Clinicopathological characteristics and health care for Tibetan women with breast cancer: a cross-sectional survey

被引:1
|
作者
Zhao, Yulan [1 ]
Luo, Hanhuan [2 ]
Zhang, Xintian [3 ]
Bianba, Tashi [1 ]
Li, Lin [4 ,5 ]
Wang, Qian [2 ,6 ]
Guo, Lei [4 ,5 ]
Wang, Dian [6 ]
Ze, Yongge [1 ]
Zheng, Shan [4 ,5 ]
机构
[1] Tibet Autonomous Reg Peoples Hosp, Dept Oncol, Lhasa 850000, Tibet, Peoples R China
[2] Tibet Autonomous Reg Peoples Hosp, Dept Pathol, Lhasa 850000, Tibet, Peoples R China
[3] Sun Yat Sen Univ, Dept Clin Med 2, Zhongshan Sch Med, Guangzhou 510080, Guangdong, Peoples R China
[4] Chinese Acad Med Sci, Natl Clin Res Ctr Canc, Natl Canc Ctr, Dept Pathol,Canc Hosp, Beijing 100021, Peoples R China
[5] Peking Union Med Coll, Beijing 100021, Peoples R China
[6] Tibet Autonomous Reg Peoples Hosp, Dept Imaging, Tibet 850000, Autonomous Regi, Peoples R China
关键词
Breast cancer; Clinicopathological characteristics; Tibetan female; Plateau; Healthcare system; GLOBAL CANCER; STATISTICS; OUTCOMES; OPPORTUNITIES; DETERMINANTS; AWARENESS; CHINA;
D O I
10.1186/s12885-019-5580-x
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
BackgroundThe healthcare system (HCS) improved in Tibet Autonomous Region (TAR), China. The present study aimed to investigate whether these improvements might alter the clinicopathological characteristics of a Tibetan female with breast cancer (BC) in TAR.MethodsThis was a single-center cross-sectional study conducted at TAR People's Hospital. All Tibetan adult women were treated for BC in this hospital between January 1, 1973 and December 31, 2015. The inclusion criteria were as follows: (1) Tibetan adult woman living in Tibet; (2) Histopathology or cytopathology or both confirming primary BC; (3) All the treatments were finished in this hospital. (2) test and logistic regression were applied, using age group and census register as the two covariates.ResultsA total of 273 patients with BC were included in the final analysis. Of these, 14 patients were in the free HCS, 183 patients had medical insurance combined with a new rural cooperative HCS, and 76 were in a rural and urban integration HCS. Currently, a rural and urban integration HCS is an improved system. Consequently, an increase in the proportion patients in the T1-3 stage was observed (0.198; 0.046 to 0.852) between the rural and urban integration HCS and free HCS. The proportion of patients in early (I+II) stage cancer (0.110; 0.019-0.633) also increased between these two HCSs.ConclusionThis was the first report about Tibetan women with BC in Tibet. Some clinicopathological characteristics at the presentation of Tibetan women with BC may improve during different HCSs. The cancer awareness, early detection, and the overall management in patients with advanced stage BC might improve the prognosis of BC in the rural and urban integration HCS.
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页数:9
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