Evidence map›Paper›PMID 29703165›Full record

ArticleBMC cancer2018

Incidence trends and patterns of breast cancer in Sri Lanka: an analysis of the national cancer database.

Ashan Fernando, Umesh Jayarajah, Saumyakala Prabashani, Eshani A Fernando, Sanjeewa A Seneviratne

Abstract read
In one paragraph

Article in BMC cancer, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed.

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  12. Exploring the psychosocial morbidity of women undergoing chemotherapy for breast cancer in a post-war setting: experiences of Northern Sri Lankan women.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2021
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  14. Cancer services in Sri Lanka: current status and future directions.Journal of the Egyptian National Cancer Institute · 2021
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Ashan FernandoDepartment of Surgery, Faculty of Medicine, University of Colombo, Kynsey Road, Colombo, 08, Sri Lanka.
Umesh JayarajahDepartment of Surgery, Faculty of Medicine, University of Colombo, Kynsey Road, Colombo, 08, Sri Lanka.
Saumyakala PrabashaniDepartment of Surgery, Faculty of Medicine, University of Colombo, Kynsey Road, Colombo, 08, Sri Lanka.
Eshani A FernandoNational Cancer Control Programme, Ministry of Health, Colombo, Sri Lanka.
Sanjeewa A SeneviratneDepartment of Surgery, Faculty of Medicine, University of Colombo, Kynsey Road, Colombo, 08, Sri Lanka. sanjeewa@srg.cmb.ac.lk.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundA gradual decline in the incidence of breast cancer is documented in developed countries especially over last two decades, while in developing countries the incidence continues to rise. We conducted this study to examine trends in incidence of breast cancer in a developing country, Sri Lanka.

methodsA retrospective cohort evaluation of patients with breast cancer during 2001-2010 was performed using population based data from the Sri Lanka National Cancer Registry. Trends in incidence were analysed using Joinpoint regression analysis.

resultsThe age standardized incidence of female breast cancer in Sri Lanka appears to have increased from 17.3 per 100,000 in 2001 (95% confidence interval [95% CI] 16.5-18.2) to 24.7 per 100,000 in 2010 (95% CI 23.7-25.7); a 1.4-fold increase (p < 0.05) with an estimated annual percentage change (EAPC) of 4.4 (95% CI 3.3-5.5). Highest incidence of breast cancer was seen among women of 60 to 64-year age group which has increased from 68.1 to 100.2 per 100,000 over this period (EAPC 4.6%, 95% CI 3.9-5.2, p < 0.001 for trend). A substantially greater increase was observed among women older than 50 years (from 50.4 to 76.9 per 100,000; EAPC 5.5, 95% CI 4.1-7.0, p < 0.05) compared with women younger than 50 years (from 32.0 to 39.6 per 100,000; EAPC 2.3, 95% CI 1.1-3.5, p < 0.05).

conclusionsA gradual but a significant increase in the incidence of female breast cancer is observed in Sri Lanka. A rapid rise in the breast cancer incidence among post-menopausal women appears to be the major contributor towards this increase. Improving cancer data collection appears to have been a contributor to the observed increase. However, an inherent increase is also likely as differential rates of increase were observed by age groups. Further research is needed to identify the reasons for the observed increase which may help with future cancer control efforts in Sri Lanka.

Indexed as

AdultAgedBreast NeoplasmsBreast Neoplasms, MaleDatabases, FactualFemaleHumansIncidenceMaleMiddle AgedPopulation SurveillanceRegistriesSri LankaYoung AdultBreast cancerIncidence

Identifiers

PMID29703165
PMCPMC5924495

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.