chemotherapy: A prognostic analysis based on real-world data comparing Brazil's public and private healthcare systems 在新辅助化疗中获得抗her2治疗的差异:基于比较巴西公共和私人医疗保健系统的真实数据的预后分析
IF 5.7 2区 医学
Breast Pub Date : 2025-02-12 DOI: 10.1016/j.breast.2025.104417
Marcelo Antonini , André Mattar , Denise Joffily Pereira da Costa Pinheiro , Isabela Bastos Maia , Marina Diógenes Teixeira , Andressa Gonçalves Amorim , Odair Ferraro , Larissa Chrispim de Oliveira , Marcellus do Nascimento Moreira Ramos , Francisco Pimentel Cavalcante , Felipe Zerwes , Marcelo Madeira , Romualdo Barroso-Sousa , Eduardo de Camargo Millen , Antonio Luiz Frasson , Fabricio Palermo Brenelli , Gil Facina , Rogério Fenile , Luiz Henrique Gebrim , Juliana Monte Real
{"title":"Disparities in access to anti-HER2 therapies in neoadjuvant chemotherapy: A prognostic analysis based on real-world data comparing Brazil's public and private healthcare systems","authors":"Marcelo Antonini ,&nbsp;André Mattar ,&nbsp;Denise Joffily Pereira da Costa Pinheiro ,&nbsp;Isabela Bastos Maia ,&nbsp;Marina Diógenes Teixeira ,&nbsp;Andressa Gonçalves Amorim ,&nbsp;Odair Ferraro ,&nbsp;Larissa Chrispim de Oliveira ,&nbsp;Marcellus do Nascimento Moreira Ramos ,&nbsp;Francisco Pimentel Cavalcante ,&nbsp;Felipe Zerwes ,&nbsp;Marcelo Madeira ,&nbsp;Romualdo Barroso-Sousa ,&nbsp;Eduardo de Camargo Millen ,&nbsp;Antonio Luiz Frasson ,&nbsp;Fabricio Palermo Brenelli ,&nbsp;Gil Facina ,&nbsp;Rogério Fenile ,&nbsp;Luiz Henrique Gebrim ,&nbsp;Juliana Monte Real","doi":"10.1016/j.breast.2025.104417","DOIUrl":"10.1016/j.breast.2025.104417","url":null,"abstract":"<div><h3>Background</h3><div>Trastuzumab has significantly improved the treatment of HER2-positive breast cancer, particularly in the neoadjuvant setting, where its combination with chemotherapy increases the pathologic complete response (pCR) rate. This retrospective cohort study assesses the implications of disparities in access to trastuzumab within the Brazilian public healthcare system, focusing on pCR, overall survival (OS) and disease-free survival (DFS) in non-metastatic, HER2-positive breast cancer patients undergoing neoadjuvant chemotherapy (NAC).</div></div><div><h3>Methods</h3><div>The study was conducted in the <em>Hospital Pérola Byington</em> (PEROLA), a public institution, and in the <em>Hospital do Servidor Público Estadual</em> (HSPE), a private institution. pCR was defined as the absence of residual invasive or in situ tumors in the breast and axillary nodes. OS and DFS were calculated by Kaplan-Meier survival analysis for a 5-year period.</div></div><div><h3>Results</h3><div>From 2011 to 2020, 381 patients at PEROLA and 78 at HSPE underwent NAC. Trastuzumab availability was higher at HSPE (83.4 % vs. 60.0 %, p &lt; 0.0001). Use of trastuzumab correlated with significantly higher pCR rates at both the PEROLA (54.3 % vs. 26.4 %, p &lt; 0.0001) and the HSPE (52.7 % vs. 26.4 %, p &lt; 0.0001). HER2-positive patients with pCR at HSPE also had better OS (80 % vs. 61 %, p &lt; 0.0001) and DFS (89 % vs. 67 %, p &lt; 0.0001) compared to those at PEROLA.</div></div><div><h3>Conclusion</h3><div>There were significant differences in the provision of trastuzumab between the public and private healthcare systems, adversely affecting clinical outcomes and patient survival. The current data highlight the pressing need to address equity in cancer treatment to improve prognosis for every patient.</div></div>","PeriodicalId":9093,"journal":{"name":"Breast","volume":"80 ","pages":"Article 104417"},"PeriodicalIF":5.7,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143454041","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Side-effects in women treated with adjuvant endocrine therapy for breast cancer 乳腺癌女性辅助内分泌治疗的副作用
IF 5.7 2区 医学
Breast Pub Date : 2025-02-11 DOI: 10.1016/j.breast.2025.104416
L.M. Rademaker , R. Gal , A.M. May , M.C.T. Batenburg , F. van der Leij , R.M. Bijlsma , H.M. Verkooijen , A. Doeksen , M.F. Ernst , D.J. Evers , C.C. van der Pol , E.M. Monninkhof
{"title":"Side-effects in women treated with adjuvant endocrine therapy for breast cancer","authors":"L.M. Rademaker ,&nbsp;R. Gal ,&nbsp;A.M. May ,&nbsp;M.C.T. Batenburg ,&nbsp;F. van der Leij ,&nbsp;R.M. Bijlsma ,&nbsp;H.M. Verkooijen ,&nbsp;A. Doeksen ,&nbsp;M.F. Ernst ,&nbsp;D.J. Evers ,&nbsp;C.C. van der Pol ,&nbsp;E.M. Monninkhof","doi":"10.1016/j.breast.2025.104416","DOIUrl":"10.1016/j.breast.2025.104416","url":null,"abstract":"<div><div>Many women with breast cancer prematurely discontinue adjuvant endocrine therapy, leading to increased mortality. We performed a cross-sectional survey (n = 456) within the Dutch UMBRELLA-cohort to gain insight into the prevalence of side-effects and its association with premature discontinuation. Almost all current endocrine therapy users experienced side-effects (92.7 %), most frequent were vasomotor- and musculoskeletal symptoms. The most reported reason for premature discontinuation was side-effects (88.1 %). Former treatment with chemotherapy was associated with more reported side-effects (97.2 % vs 82.5 %, ORadj 6.31), but less premature discontinuation of endocrine therapy (18.6 % vs 28.6 %, p-value 0.016).</div></div>","PeriodicalId":9093,"journal":{"name":"Breast","volume":"80 ","pages":"Article 104416"},"PeriodicalIF":5.7,"publicationDate":"2025-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143436570","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Experiences and preferences about information on treatment-related side effects among patients with early breast cancer 早期乳腺癌患者治疗相关副作用信息的经验和偏好
IF 5.7 2区 医学
Breast Pub Date : 2025-02-06 DOI: 10.1016/j.breast.2025.104414
Antonio Di Meglio , Giuseppe Catanuto , Marzia Zambon , Alexandre Chan , Angelos P. Kassianos , Constantina Cloconi , Silvia Rohr , Rebecca Steele , Monique Coersmeyer , Sonia Ujupan , Fedro Peccatori
{"title":"Experiences and preferences about information on treatment-related side effects among patients with early breast cancer","authors":"Antonio Di Meglio ,&nbsp;Giuseppe Catanuto ,&nbsp;Marzia Zambon ,&nbsp;Alexandre Chan ,&nbsp;Angelos P. Kassianos ,&nbsp;Constantina Cloconi ,&nbsp;Silvia Rohr ,&nbsp;Rebecca Steele ,&nbsp;Monique Coersmeyer ,&nbsp;Sonia Ujupan ,&nbsp;Fedro Peccatori","doi":"10.1016/j.breast.2025.104414","DOIUrl":"10.1016/j.breast.2025.104414","url":null,"abstract":"<div><h3>Background</h3><div>Treatment-related side effects are common among women treated for early breast cancer and their effective management is essential to maintain quality of life, ensure treatment adherence, and optimise survival outcomes. This study aimed to investigate patient-reported experiences and preferences about information regarding side effects received during breast cancer care.</div></div><div><h3>Methods</h3><div>An international multi-stakeholder expert group conducted an online patient survey assessing comprehensiveness, timing, and delivery modality of information regarding treatment-related side effects among patients undergoing primary therapy (surgery, radiation, and [neo]adjuvant chemotherapy) and endocrine therapy for early breast cancer. Descriptive analyses were performed.</div></div><div><h3>Results</h3><div>From June–August 2023, 608 respondents from Brazil, France, Germany, Italy, Japan, and Spain completed the survey: 57.5 % were &lt;50 years old, and all were or had been on endocrine therapy. Fatigue was the most reported side effect (47.0 % for primary and 42.3 % for endocrine therapy). A variable proportion of patients (14.4%–46.8 % across side effects) reported receiving information only after having experienced the side effect. Up to 43.6 % of respondents reported receiving insufficient or no information on side effects from their healthcare providers. Most patients reported preference for proactive communication from healthcare providers about side effects and prevention strategies. Respondents valued direct interactions with physicians and nurses and capitalised on a relevant role for peer-support, however utility of smartphone and web-based platforms to record and manage symptoms was acknowledged.</div></div><div><h3>Conclusion</h3><div>The survey underscores critical needs and offers insight informing the provision of comprehensive and timely information on treatment-related side effects across the cancer survivorship continuum.</div></div>","PeriodicalId":9093,"journal":{"name":"Breast","volume":"80 ","pages":"Article 104414"},"PeriodicalIF":5.7,"publicationDate":"2025-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143394899","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Characteristics and prognosis of patients with primary metastatic disease vs. recurrent HER2-negative, hormone receptor-positive advanced breast cancer 原发性转移性乳腺癌患者与复发性her2阴性、激素受体阳性晚期乳腺癌患者的特点和预后
IF 5.7 2区 医学
Breast Pub Date : 2025-02-05 DOI: 10.1016/j.breast.2025.104412
Christina B. Walter , Andreas D. Hartkopf , Alexander Hein , Peter A. Fasching , Hans-Christian Kolberg , Peyman Hadji , Hans Tesch , Lothar Häberle , Johannes Ettl , Diana Lüftner , Markus Wallwiener , Volkmar Müller , Matthias W. Beckmann , Laura L. Michel , Erik Belleville , Hanna Huebner , Sabrina Uhrig , Chloë Goossens , Pauline Wimberger , Carsten Hielscher , Carlo Fremd
{"title":"Characteristics and prognosis of patients with primary metastatic disease vs. recurrent HER2-negative, hormone receptor-positive advanced breast cancer","authors":"Christina B. Walter ,&nbsp;Andreas D. Hartkopf ,&nbsp;Alexander Hein ,&nbsp;Peter A. Fasching ,&nbsp;Hans-Christian Kolberg ,&nbsp;Peyman Hadji ,&nbsp;Hans Tesch ,&nbsp;Lothar Häberle ,&nbsp;Johannes Ettl ,&nbsp;Diana Lüftner ,&nbsp;Markus Wallwiener ,&nbsp;Volkmar Müller ,&nbsp;Matthias W. Beckmann ,&nbsp;Laura L. Michel ,&nbsp;Erik Belleville ,&nbsp;Hanna Huebner ,&nbsp;Sabrina Uhrig ,&nbsp;Chloë Goossens ,&nbsp;Pauline Wimberger ,&nbsp;Carsten Hielscher ,&nbsp;Carlo Fremd","doi":"10.1016/j.breast.2025.104412","DOIUrl":"10.1016/j.breast.2025.104412","url":null,"abstract":"<div><h3>Background</h3><div>Patients with first-line metastatic breast cancer (MBC) comprise patients with de novo metastases (dnMBC) or recurrent disease after primary breast cancer (rMBC). This analysis aimed to explore the prognostic value of dnMBC versus rMBC overall and particularly in subgroups according to age and metastasis site, in addition to other prognostic clinicopathological parameters in a first-line, hormone receptor (HR)-positive, HER2-negative (HRpos/HER2neg) population.</div></div><div><h3>Methods</h3><div>Within the prospective PRAEGNANT MBC registry (NCT02338167), 508 HRpos/HER2neg patients, receiving first-line treatment for advanced disease, were identified. Clinicopathological parameters (age, body mass index, performance status, tumor grading, metastasis site and therapy) were assessed according to metastatic status (dnMBC, rMBC within 5 years of primary diagnosis (rMBC &lt;5 years), rMBC after more than 5 years (rMBC ≥5 years)). Cox regression analyses were performed to investigate whether metastatic status influences progression-free survival (PFS) and overall survival (OS).</div></div><div><h3>Results</h3><div><em>De novo</em> metastatic disease was present in 180 patients (35.4 %), whereas 132 patients (26.0 %) had rMBC &lt;5 years and 196 patients (38.6 %) had rMBC ≥5 years. Patients with dnMBC had the most favorable prognosis. Relative to dnMBC, hazard ratios for PFS were 1.75 (95%CI: 1.31–2.34) in rMBC&lt;5 years and 1.25 (95%CI: 0.94–1.65) for rMBC ≥5 years. Subgroup-specific differences were not observed.</div></div><div><h3>Conclusion</h3><div>HRpos/HER2neg first-line MBC patients have a more favorable prognosis if the disease was previously not treated. This difference was similar across all examined clinicopathological parameters. It may therefore be beneficial to incorporate MBC categories as a stratification factor in clinical trials.</div></div>","PeriodicalId":9093,"journal":{"name":"Breast","volume":"80 ","pages":"Article 104412"},"PeriodicalIF":5.7,"publicationDate":"2025-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143394901","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Omitting axillary lymph node dissection in breast cancer patients with extensive nodal disease and excellent response to primary systemic therapy using the MARI protocol 在广泛淋巴结疾病的乳腺癌患者中省略腋窝淋巴结清扫,并使用MARI方案进行初步全身治疗
IF 5.7 2区 医学
Breast Pub Date : 2025-02-04 DOI: 10.1016/j.breast.2025.104411
Annemiek K.E. van Hemert , Ariane A. van Loevezijn , Marie-Sophie P.D. Baas , Marcel P.M. Stokkel , Emma J. Groen , Vincent van der Noort , Claudette E. Loo , Gabe S. Sonke , Nicola Russell , Frederieke H. van Duijnhoven , Marie-Jeanne T.F.D. Vrancken Peeters
{"title":"Omitting axillary lymph node dissection in breast cancer patients with extensive nodal disease and excellent response to primary systemic therapy using the MARI protocol","authors":"Annemiek K.E. van Hemert ,&nbsp;Ariane A. van Loevezijn ,&nbsp;Marie-Sophie P.D. Baas ,&nbsp;Marcel P.M. Stokkel ,&nbsp;Emma J. Groen ,&nbsp;Vincent van der Noort ,&nbsp;Claudette E. Loo ,&nbsp;Gabe S. Sonke ,&nbsp;Nicola Russell ,&nbsp;Frederieke H. van Duijnhoven ,&nbsp;Marie-Jeanne T.F.D. Vrancken Peeters","doi":"10.1016/j.breast.2025.104411","DOIUrl":"10.1016/j.breast.2025.104411","url":null,"abstract":"<div><h3>Purpose</h3><div>Axillary lymph node staging techniques after primary systemic therapy (PST) show low false negative rates, stimulating the omission of axillary lymph node dissection (ALND). Breast cancer patients with extensive nodal disease are underreported in studies on response-guided axillary treatment. In this study, we present the oncologic outcome of breast cancer patients with ≥4 involved axillary lymph nodes treated according to the MARI-protocol.</div></div><div><h3>Methods</h3><div>This prospective single arm registration study included breast cancer patients with extensive nodal disease defined as ≥4 involved axillary lymph nodes on FDG-PET/CT pre-PST between July 2014 and December 2021. After PST, the marked (MARI) lymph node was excised. Patients with a pathologic complete response (pCR) of the MARI node (ypN0) received locoregional radiation treatment (RT). In patients with residual disease of the MARI node (ypN+), ALND was performed followed by RT. Primary endpoint was axillary recurrence rate. Secondary endpoints were invasive disease-free survival (DFS) and overall survival (OS).</div></div><div><h3>Results</h3><div>In total, 218 patients were registered of which 39 % of patients also had extra-axillary nodal disease. Median (IQR) age was 50 (42–57) years. After PST 47 % of patients (103/218) had ypN0, whereas 53 % of patients (115/218) had ypN+. After a median follow up of 44 (26–62) months, axillary recurrence rate was 2.9 % (<em>n</em> = 3) in the ypN0 group and 3.5 % (<em>n</em> = 4) in the ypN + group. Five-year invasive DFS and OS were respectively 89 % (95 % CI 83 %–96 %) and 95 % (95 % CI 91 %–99 %) in ypN0 patients.</div></div><div><h3>Conclusion</h3><div>Omission of ALND after PST in breast cancer patients with extensive nodal involvement who achieve pCR of the MARI node is associated with excellent five-year oncologic outcome.</div></div>","PeriodicalId":9093,"journal":{"name":"Breast","volume":"80 ","pages":"Article 104411"},"PeriodicalIF":5.7,"publicationDate":"2025-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143420145","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Updated efficacy and safety of HLX02 versus reference trastuzumab in metastatic HER2-positive breast cancer: A randomized phase III equivalence trial HLX02与参考曲妥珠单抗在转移性her2阳性乳腺癌中的最新疗效和安全性:一项随机III期等效试验
IF 5.7 2区 医学
Breast Pub Date : 2025-02-04 DOI: 10.1016/j.breast.2025.104413
Binghe Xu , Qingyuan Zhang , Tao Sun , Wei Li , Yue'e Teng , Xichun Hu , Igor Bondarenko , Hryhoriy Adamchuk , Liangming Zhang , Dmytro Trukhin , Shusen Wang , Hong Zheng , Zhongsheng Tong , Yaroslav Shparyk , Futang Yang , Haoyu Yu , Jing Li , Qingyu Wang , Jun Zhu , HLX02-BC01 Investigators
{"title":"Updated efficacy and safety of HLX02 versus reference trastuzumab in metastatic HER2-positive breast cancer: A randomized phase III equivalence trial","authors":"Binghe Xu ,&nbsp;Qingyuan Zhang ,&nbsp;Tao Sun ,&nbsp;Wei Li ,&nbsp;Yue'e Teng ,&nbsp;Xichun Hu ,&nbsp;Igor Bondarenko ,&nbsp;Hryhoriy Adamchuk ,&nbsp;Liangming Zhang ,&nbsp;Dmytro Trukhin ,&nbsp;Shusen Wang ,&nbsp;Hong Zheng ,&nbsp;Zhongsheng Tong ,&nbsp;Yaroslav Shparyk ,&nbsp;Futang Yang ,&nbsp;Haoyu Yu ,&nbsp;Jing Li ,&nbsp;Qingyu Wang ,&nbsp;Jun Zhu ,&nbsp;HLX02-BC01 Investigators","doi":"10.1016/j.breast.2025.104413","DOIUrl":"10.1016/j.breast.2025.104413","url":null,"abstract":"<div><h3>Aim</h3><div>Equivalence between HLX02 and trastuzumab sourced from the European Union (EU-trastuzumab), in combination with docetaxel, was demonstrated in a phase III study. This study aimed to evaluate the long-term efficacy and safety data after 3 years of follow-up.</div></div><div><h3>Methods</h3><div>Patients with previously untreated, HER2-positive metastatic breast cancer received intravenous HLX02 or EU-trastuzumab (initial dose of 8 mg/kg, followed by 6 mg/kg every 3 weeks for up to 12 months) in combination with docetaxel. Primary endpoint was the overall response rate up to week 24 (ORR<sub>24</sub>). Secondary endpoints including updated overall survival (OS), progression-free survival (PFS), safety and immunogenicity are reported in this long-term follow-up analysis.</div></div><div><h3>Results</h3><div>After a median follow-up duration of 35.0 months, 270 out of the 649 enrolled patients had died; 128 (39.5 %) in the HLX02 and 142 (43.7 %) in the EU-trastuzumab group. Median OS was 37.3 (95 % CI 36.2, not evaluable [NE]) months and not reached (95 % CI 34.2, NE) (stratified HR 0.86 [95 % CI 0.68, 1.10]; <em>p</em> = 0.229), with a 3-year OS rate of 57.5 % and 54.0 %, respectively. Median PFS at this long-term follow-up assessment was 11.7 (95 % CI 11.5, 12.1) months for the HLX02 group and 10.6 (95 % CI 9.5, 11.7) months for the EU-trastuzumab group (stratified HR 0.86 [95 % CI 0.69, 1.06]; <em>p</em> = 0.158). No new safety concerns were reported until the end of the survival follow-up.</div></div><div><h3>Conclusion</h3><div>Long-term efficacy and safety were consistent with the previous findings. No clinically meaningful differences between HLX02 and reference trastuzumab were demonstrated.</div></div><div><h3>Clinical trial registration</h3><div>Chinadrugtrials.org CTR20160526 (September 12, 2016), <span><span>ClinicalTrials.gov</span><svg><path></path></svg></span> NCT03084237 (March 20, 2017), EudraCT 2016-000206-10 (April 27, 2017).</div></div>","PeriodicalId":9093,"journal":{"name":"Breast","volume":"80 ","pages":"Article 104413"},"PeriodicalIF":5.7,"publicationDate":"2025-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143402631","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Describing quality of life trajectories in young Hispanic women with breast cancer: 5-year results from a large prospective cohort 描述年轻西班牙裔乳腺癌女性的生活质量轨迹:来自大型前瞻性队列的5年结果。
IF 5.7 2区 医学
Breast Pub Date : 2025-02-01 DOI: 10.1016/j.breast.2024.103866
Bryan F. Vaca-Cartagena , Ana S. Ferrigno Guajardo , Hatem A. Azim Jr , Federico Rotolo , Antonio Olivas-Martinez , Alejandra Platas , Alan Fonseca , Fernanda Mesa-Chavez , Marlid Cruz-Ramos , Ana Rodriguez , Alejandro Mohar , Cynthia Villarreal-Garza
{"title":"Describing quality of life trajectories in young Hispanic women with breast cancer: 5-year results from a large prospective cohort","authors":"Bryan F. Vaca-Cartagena ,&nbsp;Ana S. Ferrigno Guajardo ,&nbsp;Hatem A. Azim Jr ,&nbsp;Federico Rotolo ,&nbsp;Antonio Olivas-Martinez ,&nbsp;Alejandra Platas ,&nbsp;Alan Fonseca ,&nbsp;Fernanda Mesa-Chavez ,&nbsp;Marlid Cruz-Ramos ,&nbsp;Ana Rodriguez ,&nbsp;Alejandro Mohar ,&nbsp;Cynthia Villarreal-Garza","doi":"10.1016/j.breast.2024.103866","DOIUrl":"10.1016/j.breast.2024.103866","url":null,"abstract":"<div><h3>Introduction</h3><div>Cancer treatments have a detrimental impact on the quality of life (QoL) of young women with breast cancer (YWBC). Research exploring QoL trajectories has been mostly centered on postmenopausal women. Here we report longitudinal changes across all QoL domains and associated factors in YWBC.</div></div><div><h3>Methods</h3><div>In this prospective longitudinal cohort study, women aged ≤40 with stage I-III BC completed the European Organization for the Research and Treatment of Cancer Core QoL questionnaire at diagnosis and during 4 follow-up visits over 5 years, alongside demographic and clinical data collection. Group-based multivariate trajectory modeling was used to identify patient groups based on their functional and symptom scores, finding 3 groups (best, good, and poor). Factors associated with each trajectory pattern were identified with multinomial logistic models.</div></div><div><h3>Results</h3><div>A total of 477 women (median age: 36; IQR: 32–38) were clustered into the best (n = 259, 54 %), good (n = 79, 17 %), or poor trajectory groups (n = 139, 29 %). Throughout the disease, patients with a poor QoL experienced clinically significant impairment in emotional functioning, nausea and vomiting, and pain. They also had significant cognitive impairment, dyspnea, and diarrhea. Patients with a good QoL had clinically meaningful diarrhea for the first 7 months, while those with the best QoL had clinically important nausea and vomiting during the first 2 months since diagnosis. Noteworthy, all groups experienced significant financial difficulties throughout their follow-up. Regular alcohol consumption at diagnosis (aOR [adjusted odds ratio] 1.64; 95 % CI [confidence interval] 1.02–2.65) and HER2-positive BC (aOR 2.53; 95 % CI 1.35–4.73) were independent factors associated with classification to the poor and good groups, respectively.</div></div><div><h3>Conclusion</h3><div>This study underscores the variability in QoL among YWBC and the importance of ongoing monitoring. Strategies to improve access to economic resources, manage treatment-related adverse effects, and support patients in discontinuing modifiable risk factors are needed.</div></div>","PeriodicalId":9093,"journal":{"name":"Breast","volume":"79 ","pages":"Article 103866"},"PeriodicalIF":5.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11755074/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142926641","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
P096: The value of ultrasound in patients with T1-T2 breast cancer with no palpable lymph nodes enrolled in the EORTC 10981–22023 AMAROS trial P096:超声在EORTC 10981-22023 AMAROS试验中未触及淋巴结的T1-T2乳腺癌患者中的价值
IF 5.7 2区 医学
Breast Pub Date : 2025-02-01 DOI: 10.1016/j.breast.2025.103963
T. Snellen, A. Beerthuizen, S. Bartels, A. Kuijer, F van Duijnhoven
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引用次数: 0
P117: Assessment of Histopathological Correlation between Two Synchronous, Ipsilateral Groups of Calcifications in light of Imaging Features P117:两组同步的同侧钙化在影像学特征上的组织病理学相关性评估
IF 5.7 2区 医学
Breast Pub Date : 2025-02-01 DOI: 10.1016/j.breast.2025.103983
A. Marneri, C. Theodoropoulos, A. Triantafyllou, M. Roma, C. Dimitriou, N Michalopoulos
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引用次数: 0
P116: HER2 Destiny: Visual scoring using ASCO/CAP guidelines or precise quantification using A.I? P116: HER2命运:使用ASCO/CAP指南进行视觉评分还是使用人工智能进行精确量化?
IF 5.7 2区 医学
Breast Pub Date : 2025-02-01 DOI: 10.1016/j.breast.2025.103982
X.X. Lim, D.F. Sanchez, T.W. Ramsing, A.B. Jensen, J. Thagaard, A. Cramer, P Oliveira
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引用次数: 0
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