Geographic variations in breach cancer mortality

Do higher rates imply elevated incidence or poorer survival?

James Goodwin, Jean L. Freeman, Daniel Freeman, Ann B. Nattinger

Research output: Contribution to journalArticle

30 Citations (Scopus)

Abstract

Objectives. Mortality rates from breast cancer are approximately 25% higher for women in the northeastern United States than for women in the South or West. This study examined the hypothesis that the elevation is due to decreased survival rather than increased incidence. Methods. Data on breast Cancer incidence, treatment, and mortality were reviewed. Results. The elevated mortality in the Northeast is apparent only in older women. For women aged 65 years and older, breast cancer mortality is 26% higher in New England than in the South, while incidence is only 3% higher. Breast cancer mortality for older women by state correlates poorly with incidence (r = 0.28). Conclusions. Those seeking to explain the excess breast cancer mortality in the Northeast should assess survival and should examine differences in cancer control practices that affect survival.

Original languageEnglish
Pages (from-to)458-460
Number of pages3
JournalAmerican Journal of Public Health
Volume88
Issue number3
StatePublished - Mar 1998

Fingerprint

Survival
Mortality
Breast Neoplasms
Incidence
Neoplasms
New England
Therapeutics

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

Geographic variations in breach cancer mortality : Do higher rates imply elevated incidence or poorer survival? / Goodwin, James; Freeman, Jean L.; Freeman, Daniel; Nattinger, Ann B.

In: American Journal of Public Health, Vol. 88, No. 3, 03.1998, p. 458-460.

Research output: Contribution to journalArticle

@article{ea23bfdd2a0d44c0a3a29899a78e9022,
title = "Geographic variations in breach cancer mortality: Do higher rates imply elevated incidence or poorer survival?",
abstract = "Objectives. Mortality rates from breast cancer are approximately 25{\%} higher for women in the northeastern United States than for women in the South or West. This study examined the hypothesis that the elevation is due to decreased survival rather than increased incidence. Methods. Data on breast Cancer incidence, treatment, and mortality were reviewed. Results. The elevated mortality in the Northeast is apparent only in older women. For women aged 65 years and older, breast cancer mortality is 26{\%} higher in New England than in the South, while incidence is only 3{\%} higher. Breast cancer mortality for older women by state correlates poorly with incidence (r = 0.28). Conclusions. Those seeking to explain the excess breast cancer mortality in the Northeast should assess survival and should examine differences in cancer control practices that affect survival.",
author = "James Goodwin and Freeman, {Jean L.} and Daniel Freeman and Nattinger, {Ann B.}",
year = "1998",
month = "3",
language = "English",
volume = "88",
pages = "458--460",
journal = "American Journal of Public Health",
issn = "0090-0036",
publisher = "American Public Health Association Inc.",
number = "3",

}

TY - JOUR

T1 - Geographic variations in breach cancer mortality

T2 - Do higher rates imply elevated incidence or poorer survival?

AU - Goodwin, James

AU - Freeman, Jean L.

AU - Freeman, Daniel

AU - Nattinger, Ann B.

PY - 1998/3

Y1 - 1998/3

N2 - Objectives. Mortality rates from breast cancer are approximately 25% higher for women in the northeastern United States than for women in the South or West. This study examined the hypothesis that the elevation is due to decreased survival rather than increased incidence. Methods. Data on breast Cancer incidence, treatment, and mortality were reviewed. Results. The elevated mortality in the Northeast is apparent only in older women. For women aged 65 years and older, breast cancer mortality is 26% higher in New England than in the South, while incidence is only 3% higher. Breast cancer mortality for older women by state correlates poorly with incidence (r = 0.28). Conclusions. Those seeking to explain the excess breast cancer mortality in the Northeast should assess survival and should examine differences in cancer control practices that affect survival.

AB - Objectives. Mortality rates from breast cancer are approximately 25% higher for women in the northeastern United States than for women in the South or West. This study examined the hypothesis that the elevation is due to decreased survival rather than increased incidence. Methods. Data on breast Cancer incidence, treatment, and mortality were reviewed. Results. The elevated mortality in the Northeast is apparent only in older women. For women aged 65 years and older, breast cancer mortality is 26% higher in New England than in the South, while incidence is only 3% higher. Breast cancer mortality for older women by state correlates poorly with incidence (r = 0.28). Conclusions. Those seeking to explain the excess breast cancer mortality in the Northeast should assess survival and should examine differences in cancer control practices that affect survival.

UR - http://www.scopus.com/inward/record.url?scp=0031594403&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0031594403&partnerID=8YFLogxK

M3 - Article

VL - 88

SP - 458

EP - 460

JO - American Journal of Public Health

JF - American Journal of Public Health

SN - 0090-0036

IS - 3

ER -