JOURNAL OF PERSONALIZED MEDICINE
|
2023年
/
13卷
/
10期
关键词:
breast cancer;
epidemiology;
risk factors;
toxicity;
chemotherapy;
taxanes;
RISK-FACTORS;
SUBTYPES;
D O I:
10.3390/jpm13101458
中图分类号:
R19 [保健组织与事业(卫生事业管理)];
学科分类号:
摘要:
Breast cancer is the most common malignant disease and the leading cause of mortality among women worldwide. Antineoplastic chemotherapy is one of its primary treatments, typically based on the class of drugs known as taxanes. Despite their proven therapeutic efficacy, these drugs can induce severe toxicities, leading to dose limitations or even treatment discontinuation. The objective of this study was to describe the clinical-epidemiological profile, risk factors, and toxicities of taxane-based chemotherapy treatment in women with breast cancer in the Amazon region. This is a cross-sectional, quantitative, and descriptive study conducted with 300 women diagnosed with breast cancer undergoing taxane treatment. Most patients were in the 40-49 age range, of brown ethnicity, and had completed elementary school. The majority of patients had risk factors such as alcoholism and a sedentary lifestyles. Most women had their first pregnancy between the ages of 18 and 21, breastfed their children, had menarche between the ages of 12 and 13, and were pre-menopausal and with a family history of cancer. The most frequent histological type was non-special invasive carcinoma and the Luminal B subtype. Most participants in this study showed taxane toxicity, with neurotoxicity being the most frequent. These findings reveal the importance of early detection, comprehensive risk factors, and effective management of treatment toxicities to improve patient outcomes in breast cancer care in the Amazon region.
机构:
Dana Farber Canc Inst, IBCSG Stat Ctr, Boston, MA 02115 USA
Harvard Univ, Harvard Med Sch, Boston, MA 02115 USA
Harvard TH Chan Sch Publ Hlth, Frontier Sci & Technol Res Fdn, Boston, MA USAIBCSG, Coordinating Ctr, Effingerstr 40, CH-3008 Bern, Switzerland
机构:
Dana Farber Canc Inst, IBCSG Stat Ctr, Boston, MA 02115 USA
Harvard Univ, Harvard Med Sch, Boston, MA 02115 USAIBCSG, Coordinating Ctr, Effingerstr 40, CH-3008 Bern, Switzerland
机构:
Wageningen Univ & Res, Div Human Nutr & Hlth, POB 17, NL-6700 AA Wageningen, NetherlandsWageningen Univ & Res, Div Human Nutr & Hlth, POB 17, NL-6700 AA Wageningen, Netherlands
van den Berg, Maaike M. G. A.
Kok, Dieuwertje E.
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机构:
Wageningen Univ & Res, Div Human Nutr & Hlth, POB 17, NL-6700 AA Wageningen, NetherlandsWageningen Univ & Res, Div Human Nutr & Hlth, POB 17, NL-6700 AA Wageningen, Netherlands
Kok, Dieuwertje E.
Posthuma, Liesbeth
论文数: 0引用数: 0
h-index: 0
机构:
Wageningen Univ & Res, Div Human Nutr & Hlth, POB 17, NL-6700 AA Wageningen, NetherlandsWageningen Univ & Res, Div Human Nutr & Hlth, POB 17, NL-6700 AA Wageningen, Netherlands
Posthuma, Liesbeth
Kamps, Lisette
论文数: 0引用数: 0
h-index: 0
机构:
Wageningen Univ & Res, Div Human Nutr & Hlth, POB 17, NL-6700 AA Wageningen, NetherlandsWageningen Univ & Res, Div Human Nutr & Hlth, POB 17, NL-6700 AA Wageningen, Netherlands
Kamps, Lisette
Kelfkens, Celine S.
论文数: 0引用数: 0
h-index: 0
机构:
Wageningen Univ & Res, Div Human Nutr & Hlth, POB 17, NL-6700 AA Wageningen, NetherlandsWageningen Univ & Res, Div Human Nutr & Hlth, POB 17, NL-6700 AA Wageningen, Netherlands
Kelfkens, Celine S.
Buist, Nicole
论文数: 0引用数: 0
h-index: 0
机构:
Amphia Ziekenhuis, Breda, NetherlandsWageningen Univ & Res, Div Human Nutr & Hlth, POB 17, NL-6700 AA Wageningen, Netherlands
Buist, Nicole
Geenen, Maud
论文数: 0引用数: 0
h-index: 0
机构:
Sint Lucas Andreas Ziekenhuis, Amsterdam, NetherlandsWageningen Univ & Res, Div Human Nutr & Hlth, POB 17, NL-6700 AA Wageningen, Netherlands
Geenen, Maud
Haringhuizen, Annebeth
论文数: 0引用数: 0
h-index: 0
机构:
Ziekenhuis Gelderse Vallei, Ede, NetherlandsWageningen Univ & Res, Div Human Nutr & Hlth, POB 17, NL-6700 AA Wageningen, Netherlands
Haringhuizen, Annebeth
Heijns, Joan B.
论文数: 0引用数: 0
h-index: 0
机构:
Amphia Ziekenhuis, Breda, NetherlandsWageningen Univ & Res, Div Human Nutr & Hlth, POB 17, NL-6700 AA Wageningen, Netherlands
Heijns, Joan B.
van Lieshout, Rianne H. M. A.
论文数: 0引用数: 0
h-index: 0
机构:
Maxima Med Ctr, Eindhoven, NetherlandsWageningen Univ & Res, Div Human Nutr & Hlth, POB 17, NL-6700 AA Wageningen, Netherlands
van Lieshout, Rianne H. M. A.
Los, Maartje
论文数: 0引用数: 0
h-index: 0
机构:
St Antonius Hosp, Nieuwegein, NetherlandsWageningen Univ & Res, Div Human Nutr & Hlth, POB 17, NL-6700 AA Wageningen, Netherlands
Los, Maartje
Sommeijer, Dirkje W.
论文数: 0引用数: 0
h-index: 0
机构:
Flevoziekenhuis, Almere, NetherlandsWageningen Univ & Res, Div Human Nutr & Hlth, POB 17, NL-6700 AA Wageningen, Netherlands
Sommeijer, Dirkje W.
Timmer-Bonte, Johanna N. H.
论文数: 0引用数: 0
h-index: 0
机构:
Alexander Monro Ziekenhuis, Dept Oncol, Bilthoven, NetherlandsWageningen Univ & Res, Div Human Nutr & Hlth, POB 17, NL-6700 AA Wageningen, Netherlands
Timmer-Bonte, Johanna N. H.
de Kruif, Anja Th. C. M.
论文数: 0引用数: 0
h-index: 0
机构:
Vrije Univ Amsterdam, Dept Hlth Sci, Amsterdam, NetherlandsWageningen Univ & Res, Div Human Nutr & Hlth, POB 17, NL-6700 AA Wageningen, Netherlands
de Kruif, Anja Th. C. M.
van Laarhoven, Hanneke W. M.
论文数: 0引用数: 0
h-index: 0
机构:
Acad Med Ctr, Dept Oncol, Amsterdam, NetherlandsWageningen Univ & Res, Div Human Nutr & Hlth, POB 17, NL-6700 AA Wageningen, Netherlands
van Laarhoven, Hanneke W. M.
Kampman, Ellen
论文数: 0引用数: 0
h-index: 0
机构:
Wageningen Univ & Res, Div Human Nutr & Hlth, POB 17, NL-6700 AA Wageningen, NetherlandsWageningen Univ & Res, Div Human Nutr & Hlth, POB 17, NL-6700 AA Wageningen, Netherlands
Kampman, Ellen
Winkels, Renate M.
论文数: 0引用数: 0
h-index: 0
机构:
Penn State Coll Med, Dept Publ Hlth Sci, Hershey, PA USAWageningen Univ & Res, Div Human Nutr & Hlth, POB 17, NL-6700 AA Wageningen, Netherlands