Evidence map›Paper›PMID 37795445›Full record

ArticleFrontiers in oncology2023

Opposite trends in incidence of breast cancer in young and old female cohorts in Hungary and the impact of the Covid-19 pandemic: a nationwide study between 2011-2020.

Zoltán Kiss, Judit Kocsis, Alíz Nikolényi, Zsolt Horváth, Kata Knollmajer, Angéla Benedek, Máté Várnai, Zoltán Polányi, Krisztina Andrea Kovács, Andrea Berta and 17 more

Open access · goldAbstract read
In one paragraph

Article in Frontiers in oncology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
2.5field-weighted citation impact, top 9% of its field
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

7 citing papers in PubMed, 11 citations in OpenAlex.

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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

27 authors at 7 institutions in 2 countries.

Zoltán KissMSD Pharma Hungary Ltd, Budapest, Hungary.
Judit KocsisDepartment of Oncology, Bács-Kiskun County Teaching Hospital, Kecskemét, Hungary.
Alíz NikolényiDepartment of Oncotherapy, University of Szeged, Szeged, Hungary.
Zsolt HorváthDepartment of Oncology, Bács-Kiskun County Teaching Hospital, Kecskemét, Hungary.
Kata KnollmajerMSD Pharma Hungary Ltd, Budapest, Hungary.
Angéla BenedekMSD Pharma Hungary Ltd, Budapest, Hungary.
Máté VárnaiMSD Pharma Hungary Ltd, Budapest, Hungary.
Zoltán PolányiMSD Pharma Hungary Ltd, Budapest, Hungary.
Krisztina Andrea KovácsMSD Pharma Hungary Ltd, Budapest, Hungary.
Andrea BertaMSD Pharma Hungary Ltd, Budapest, Hungary.
István KöveskutiMSD Pharma Hungary Ltd, Budapest, Hungary.
Eugenia KaramousouliMSD Pharma Hungary Ltd, Budapest, Hungary.
Tamás Géza SzabóMSD Pharma Hungary Ltd, Budapest, Hungary.
György RokszinRxTarget Ltd., Szolnok, Hungary.
Ibolya FábiánRxTarget Ltd., Szolnok, Hungary.
Renáta Bartókné TamásDepartment of Deputy Chief Medical Officer II., National Public Health Center, Budapest, Hungary.
Orsolya SurjánDepartment of Deputy Chief Medical Officer II., National Public Health Center, Budapest, Hungary.
Diána FürtősDepartment of Deputy Chief Medical Officer II., National Public Health Center, Budapest, Hungary.
György SurjánDepartment of Deputy Chief Medical Officer II., National Public Health Center, Budapest, Hungary.
István KenesseyNational Institute of Oncology, National Tumorbiology Laboratory project (NLP-17), Budapest, Hungary.
András WeberNational Institute of Oncology, National Tumorbiology Laboratory project (NLP-17), Budapest, Hungary.
Zsófia BarczaSyntesia Medical Communications Ltd, Budapest, Hungary.
Tamás BerkiCenter for Health Technology Assessment, Semmelweis University, Budapest, Hungary.
Zoltán VokóCenter for Health Technology Assessment, Semmelweis University, Budapest, Hungary.
Csaba DózsaDepartment of Theoretical Health Sciences, University of Miskolc Faculty of Health Sciences, Miskolc, Hungary.
Magdolna DankCancer Center, Semmelweis University, Budapest, Hungary.
Katalin BoérDepartment of Clinical Oncology, St. Margaret Hospital, Budapest, Hungary.
National Public Health and Medical Officer Service · HUSemmelweis University · HUBács-Kiskun Megyei Kórház · HUNational Institute of Oncology · HUUniversity of Miskolc · HUUniversity of Szeged · HUUniversity of Veterinary Medicine · HU

Funding

World Health Organization 001
6 · The paper itself

Abstract

Background: This nationwide study examined breast cancer (BC) incidence and mortality rates in Hungary between 2011-2019, and the impact of the Covid-19 pandemic on the incidence and mortality rates in 2020 using the databases of the National Health Insurance Fund (NHIF) and Central Statistical Office (CSO) of Hungary. Methods: Our nationwide, retrospective study included patients who were newly diagnosed with breast cancer (International Codes of Diseases ICD)-10 C50) between Jan 1, 2011 and Dec 31, 2020. Age-standardized incidence and mortality rates (ASRs) were calculated using European Standard Populations (ESP). Results: 7,729 to 8,233 new breast cancer cases were recorded in the NHIF database annually, and 3,550 to 4,909 all-cause deaths occurred within BC population per year during 2011-2019 period, while 2,096 to 2,223 breast cancer cause-specific death was recorded (CSO). Age-standardized incidence rates varied between 116.73 and 106.16/100,000 PYs, showing a mean annual change of -0.7% (95% CI: -1.21%-0.16%) and a total change of -5.41% (95% CI: -9.24 to -1.32). Age-standardized mortality rates varied between 26.65-24.97/100,000 PYs (mean annual change: -0.58%; 95% CI: -1.31-0.27%; p=0.101; total change: -5.98%; 95% CI: -13.36-2.66). Age-specific incidence rates significantly decreased between 2011 and 2019 in women aged 50-59, 60-69, 80-89, and ≥90 years (-8.22%, -14.28%, -9.14%, and -36.22%, respectively), while it increased in young females by 30.02% (95%CI 17,01%- 51,97%) during the same period. From 2019 to 2020 (in first COVID-19 pandemic year), breast cancer incidence nominally decreased by 12% (incidence rate ratio [RR]: 0.88; 95% CI: 0.69-1.13; 2020 vs. 2019), all-cause mortality nominally increased by 6% (RR: 1.06; 95% CI: 0.79-1.43) among breast cancer patients, and cause-specific mortality did not change (RR: 1.00; 95%CI: 0.86-1.15). Conclusion: The incidence of breast cancer significantly decreased in older age groups (≥50 years), oppositely increased among young females between 2011 and 2019, while cause-specific mortality in breast cancer patients showed a non-significant decrease. In 2020, the Covid-19 pandemic resulted in a nominal, but not statistically significant, 12% decrease in breast cancer incidence, with no significant increase in cause-specific breast cancer mortality observed during 2020.

Indexed as

breast cancerCovid-19incidencemortality ratepandemic (COVID19)

Identifiers

PMID37795445
PMCPMC10545848
OpenAlexW4386849588

What OpenQuestion holds

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Registered trials

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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.