Improving Visualization of Female Breast Cancer Survival Estimates: Analysis Using Interactive Mapping Reports

Ramadan, Awatef Ahmed Ben; Jackson‐Thompson, Jeannette; Schmaltz, Chester

doi:10.2196/publichealth.8163

Cited by 5 publications

(4 citation statements)

References 10 publications

(12 reference statements)

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“…Among different conditions of interest, a significant number of applications were developed for studying trends in cancer [ 43 , 44 , 52 , 61 , 71 , 88 ]. Being a worldwide population health issue, the greater use of interactive visualization methods in cancer could be due to the availability of dedicated registries and secondary administrative data [ 88 ].…”

Section: Discussionmentioning

confidence: 99%

Interactive Visualization Applications in Population Health and Health Services Research: Systematic Scoping Review

Chishtie¹,

Bielska²,

Barrera³

et al. 2022

J Med Internet Res

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Background Simple visualizations in health research data, such as scatter plots, heat maps, and bar charts, typically present relationships between 2 variables. Interactive visualization methods allow for multiple related facets such as numerous risk factors to be studied simultaneously, leading to data insights through exploring trends and patterns from complex big health care data. The technique presents a powerful tool that can be used in combination with statistical analysis for knowledge discovery, hypothesis generation and testing, and decision support. Objective The primary objective of this scoping review is to describe and summarize the evidence of interactive visualization applications, methods, and tools being used in population health and health services research (HSR) and their subdomains in the last 15 years, from January 1, 2005, to March 30, 2019. Our secondary objective is to describe the use cases, metrics, frameworks used, settings, target audience, goals, and co-design of applications. Methods We adapted standard scoping review guidelines with a peer-reviewed search strategy: 2 independent researchers at each stage of screening and abstraction, with a third independent researcher to arbitrate conflicts and validate findings. A comprehensive abstraction platform was built to capture the data from diverse bodies of literature, primarily from the computer science and health care sectors. After screening 11,310 articles, we present findings from 56 applications from interrelated areas of population health and HSR, as well as their subdomains such as epidemiologic surveillance, health resource planning, access, and use and costs among diverse clinical and demographic populations. Results In this companion review to our earlier systematic synthesis of the literature on visual analytics applications, we present findings in 6 major themes of interactive visualization applications developed for 8 major problem categories. We found a wide application of interactive visualization methods, the major ones being epidemiologic surveillance for infectious disease, resource planning, health service monitoring and quality, and studying medication use patterns. The data sources included mostly secondary administrative and electronic medical record data. In addition, at least two-thirds of the applications involved participatory co-design approaches while introducing a distinct category, embedded research, within co-design initiatives. These applications were in response to an identified need for data-driven insights into knowledge generation and decision support. We further discuss the opportunities stemming from the use of interactive visualization methods in studying global health; inequities, including social determinants of health; and other related areas. We also allude to the challenges in the uptake of these methods. Conclusions Visualization in health has strong historical roots, with an upward trend in the use of these methods in population health and HSR. Such applications are being fast used by academic and health care agencies for knowledge discovery, hypotheses generation, and decision support. International Registered Report Identifier (IRRID) RR2-10.2196/14019

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Section: Discussionmentioning

confidence: 99%

Interactive Visualization Applications in Population Health and Health Services Research: Systematic Scoping Review

Chishtie¹,

Bielska²,

Barrera³

et al. 2022

J Med Internet Res

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“…The incidence of BC varies among different countries and racial and ethnic groups with age-adjusted rates of 129 per 100,000 population for White American and 75.1 per 100,000 population for Chinese women in the United States, while the rate was 30.69 per 100,000 population for Chinese women based on the Chinese population [ 2 , 3 ]. The survival outcomes are also discrepant in different races: White American individuals with BC have better cancer-specific survival (CSS) than African American individuals but poorer survival than Chinese individuals [ 4 , 5 ].…”

Section: Introductionmentioning

confidence: 99%

Stage-Specific Survival in Breast Cancer in Chinese and White Women: Comparative Data Analysis

Wang¹,

Zhou²,

Liu³

et al. 2022

JMIR Public Health Surveill

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Background Stage-specific survival, according to the eighth edition of the American Joint Committee on Cancer (AJCC) pathological prognostic staging (PPS) on breast cancer (BC), between Chinese and White American women remains unclear. Objective This study aimed to assess stage-specific survival in BC between Chinese and White American women according to the eighth AJCC PPS. Methods We included Chinese and White American women with BC diagnosed between 2010 and 2018 from the Surveillance, Epidemiology, and End Results database. A chi-square test, the Kaplan–Meier method, a receiver operating characteristic (ROC) curve, and multivariate Cox proportional hazards models were used for data analysis. Results We included 376,818 individuals in this study: 369,522 White American and 7296 Chinese. Of them, 149,452 (39.7%) migrated from the seventh AJCC anatomic staging (AS) to the eighth AJCC PPS, 22,516 (6.0%) were upstaged, and 126,936 (33.7%) were downstaged. With a median follow-up duration of 44 months, the 5-year overall survival and cancer-specific survival (CSS) for the entire group were 87.4% and 95.9%, respectively. The seventh AJCC AS (P<.001) and the eighth AJCC PPS (P<.001) could significantly predict the survival outcomes of BC, and multivariate analysis revealed that both staging systems were significant prognostic indicators of CSS. The ROC curve revealed that the PPS had a better discriminating ability than the AS (area under the curve [AUC] 0.769 vs 0.753, P<.001). Similar trends were observed after stratification by the 2 ethnic groups. The eighth AJCC PPS had better discriminating ability than the seventh AJCC AS among both White American (AUC 0.769 vs 0.753, P<.001) and Chinese patients (AUC 0.790 vs 0.776, P<.001). In the seventh AJCC AS, Chinese women had better CSS in stage IA (P=.02), stage IIA (P=.005), and stage IIIB (P=.04) disease than White American women, but no significant CSS was observed in stage IB, IIB, IIIA, and IIIC disease between the 2 ethnic groups. Regarding the eighth AJCC PPS, Chinese women had better CSS in stage IA (P=.002) and IIIA (P=.046) disease than White American women, and CSS was similar in Chinese and White American women in other substages. Conclusions The eighth AJCC PPS has a similar discriminative ability between White American and Chinese individuals with BC compared with the seventh AJCC AS. Therefore, the eighth AJCC PPS is also applicable to Chinese individuals with BC.

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“…Nevertheless, as indicated in a survey on breast reconstruction after mastectomy among Chinese female patients in 2012, the reconstruction rate after total mastectomy was only about 4.5% ( 4 ), which was much lower than that reported in western countries. Though, with the significant improvement in both disease-free survival and overall survival ( 5 ), breast cancer care has evolved from simple disease control to the recovery of breast shape and function ( 6 ). Furthermore, with the continuous improvement of living conditions, demand for breast reconstruction among Chinese female patients with breast cancer has also been increasing.…”

Section: Introductionmentioning

confidence: 99%

Multi-center investigation of breast reconstruction after mastectomy from Chinese Society of Breast Surgery: A survey based on 31 tertiary hospitals (CSBrS-004)

Lei

Liu

et al. 2021

Chinese Journal of Cancer Research

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Objective Multi-center data on the current status and trends of breast reconstruction after mastectomy in China are lacking. Herein, we conducted a cross-sectional survey to investigate the current clinical practice pattern of postmastectomy breast reconstruction among Chinese female patients with breast cancer. Methods A standardized questionnaire used to collect information on breast reconstruction among females diagnosed with breast cancer was distributed by 31 members of the Chinese Society of Breast Surgery between January 1, 2018 and December 31, 2018. Information was collected on tumor characteristics, treatment, mesh application, nipple-areola complex (NAC) preservation, postoperative complications, bilateral reconstruction, patient satisfaction and local recurrence. The overall rate of breast reconstruction was assessed, and the characteristics were compared across patient groups with different reconstruction approaches. Results A total of 1,554 patients underwent breast reconstruction after total mastectomy, with a reconstruction rate of 9.6%. Among them, 1,190 were implant-based, and 262 underwent autologous reconstructions, while 102 cases underwent a combination of both. Patients who underwent implant-based reconstruction were younger than those who received autologous reconstruction (40.1±4.6 vs . 45.0±5.9, P=0.004). Compared to patients with autologous reconstruction, mesh application (25.5% vs . 6.5%), NAC preservation (51.8% vs . 40.5%) and reconstruction failure (1.8% vs . 0) were more frequently reported among those with implant-based reconstruction. There was no significant difference in general satisfaction across three reconstruction approaches, though patients with autologous reconstruction reported the highest aesthetic satisfaction among the three groups (P=0.044). Conclusions Implant-based breast reconstruction remains the dominant choice among patients, while autologous reconstruction was associated with higher aesthetic satisfaction. Our multi-center investigation based on the findings of the tertiary hospitals of Chinese Society of Breast Surgery may guide a future series of clinical studies on breast reconstruction in China.

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Improving Visualization of Female Breast Cancer Survival Estimates: Analysis Using Interactive Mapping Reports

Cited by 5 publications

References 10 publications

Interactive Visualization Applications in Population Health and Health Services Research: Systematic Scoping Review

Interactive Visualization Applications in Population Health and Health Services Research: Systematic Scoping Review

Stage-Specific Survival in Breast Cancer in Chinese and White Women: Comparative Data Analysis

Multi-center investigation of breast reconstruction after mastectomy from Chinese Society of Breast Surgery: A survey based on 31 tertiary hospitals (CSBrS-004)

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