Disease-Free Survival in Women with Breast Cancer: 36- and 60-Month Cohorts

Bibliographic Details
Main Author: Santos, Bruna Mascarenhas
Publication Date: 2025
Other Authors: Schneider, Ione Jayce Ceola
Format: Article
Language: por
eng
spa
Source: Revista Brasileira de Cancerologia (Online)
Download full: https://rbc.inca.gov.br/index.php/revista/article/view/4726
Summary: Introduction: The study of disease-free survival has contributed to understanding the behavior and prognostic factors following the diagnosis of breast cancer in women. Objective: To analyze disease-free survival in 36 e 60 months and prognostic factors in women with breast cancer treated at a private health service. Method: Historical cohort study of women diagnosed with non-metastatic breast cancer seen between 2010 and 2021. Demographic and clinical data were collected. The statistical, descriptive, bivariate, survival analysis usedthe Kaplan-Meier method and the log-rank test. Results: Disease-free survival at 36 months was 89.8% (95%CI: 84.8-93.3) and clinical stage III was the worst prognosis with an 11% reduction in the meantime compared to stage I. Compared to 60 months, disease-free survival was 80.6% (95%CI: 73.1-86.2), with stage II and III having the worst prognosis. The reduction in mean time for stage III was21 per cent compared to stage I. Conclusion: Tumor and clinical characteristics are important for understanding disease-free survival and identifying risk profiles for recurrence, given the scarcity of research on the subject in the Brazilian population. It therefore emphasisesthe need for early diagnosis to reduce recurrence.
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spelling Disease-Free Survival in Women with Breast Cancer: 36- and 60-Month CohortsSobrevida Libre de Enfermedad en Mujeres con Cáncer de Mama: Cohortes de 36 y 60 MesesSobrevida Livre de Doença em Mulheres com Câncer de Mama: Coorte de 36 e 60 MesesNeoplasias da Mama/diagnósticoSobrevidaPrognósticoEstudos de CoortesBreast Neoplasms/diagnosisSurvivalPrognosisCohort StudiesNeoplasias de la Mama/diagnósticoSupervivenciaPronósticoEstudios de CohortesIntroduction: The study of disease-free survival has contributed to understanding the behavior and prognostic factors following the diagnosis of breast cancer in women. Objective: To analyze disease-free survival in 36 e 60 months and prognostic factors in women with breast cancer treated at a private health service. Method: Historical cohort study of women diagnosed with non-metastatic breast cancer seen between 2010 and 2021. Demographic and clinical data were collected. The statistical, descriptive, bivariate, survival analysis usedthe Kaplan-Meier method and the log-rank test. Results: Disease-free survival at 36 months was 89.8% (95%CI: 84.8-93.3) and clinical stage III was the worst prognosis with an 11% reduction in the meantime compared to stage I. Compared to 60 months, disease-free survival was 80.6% (95%CI: 73.1-86.2), with stage II and III having the worst prognosis. The reduction in mean time for stage III was21 per cent compared to stage I. Conclusion: Tumor and clinical characteristics are important for understanding disease-free survival and identifying risk profiles for recurrence, given the scarcity of research on the subject in the Brazilian population. It therefore emphasisesthe need for early diagnosis to reduce recurrence.Introducción: El estudio de la sobrevida libre de enfermedad ha contribuido a conocer el comportamiento y los factores pronósticos tras el diagnóstico de cáncer de mama en mujeres. Objetivo: Analizar la sobrevida libre de enfermedad a los 36 y 60 meses y los factores pronósticos en mujeres con cáncer de mama atendidas en un servicio sanitario privado. Método: Estudio de cohortes histórico con una población dinámica de mujeres diagnosticadas con cáncer de mama no metastásico atendidas entre 2010 y 2021. Se recogieron datos demográficos y clínicos. Los análisis estadísticos fueron descriptivos, bivariados y de sobrevida mediante el método de Kaplan-Meier y la prueba log-rank. Resultados: La sobrevida libre de enfermedad a los 36 meses fue del 89,8% (IC 95%: 84,8-93,3) y el estadio clínico III fue el de peor pronóstico, con una reducción del 11% del tiempo medio en comparación con el estadio I. En comparación con los 60 meses, la supervivencia libre de enfermedad fue del 80,6% (IC 95%: 73,1-86,2), siendo los estadios II y III los de peor pronóstico. La reducción del tiempo medio para el estadio III fue del 21% en comparación con el estadio I. Conclusión: Las características tumorales y clínicas son importantes para comprender la sobrevida libre de enfermedad e identificar perfiles de riesgo de recurrencia, dada la escasez de investigaciones sobre el tema en la población brasileña. Por tanto, se destaca la necesidad de un diagnóstico temprano para reducir la recurrencia.Introdução: O estudo de sobrevida livre de doença tem contribuído para a compreensão do comportamento e dos fatores prognósticos após o diagnóstico do câncer de mama em mulheres. Objetivo: Analisar a sobrevida livre de doença em 36 e 60 meses e fatores prognósticos em mulheres com câncer de mama atendidas em um serviço privado de saúde. Método: Estudo de coorte histórica com população de mulheres com diagnóstico de câncer de mama não metastático atendidas no período de 2010 a 2021. Foram coletados dados demográficos e clínicos. A análise estatística foi descritiva, bivariada e de sobrevida pelo método de Kaplan-Meier com utilização do teste log-rank. Resultados: A sobrevida livre de doença em 36 meses foi de 89,8% (IC 95%: 84,8-93,3) e o estádio clínico III foi o de pior prognóstico com redução de 11% no tempo médio em comparação ao estádio I. Em relação a de 60 meses, a sobrevida livre de doença foi 80,6% (IC 95%: 73,1-86,2), com estádio II e III com pior prognóstico. A redução do tempo médio do estádio III foi de 21% em comparação com o estádio I. Conclusão: Características tumorais e clínicas são importantes para a compreensão da sobrevida livre de doença e identificação de perfis de risco para recidiva, dada a escassez de pesquisas relacionadas ao tema na população brasileira. Assim, reforça-se a necessidade de diagnóstico precoce para reduzir a recorrência.INCA2025-01-13info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionArtigos, Avaliado pelos paresapplication/pdfapplication/pdfapplication/pdfhttps://rbc.inca.gov.br/index.php/revista/article/view/472610.32635/2176-9745.RBC.2024v70n4.4726Revista Brasileira de Cancerologia; Vol. 70 No. 4 (2024): oct./nov./dec.; e-144726Revista Brasileira de Cancerologia; Vol. 70 Núm. 4 (2024): oct./nov./dic.; e-144726Revista Brasileira de Cancerologia; v. 70 n. 4 (2024): out./nov./dez.; e-1447262176-97450034-7116reponame:Revista Brasileira de Cancerologia (Online)instname:Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)instacron:INCAporengspahttps://rbc.inca.gov.br/index.php/revista/article/view/4726/3716https://rbc.inca.gov.br/index.php/revista/article/view/4726/3717https://rbc.inca.gov.br/index.php/revista/article/view/4726/3718Copyright (c) 2025 Revista Brasileira de Cancerologiahttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccess Santos, Bruna Mascarenhas Schneider, Ione Jayce Ceola2025-01-13T20:26:18Zoai:rbc.inca.gov.br:article/4726Revistahttps://rbc.inca.gov.br/index.php/revistaPUBhttps://rbc.inca.gov.br/index.php/revista/oairbc@inca.gov.br0034-71162176-9745opendoar:2025-01-13T20:26:18Revista Brasileira de Cancerologia (Online) - Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)false
dc.title.none.fl_str_mv Disease-Free Survival in Women with Breast Cancer: 36- and 60-Month Cohorts
Sobrevida Libre de Enfermedad en Mujeres con Cáncer de Mama: Cohortes de 36 y 60 Meses
Sobrevida Livre de Doença em Mulheres com Câncer de Mama: Coorte de 36 e 60 Meses
title Disease-Free Survival in Women with Breast Cancer: 36- and 60-Month Cohorts
spellingShingle Disease-Free Survival in Women with Breast Cancer: 36- and 60-Month Cohorts
Santos, Bruna Mascarenhas
Neoplasias da Mama/diagnóstico
Sobrevida
Prognóstico
Estudos de Coortes
Breast Neoplasms/diagnosis
Survival
Prognosis
Cohort Studies
Neoplasias de la Mama/diagnóstico
Supervivencia
Pronóstico
Estudios de Cohortes
title_short Disease-Free Survival in Women with Breast Cancer: 36- and 60-Month Cohorts
title_full Disease-Free Survival in Women with Breast Cancer: 36- and 60-Month Cohorts
title_fullStr Disease-Free Survival in Women with Breast Cancer: 36- and 60-Month Cohorts
title_full_unstemmed Disease-Free Survival in Women with Breast Cancer: 36- and 60-Month Cohorts
title_sort Disease-Free Survival in Women with Breast Cancer: 36- and 60-Month Cohorts
author Santos, Bruna Mascarenhas
author_facet Santos, Bruna Mascarenhas
Schneider, Ione Jayce Ceola
author_role author
author2 Schneider, Ione Jayce Ceola
author2_role author
dc.contributor.author.fl_str_mv Santos, Bruna Mascarenhas
Schneider, Ione Jayce Ceola
dc.subject.por.fl_str_mv Neoplasias da Mama/diagnóstico
Sobrevida
Prognóstico
Estudos de Coortes
Breast Neoplasms/diagnosis
Survival
Prognosis
Cohort Studies
Neoplasias de la Mama/diagnóstico
Supervivencia
Pronóstico
Estudios de Cohortes
topic Neoplasias da Mama/diagnóstico
Sobrevida
Prognóstico
Estudos de Coortes
Breast Neoplasms/diagnosis
Survival
Prognosis
Cohort Studies
Neoplasias de la Mama/diagnóstico
Supervivencia
Pronóstico
Estudios de Cohortes
description Introduction: The study of disease-free survival has contributed to understanding the behavior and prognostic factors following the diagnosis of breast cancer in women. Objective: To analyze disease-free survival in 36 e 60 months and prognostic factors in women with breast cancer treated at a private health service. Method: Historical cohort study of women diagnosed with non-metastatic breast cancer seen between 2010 and 2021. Demographic and clinical data were collected. The statistical, descriptive, bivariate, survival analysis usedthe Kaplan-Meier method and the log-rank test. Results: Disease-free survival at 36 months was 89.8% (95%CI: 84.8-93.3) and clinical stage III was the worst prognosis with an 11% reduction in the meantime compared to stage I. Compared to 60 months, disease-free survival was 80.6% (95%CI: 73.1-86.2), with stage II and III having the worst prognosis. The reduction in mean time for stage III was21 per cent compared to stage I. Conclusion: Tumor and clinical characteristics are important for understanding disease-free survival and identifying risk profiles for recurrence, given the scarcity of research on the subject in the Brazilian population. It therefore emphasisesthe need for early diagnosis to reduce recurrence.
publishDate 2025
dc.date.none.fl_str_mv 2025-01-13
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Artigos, Avaliado pelos pares
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://rbc.inca.gov.br/index.php/revista/article/view/4726
10.32635/2176-9745.RBC.2024v70n4.4726
url https://rbc.inca.gov.br/index.php/revista/article/view/4726
identifier_str_mv 10.32635/2176-9745.RBC.2024v70n4.4726
dc.language.iso.fl_str_mv por
eng
spa
language por
eng
spa
dc.relation.none.fl_str_mv https://rbc.inca.gov.br/index.php/revista/article/view/4726/3716
https://rbc.inca.gov.br/index.php/revista/article/view/4726/3717
https://rbc.inca.gov.br/index.php/revista/article/view/4726/3718
dc.rights.driver.fl_str_mv Copyright (c) 2025 Revista Brasileira de Cancerologia
https://creativecommons.org/licenses/by/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2025 Revista Brasileira de Cancerologia
https://creativecommons.org/licenses/by/4.0
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
application/pdf
dc.publisher.none.fl_str_mv INCA
publisher.none.fl_str_mv INCA
dc.source.none.fl_str_mv Revista Brasileira de Cancerologia; Vol. 70 No. 4 (2024): oct./nov./dec.; e-144726
Revista Brasileira de Cancerologia; Vol. 70 Núm. 4 (2024): oct./nov./dic.; e-144726
Revista Brasileira de Cancerologia; v. 70 n. 4 (2024): out./nov./dez.; e-144726
2176-9745
0034-7116
reponame:Revista Brasileira de Cancerologia (Online)
instname:Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)
instacron:INCA
instname_str Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)
instacron_str INCA
institution INCA
reponame_str Revista Brasileira de Cancerologia (Online)
collection Revista Brasileira de Cancerologia (Online)
repository.name.fl_str_mv Revista Brasileira de Cancerologia (Online) - Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)
repository.mail.fl_str_mv rbc@inca.gov.br
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