2012
DOI: 10.1136/bmjopen-2011-000358
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Breast cancer survival and season of surgery: an ecological open cohort study

Abstract: Background: Vitamin D has been suggested to influence the incidence and prognosis of breast cancer, and studies have found better overall survival (OS) after diagnosis for breast cancer in summereautumn, where the vitamin D level are expected to be highest.Objective: To compare the prognostic outcome for early breast cancer patients operated at different seasons of the year.Design: Open population-based cohort study. Setting: Danish women operated 1978e2010. Cases: 79 658 adjusted for age at surgery, period of… Show more

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Cited by 3 publications
(2 citation statements)
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“…The literature on the impact of seasonality on mortality shows discordant findings. Several small-sized studies found a positive prognostic impact from BC diagnosis in the summer [29,54,62,63], others found no impact [64,65], while the largest study performed so far, utilizing 89,630 BC cases from Swedish registers, found an increased risk of death in women diagnosed in the summer [66]. For the neoadjuvant setting, our data suggest that the impact of seasonality, if it exists, would not be major.…”
Section: Discussionmentioning
confidence: 53%
“…The literature on the impact of seasonality on mortality shows discordant findings. Several small-sized studies found a positive prognostic impact from BC diagnosis in the summer [29,54,62,63], others found no impact [64,65], while the largest study performed so far, utilizing 89,630 BC cases from Swedish registers, found an increased risk of death in women diagnosed in the summer [66]. For the neoadjuvant setting, our data suggest that the impact of seasonality, if it exists, would not be major.…”
Section: Discussionmentioning
confidence: 53%
“…Most of the time, thorough tissue removal, radiotherapy, chemotherapy, and the hormone therapy are necessary. [ 9 12 ] Nevertheless, these treatments can lead to adverse reactions including sleep disturbances, fatigue, and pain. Such effects can significantly worsen the life quality of patients, especially in the periods after receiving surgery accompanied by the adjuvant treatment.…”
Section: Introductionmentioning
confidence: 99%