2012
DOI: 10.1002/ijc.27725
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Breast cancer survival in the US and Europe: A CONCORD high‐resolution study

Abstract: Breast cancer survival is reportedly higher in the US than in Europe. The first worldwide study (CONCORD) found wide international differences in age‐standardized survival. The aim of this study is to explain these survival differences. Population‐based data on stage at diagnosis, diagnostic procedures, treatment and follow‐up were collected for about 20,000 women diagnosed with breast cancer aged 15–99 years during 1996–98 in 7 US states and 12 European countries. Age‐standardized net survival and the excess … Show more

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Cited by 104 publications
(79 citation statements)
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“…59,70,8284 High-resolution studies of tumour stage at diagnosis, treatment, and adherence to guidelines have helped account for international differences in survival. 55,8587 The comparability of data gathered routinely on cancer stage remains poor in developed countries, 88 even though the TNM classification 89 has been available for more than 60 years. We will examine in more detail the extent to which available data on tumour stage can explain the very wide global differences in survival reported by us here.…”
Section: Discussionmentioning
confidence: 99%
“…59,70,8284 High-resolution studies of tumour stage at diagnosis, treatment, and adherence to guidelines have helped account for international differences in survival. 55,8587 The comparability of data gathered routinely on cancer stage remains poor in developed countries, 88 even though the TNM classification 89 has been available for more than 60 years. We will examine in more detail the extent to which available data on tumour stage can explain the very wide global differences in survival reported by us here.…”
Section: Discussionmentioning
confidence: 99%
“…More detailed studies of survival, including information on stage at diagnosis and other clinical characteristics, will assist in better understanding of these disparities. 41,42 Much more research is needed.…”
Section: Discussionmentioning
confidence: 99%
“…Breast cancer survival rates vary greatly worldwide, ranging from over 80% in North America and Western Europe, around 70% in Eastern Europe (Allemani et al, 2013), 90% in Hong Kong, 60% in Qidong, China, and 44% in Uganda (Sankaranarayanan et al, 2011). Survival of breast cancer in Songkhla in the period of 1990-1999 published in the book 'Cancer Survival in Africa, Asia, the Caribbean and Central America' was approximately 62.7% in middle-income countries and less than 40% in low-income countries.…”
Section: Discussionmentioning
confidence: 99%