Evidence map›Paper›PMID 34488654›Full record

ArticleBMC cancer2021

Race disparities in mortality by breast cancer from 2000 to 2017 in São Paulo, Brazil: a population-based retrospective study.

Ana Cláudia Marcelino, Bruno Gozzi, Cássio Cardoso-Filho, Helymar Machado, Luiz Carlos Zeferino, Diama Bhadra Vale

Abstract read
In one paragraph

Article in BMC cancer, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

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

8 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Observational
  6. Racism as a Social Determinant of Health in Brazil in the COVID-19 Pandemic and Beyond.Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia · 2023
    Article
  7. Article
  8. Review
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

6 authors.

Ana Cláudia MarcelinoObstetrics and Gynecology Department, State University of Campinas, Rua Alexander Fleming 101, Campinas, SP, CEP 13083-881, Brazil.
Bruno GozziObstetrics and Gynecology Department, State University of Campinas, Rua Alexander Fleming 101, Campinas, SP, CEP 13083-881, Brazil.
Cássio Cardoso-FilhoObstetrics and Gynecology Department, State University of Campinas, Rua Alexander Fleming 101, Campinas, SP, CEP 13083-881, Brazil.
Helymar MachadoObstetrics and Gynecology Department, State University of Campinas, Rua Alexander Fleming 101, Campinas, SP, CEP 13083-881, Brazil.
Luiz Carlos ZeferinoObstetrics and Gynecology Department, State University of Campinas, Rua Alexander Fleming 101, Campinas, SP, CEP 13083-881, Brazil.
Diama Bhadra ValeObstetrics and Gynecology Department, State University of Campinas, Rua Alexander Fleming 101, Campinas, SP, CEP 13083-881, Brazil. dvale@unicamp.br.ORCID https://orcid.org/0000-0003-2423-0225

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn Brazil, inequalities in access may interfere with cancer care. This study aimed to evaluate the influence of race on breast cancer mortality in the state of São Paulo, from 2000 to 2017, contextualizing with other causes of death.

methodsA population-based retrospective study using mortality rates, age and race as variables. Information on deaths was collected from the Ministry of Health Information System. Only white and black categories were used. Mortality rates were age-adjusted by the standard method. For statistical analysis, linear regression was carried out.

resultsThere were 60,940 deaths registered as breast cancer deaths, 46,365 in white and 10,588 in black women. The mortality rates for 100,000 women in 2017 were 16.46 in white and 9.57 in black women, a trend to reduction in white (p = 0.002), and to increase in black women (p = 0.010). This effect was more significant for white women (p < 0.001). The trend to reduction was consistent in all age groups in white women, and the trend to increase was observed only in the 40-49 years group in black women. For 'all-cancer causes', the trend was to a reduction in white (p = 0.031) and to increase in black women (p < 0.001). For 'ill-defined causes' and 'external causes', the trend was to reduce both races (p < 0.001).

conclusionThe declared race influenced mortality rates due to breast cancer in São Paulo. The divergences observed between white and black women also were evident in all cancer causes of death, which may indicate inequities in access to highly complex health care in our setting.

Indexed as

Healthcare DisparitiesHealth Status DisparitiesSocioeconomic FactorsAdultAgedBrazilBreast NeoplasmsEthnicityFemaleFollow-Up StudiesHumansMiddle AgedPrognosisRacial GroupsRetrospective StudiesSurvival RateBlack womenBreast neoplasmsHealthcare disparitiesMortalityRace/ethnicityRacial disparities

Identifiers

PMID34488654
PMCPMC8422690

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Registered trials

None linked

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.