Late presentation and suboptimal treatment of breast cancer among Syrian refugees: a retrospective study

被引:14
作者
Abdel-Razeq, Hikmat [1 ,2 ]
Tamimi, Faris [1 ]
Abdel-Razeq, Nayef [1 ]
El-Atrash, Maryam [1 ]
Sharaf, Baha' [1 ]
Mustafa, Rawan [1 ]
Mansour, Razan [1 ]
Bater, Rayan [1 ]
机构
[1] King Hussein Canc Ctr, Dept Internal Med, Amman, Jordan
[2] Univ Jordan, Sch Med, Amman, Jordan
关键词
Breast cancer; refugee; Syria; health disparity; patient management; treatment; JORDAN; CARE;
D O I
10.1177/03000605211018448
中图分类号
R-3 [医学研究方法]; R3 [基础医学];
学科分类号
1001 ;
摘要
Objectives The crisis in Syria has had a profound impact on the entire region. In this study, we report the patterns of presentation and management of Syrian patients with breast cancer treated at our institution. Methods We retrospectively collected data on Syrian refugees treated for breast cancer over the past 10 years at our center. Management was compared against our approved clinical practice guidelines. Results A total of 113 patients were eligible and included. The median age (range) at diagnosis was 47 (21-84) years and most women presented with locally advanced or metastatic disease (n = 74, 65.5%). Breast-conserving surgery and breast reconstruction were performed in 27 (33.8%) and 11 (35.4%) patients, respectively. Only a few patients received targeted (35.5%) or advanced endocrine therapy (30.0%). In total, 37 (32.7%) patients had considerable deviations from our institutional treatment guidelines and had worse outcomes. Conclusions Syrian refugees with breast cancer present late, have more advanced-stage disease, and are more likely to receive delayed and suboptimal therapy. An international systematic approach for cancer care among such vulnerable populations is urgently needed.
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页数:9
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