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Paradoxes of breast cancer incidence and mortality in two corners of Europe
Linköping University, Department of Health, Medicine and Caring Sciences, Division of Prevention, Rehabilitation and Community Medicine. Linköping University, Faculty of Medicine and Health Sciences.
Univ Crete, Greece.
Linköping University, Department of Health, Medicine and Caring Sciences, Division of Prevention, Rehabilitation and Community Medicine. Linköping University, Faculty of Medicine and Health Sciences.
Univ Crete, Greece.
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2022 (English)In: BMC Cancer, ISSN 1471-2407, E-ISSN 1471-2407, Vol. 22, no 1, article id 1123Article in journal (Refereed) Published
Abstract [en]

Background Breast cancer incidence is rising globally, while mortality rates show a geographical heterogenous pattern. Early detection and treatment have been proven to have a profound impact on breast cancer prognosis. The aim of his study was to compare breast cancer incidence, mortality, and survival rates in two contrasting corners of Europe, Sweden and Crete, to better understand cancer determinants with focus on disease burden and sociocultural factors. Methods Breast cancer data from Sweden and Crete was derived from registries. Incidence and mortality were expressed as Age-Standardized Incidence Rates (ASIR), Age-Standardized Mortality Rates (ASMR). Findings Breast cancer incidence has for decades risen in Sweden and on Crete. In 2019, ASIR was 217.5 in Sweden and 58.9 on Crete, (p < 0.001). Mortality rates showed opposite trends. ASMR in Sweden was reduced from 25.5 to 16.8 (2005-2019) while on Crete, ASMR increased from 22.1 to 25.3. A successive rise in survival rate in Sweden with a 5-year survival rate of 92% since 2015, but a converse development on Crete with 85% 5-year survival rate the same year. Interpretation The incidence of breast cancer is slowly rising in both studied regions, but mortality increases on Crete in contrast to Sweden with sinking mortality rates. The interpretation of these findings is that differences in health care systems and health policies including differences in early detection like screening programs and early treatment, as well as sociocultural factors in the two countries might play an important role on the differences found in breast cancer burden.

Place, publisher, year, edition, pages
BMC , 2022. Vol. 22, no 1, article id 1123
Keywords [en]
Breast cancer; Comparative study; Incidence; Mortality; Register data
National Category
Cancer and Oncology
Identifiers
URN: urn:nbn:se:liu:diva-189920DOI: 10.1186/s12885-022-10243-wISI: 000877718900003PubMedID: 36319987OAI: oai:DiVA.org:liu-189920DiVA, id: diva2:1710694
Note

Funding Agencies|Region of Crete; Directors of each hospital department and death registry per municipality in Crete

Available from: 2022-11-14 Created: 2022-11-14 Last updated: 2022-12-06

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Roginski, MikaelaStomby, AndreasFaresjö, TomasLionis, ChristosOlsen Faresjö, Åshild
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Division of Prevention, Rehabilitation and Community MedicineFaculty of Medicine and Health SciencesDivision of Society and Health
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