ArticleBritish journal of cancer2012
Variation in advanced stage at diagnosis of lung and female breast cancer in an English region 2006-2009.
Article in British journal of cancer, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 3 of them syntheses that pooled it.
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Who cites it
28 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Understanding the effects of socioeconomic status along the breast cancer continuum in Australian women: a systematic review of evidence.International journal for equity in health · 2017Pooled it
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- The Role of Proliferation in Determining Response to Neoadjuvant Chemotherapy in Breast Cancer: A Gene Expression-Based Meta-Analysis.Clinical cancer research : an official journal of the American Association for Cancer Research · 2016Pooled it
- Inequalities in cancer diagnostic outcomes for patients with a learning disability: a retrospective cohort study in England.BMJ oncology · 2026Article
- Utility of systemic staging in breast cancer patients with a positive sentinel lymph node biopsy.Irish journal of medical science · 2025Article
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- Current Role and Future Prospects of Positron Emission Tomography (PET)/Computed Tomography (CT) in the Management of Breast Cancer.Medicina (Kaunas, Lithuania) · 2024Review
- Socioeconomic and geographic disparities of breast cancer incidence according to stage at diagnosis in France.Cancer causes & control : CCC · 2024Article
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- Relationship between ethnicity and stage at diagnosis in England: a national analysis of six cancer sites.BMJ open · 2023Article
- Clinical Significance of Radiologically Detected Small Indeterminate Extra-Mammary Lesions in Breast Cancer Patients.European journal of breast health · 2022Article
- Assessing Ethnic Inequalities in Diagnostic Interval of Common Cancers: A Population-Based UK Cohort Study.Cancers · 2022Article
- Trends in female breast cancer incidence, mortality, and survival in Austria, with focus on age, stage, and birth cohorts (1983-2017).Scientific reports · 2022Article
- Socio-Economic Position, Cancer Incidence and Stage at Diagnosis: A Nationwide Cohort Study in Belgium.Cancers · 2021Article
- Responsibility for follow-up during the diagnostic process in primary care: a secondary analysis of International Cancer Benchmarking Partnership data.The British journal of general practice : the journal of the Royal College of General Practitioners · 2018Article
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- An Association of Cancer Physicians' strategy for improving services and outcomes for cancer patients.Ecancermedicalscience · 2016Article
- Cancer symptom awareness and barriers to symptomatic presentation in England--are we clear on cancer?British journal of cancer · 2015Article
- Symptoms and other factors associated with time to diagnosis and stage of lung cancer: a prospective cohort study.British journal of cancer · 2015Article
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6 authors.
Funding
Abstract
backgroundUnderstanding variation in stage at diagnosis can inform interventions to improve the timeliness of diagnosis for patients with different cancers and characteristics.
methodsWe analysed population-based data on 17,836 and 13,286 East of England residents diagnosed with (female) breast and lung cancer during 2006-2009, with stage information on 16,460 (92%) and 10,435 (79%) patients, respectively. Odds ratios (ORs) of advanced stage at diagnosis adjusted for patient and tumour characteristics were derived using logistic regression.
resultsWe present adjusted ORs of diagnosis in stages III/IV compared with diagnosis in stages I/II. For breast cancer, the frequency of advanced stage at diagnosis increased stepwise among old women (ORs: 1.21, 1.46, 1.68 and 1.78 for women aged 70-74, 75-79, 80-84 and ≥85, respectively, compared with those aged 65-69 , P<0.001). In contrast, for lung cancer advanced stage at diagnosis was less frequent in old patients (ORs: 0.82, 0.74, 0.73 and 0.66, P<0.001). Advanced stage at diagnosis was more frequent in more deprived women with breast cancer (OR: 1.23 for most compared with least deprived, P=0.002), and in men with lung cancer (OR: 1.14, P=0.011). The observed patterns were robust to sensitivity analyses approaches for handling missing stage data under different assumptions.
conclusionInterventions to help improve the timeliness of diagnosis of different cancers should be targeted at specific age groups.
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