Differences in clinicopatholgic characteristics and risk of mortality between the triple positive and ER+/PR+/HER2– breast cancer subtypes

Purpose This study compared the demographic and clinicopathologic characteristics and risk of mortality between the triple positive (TP) and ER+/PR+/HER2− breast cancer subtypes. Methods Cases of first primary female invasive TP and ER+/PR+/HER2− breast cancer were obtained from the California Cance...

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Veröffentlicht in:Cancer causes & control 2019-05, Vol.30 (5), p.417-424
Hauptverfasser: Parise, Carol A., Caggiano, Vincent
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description Purpose This study compared the demographic and clinicopathologic characteristics and risk of mortality between the triple positive (TP) and ER+/PR+/HER2− breast cancer subtypes. Methods Cases of first primary female invasive TP and ER+/PR+/HER2− breast cancer were obtained from the California Cancer Registry. Logistic regression analysis was used to compare differences in factors associated with the TP versus the ER+/PR+/HER2− subtype. Cox regression was used to compute the adjusted risk of breast cancer-specific mortality of the TP versus ER+/PR+/HER2−. Results The odds of TP versus ER+/PR+/HER2− were higher with advanced stage, high grade, low SES, ≤ 45 years of age (OR 1.48; CI 1.40–1.55), black (OR 1.11; CI 1.02–1.21), Asian/Pacific Islander (OR 1.15; CI 1.09–1.22), and uninsured (OR 1.42; CI 1.15–1.73). Unadjusted survival analysis indicated worse survival for the TP when compared with the ER+/PR+/HER2− subtype. However, adjusted risk of mortality for the TP subtype was not statistically significantly worse than the ER+/PR+/HER2− subtype. Conclusions Young age, advanced stage and grade, low SES, black and API race, and lack of health insurance are more common in the TP subtype than in the ER+/PR+/HER2− subtype. However the risk of mortality between these two subtypes is similar.
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Methods Cases of first primary female invasive TP and ER+/PR+/HER2− breast cancer were obtained from the California Cancer Registry. Logistic regression analysis was used to compare differences in factors associated with the TP versus the ER+/PR+/HER2− subtype. Cox regression was used to compute the adjusted risk of breast cancer-specific mortality of the TP versus ER+/PR+/HER2−. Results The odds of TP versus ER+/PR+/HER2− were higher with advanced stage, high grade, low SES, ≤ 45 years of age (OR 1.48; CI 1.40–1.55), black (OR 1.11; CI 1.02–1.21), Asian/Pacific Islander (OR 1.15; CI 1.09–1.22), and uninsured (OR 1.42; CI 1.15–1.73). Unadjusted survival analysis indicated worse survival for the TP when compared with the ER+/PR+/HER2− subtype. However, adjusted risk of mortality for the TP subtype was not statistically significantly worse than the ER+/PR+/HER2− subtype. Conclusions Young age, advanced stage and grade, low SES, black and API race, and lack of health insurance are more common in the TP subtype than in the ER+/PR+/HER2− subtype. However the risk of mortality between these two subtypes is similar.</description><identifier>ISSN: 0957-5243</identifier><identifier>EISSN: 1573-7225</identifier><identifier>DOI: 10.1007/s10552-019-01152-8</identifier><identifier>PMID: 30879205</identifier><language>eng</language><publisher>Cham: Springer Science + Business Media</publisher><subject>Biomedical and Life Sciences ; Biomedicine ; Breast cancer ; Cancer ; Cancer Research ; Demographics ; Epidemiology ; ErbB-2 protein ; Health risk assessment ; Health risks ; Hematology ; Invasiveness ; Mortality ; Oncology ; ORIGINAL PAPER ; Public Health ; Regression analysis ; Risk ; Survival ; Survival analysis</subject><ispartof>Cancer causes &amp; control, 2019-05, Vol.30 (5), p.417-424</ispartof><rights>Springer Nature Switzerland AG 2019</rights><rights>Cancer Causes &amp; Control is a copyright of Springer, (2019). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c397t-5f0420feee017b5177164f538cc873c803ff0bc0ea2249e348b27760b2678f443</citedby><cites>FETCH-LOGICAL-c397t-5f0420feee017b5177164f538cc873c803ff0bc0ea2249e348b27760b2678f443</cites><orcidid>0000-0002-3098-6160</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.jstor.org/stable/pdf/48691292$$EPDF$$P50$$Gjstor$$H</linktopdf><linktohtml>$$Uhttps://www.jstor.org/stable/48691292$$EHTML$$P50$$Gjstor$$H</linktohtml><link.rule.ids>314,780,784,803,27924,27925,41488,42557,51319,58017,58250</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30879205$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Parise, Carol A.</creatorcontrib><creatorcontrib>Caggiano, Vincent</creatorcontrib><title>Differences in clinicopatholgic characteristics and risk of mortality between the triple positive and ER+/PR+/HER2– breast cancer subtypes</title><title>Cancer causes &amp; control</title><addtitle>Cancer Causes Control</addtitle><addtitle>Cancer Causes Control</addtitle><description>Purpose This study compared the demographic and clinicopathologic characteristics and risk of mortality between the triple positive (TP) and ER+/PR+/HER2− breast cancer subtypes. Methods Cases of first primary female invasive TP and ER+/PR+/HER2− breast cancer were obtained from the California Cancer Registry. Logistic regression analysis was used to compare differences in factors associated with the TP versus the ER+/PR+/HER2− subtype. Cox regression was used to compute the adjusted risk of breast cancer-specific mortality of the TP versus ER+/PR+/HER2−. Results The odds of TP versus ER+/PR+/HER2− were higher with advanced stage, high grade, low SES, ≤ 45 years of age (OR 1.48; CI 1.40–1.55), black (OR 1.11; CI 1.02–1.21), Asian/Pacific Islander (OR 1.15; CI 1.09–1.22), and uninsured (OR 1.42; CI 1.15–1.73). Unadjusted survival analysis indicated worse survival for the TP when compared with the ER+/PR+/HER2− subtype. However, adjusted risk of mortality for the TP subtype was not statistically significantly worse than the ER+/PR+/HER2− subtype. Conclusions Young age, advanced stage and grade, low SES, black and API race, and lack of health insurance are more common in the TP subtype than in the ER+/PR+/HER2− subtype. However the risk of mortality between these two subtypes is similar.</description><subject>Biomedical and Life Sciences</subject><subject>Biomedicine</subject><subject>Breast cancer</subject><subject>Cancer</subject><subject>Cancer Research</subject><subject>Demographics</subject><subject>Epidemiology</subject><subject>ErbB-2 protein</subject><subject>Health risk assessment</subject><subject>Health risks</subject><subject>Hematology</subject><subject>Invasiveness</subject><subject>Mortality</subject><subject>Oncology</subject><subject>ORIGINAL PAPER</subject><subject>Public Health</subject><subject>Regression analysis</subject><subject>Risk</subject><subject>Survival</subject><subject>Survival analysis</subject><issn>0957-5243</issn><issn>1573-7225</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp9kc9qFEEQxhtRzBp9AUFp8CLImOp_09NHSVYjBJSg56GnU53tdXZm7O5R9pYH8OYb-iR2MjGCBw9FFdTv-6rgI-Qpg9cMQB8lBkrxCpgpxcrU3CMrprSoNOfqPlmBUbpSXIoD8iilLQComsNDciCg0YaDWpEfJ8F7jDg4TDQM1PVhCG6cbN6M_WVw1G1stC5jDCkHl6gdLmiZv9DR090Ys-1D3tMO83fEgeYN0hzD1COdxhRy-IY3ivX5q6OPpU7X5_zX1U_aRbQpU2fL3UjT3OX9hOkxeeBtn_DJbT8kn9-uPx2fVmcf3r0_fnNWOWF0rpQHycEjIjDdKaY1q6VXonGu0cI1ILyHzgFazqVBIZuOa11Dx2vdeCnFIXm5-E5x_Dpjyu0uJId9bwcc59RyZkQN0hhW0Bf_oNtxjkP57ppiRjJgUCi-UC6OKUX07RTDzsZ9y6C9zqpdsmpLVu1NVm1TRM9vreduhxd3kj_hFEAsQCqr4RLj39v_tX22qLYpj_HOVTa1Ydxw8RvlSqmY</recordid><startdate>20190501</startdate><enddate>20190501</enddate><creator>Parise, Carol A.</creator><creator>Caggiano, Vincent</creator><general>Springer Science + Business Media</general><general>Springer International Publishing</general><general>Springer Nature B.V</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7TO</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-3098-6160</orcidid></search><sort><creationdate>20190501</creationdate><title>Differences in clinicopatholgic characteristics and risk of mortality between the triple positive and ER+/PR+/HER2– breast cancer subtypes</title><author>Parise, Carol A. ; Caggiano, Vincent</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c397t-5f0420feee017b5177164f538cc873c803ff0bc0ea2249e348b27760b2678f443</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Biomedical and Life Sciences</topic><topic>Biomedicine</topic><topic>Breast cancer</topic><topic>Cancer</topic><topic>Cancer Research</topic><topic>Demographics</topic><topic>Epidemiology</topic><topic>ErbB-2 protein</topic><topic>Health risk assessment</topic><topic>Health risks</topic><topic>Hematology</topic><topic>Invasiveness</topic><topic>Mortality</topic><topic>Oncology</topic><topic>ORIGINAL PAPER</topic><topic>Public Health</topic><topic>Regression analysis</topic><topic>Risk</topic><topic>Survival</topic><topic>Survival analysis</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Parise, Carol A.</creatorcontrib><creatorcontrib>Caggiano, Vincent</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing &amp; 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Medical Complete (Alumni)</collection><collection>Nursing &amp; Allied Health Database (Alumni Edition)</collection><collection>Health &amp; Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><jtitle>Cancer causes &amp; control</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Parise, Carol A.</au><au>Caggiano, Vincent</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Differences in clinicopatholgic characteristics and risk of mortality between the triple positive and ER+/PR+/HER2– breast cancer subtypes</atitle><jtitle>Cancer causes &amp; control</jtitle><stitle>Cancer Causes Control</stitle><addtitle>Cancer Causes Control</addtitle><date>2019-05-01</date><risdate>2019</risdate><volume>30</volume><issue>5</issue><spage>417</spage><epage>424</epage><pages>417-424</pages><issn>0957-5243</issn><eissn>1573-7225</eissn><abstract>Purpose This study compared the demographic and clinicopathologic characteristics and risk of mortality between the triple positive (TP) and ER+/PR+/HER2− breast cancer subtypes. Methods Cases of first primary female invasive TP and ER+/PR+/HER2− breast cancer were obtained from the California Cancer Registry. Logistic regression analysis was used to compare differences in factors associated with the TP versus the ER+/PR+/HER2− subtype. Cox regression was used to compute the adjusted risk of breast cancer-specific mortality of the TP versus ER+/PR+/HER2−. Results The odds of TP versus ER+/PR+/HER2− were higher with advanced stage, high grade, low SES, ≤ 45 years of age (OR 1.48; CI 1.40–1.55), black (OR 1.11; CI 1.02–1.21), Asian/Pacific Islander (OR 1.15; CI 1.09–1.22), and uninsured (OR 1.42; CI 1.15–1.73). Unadjusted survival analysis indicated worse survival for the TP when compared with the ER+/PR+/HER2− subtype. However, adjusted risk of mortality for the TP subtype was not statistically significantly worse than the ER+/PR+/HER2− subtype. Conclusions Young age, advanced stage and grade, low SES, black and API race, and lack of health insurance are more common in the TP subtype than in the ER+/PR+/HER2− subtype. However the risk of mortality between these two subtypes is similar.</abstract><cop>Cham</cop><pub>Springer Science + Business Media</pub><pmid>30879205</pmid><doi>10.1007/s10552-019-01152-8</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0002-3098-6160</orcidid></addata></record>
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subjects Biomedical and Life Sciences
Biomedicine
Breast cancer
Cancer
Cancer Research
Demographics
Epidemiology
ErbB-2 protein
Health risk assessment
Health risks
Hematology
Invasiveness
Mortality
Oncology
ORIGINAL PAPER
Public Health
Regression analysis
Risk
Survival
Survival analysis
title Differences in clinicopatholgic characteristics and risk of mortality between the triple positive and ER+/PR+/HER2– breast cancer subtypes
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