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- W2544435064 abstract "Screening for breast cancer can result in earlier diagnosis and better health outcomes, but screening tends to be less aggressive in China than in some other countries, such as the United States (US). This study was conducted to assess how outcomes differ among breast cancer survivors according to the presence of symptoms at diagnosis, and to compare stage of diagnosis across China and the United States (US). Data for China were taken from the combined 2010-2015 National Health and Wellness Survey (NHWS) in China, and US data were taken from the NHWS in the US in 2015. The NHWS is an Internet-based self-reported survey administered to the adult population of the respective country. Those reporting physician diagnosis of breast cancer were asked which stage their breast cancer was diagnosed, and whether they experienced symptoms prior to being diagnosed. Health status during at the time of the survey was assessed using either SF-12v2 or SF-36v2 health survey. A total of 227 respondents in China had ever been diagnosed with breast cancer, of which 110 (48.9%) had experienced symptoms before being diagnosed. These respondents had lower mental component summary (39.9 vs. 43.0), physical component summary (43.8 vs. 47.4) and SF-6D health utility (0.66 vs. 0.73) (all p<0.05) than those who had not experienced symptoms by the time of diagnosis. Stage of diagnosis differed across countries (overall p<0.001), with the greatest difference being the percentage diagnosed at stage 0 (10.7% in China vs. 24.8% in US). Experience of symptoms at the time of breast cancer diagnosis is associated with worse health-related quality of life among survivors in China. Combined with the later stage of diagnosis, these results suggest women in China could benefit from increased screening for breast cancer." @default.
- W2544435064 created "2016-11-04" @default.
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- W2544435064 date "2016-11-01" @default.
- W2544435064 modified "2023-09-26" @default.
- W2544435064 title "Breast Cancer in China: Room for Improved Screening" @default.
- W2544435064 doi "https://doi.org/10.1016/j.jval.2016.08.095" @default.
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